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- Title
Meta-analysis on the Effectiveness of ECG Screening for Conditions Related to Sudden Cardiac Death in Young Athletes.
- Authors
Goff, Nicolas K.; Hutchinson, Alexander; Koek, Wouter; Kamat, Deepak
- Abstract
Controversy exists over the use of electrocardiograms (ECGs) in sports pre-participation screening. We performed a meta-analysis comparing the effectiveness of history and physical examination (H&P) with ECG at detecting both cardiac disease and sudden cardiac death–associated conditions (SCD-AC). Pre-participation studies published from 2015 to 2020 with athletes 10 to 35 years old were included. This yielded 28 011 athletes screened and 124 cardiac diagnoses, 103 of which were SCD-AC. A meta-analysis of log odds ratios (ORs) was conducted using a random-effects model. The ORs for the association between H&P and detecting both cardiac disease and SCD-AC were not statistically significant (OR = 3.4, P =.076; OR = 2.9, P =.078). The ORs for the association between ECG and detecting both cardiac disease and SCD-AC were statistically significant (60, P <.001; 148, P <.0001). In conclusion, the odds of detecting both cardiac disease and conditions related to SCD with ECG are greater than with H&P during sports pre-participation screening.
- Subjects
HEART disease diagnosis; HEART disease complications; LONG QT syndrome diagnosis; CONGENITAL heart disease diagnosis; CORONARY artery abnormalities; ONLINE information services; WOLFF-Parkinson-White syndrome; META-analysis; MEDICAL information storage &; retrieval systems; MEDICAL examinations of athletes; SYSTEMATIC reviews; CARDIOMYOPATHIES; MEDICAL screening; ATHLETES; VENTRICULAR tachycardia; ELECTROCARDIOGRAPHY; CARDIAC arrest; MEDICAL history taking; DESCRIPTIVE statistics; SENSITIVITY &; specificity (Statistics); ODDS ratio; MEDLINE; DISEASE risk factors; CHILDREN; EVALUATION
- Publication
Clinical Pediatrics, 2023, Vol 62, Issue 10, p1158
- ISSN
0009-9228
- Publication type
Article
- DOI
10.1177/00099228231152857