The Evidence Against Cardiac Screening Using Electrocardiogram in Athletes

Chad Alan Asplund, Francis G. O'Connor

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Sudden cardiac death (SCD) in young athletes is publicly remarkable and tragic because of the loss of a seemingly healthy young person. Because many of the potential etiologies may be identified with a preparticipation electrocardiogram (ECG), the possible use of an ECG as a screening tool has received much attention. A good screening test should be cost-effective and should influence a disease or health outcome that has a significant impact on public health. The reality is that the prevalence of SCD is low and no outcome-based data exist to determine whether early detection saves lives. Further, there is insufficient screening infrastructure, and the risk of screening and follow-up may be higher than that of the actual disease. Until outcomes data demonstrate a benefit with regard to SCD, universal screening cannot be recommended.

Original languageEnglish (US)
Pages (from-to)81-85
Number of pages5
JournalCurrent Sports Medicine Reports
Volume15
Issue number2
DOIs
StatePublished - Mar 1 2016

Fingerprint

Sudden Cardiac Death
Athletes
Electrocardiography
Public Health
Costs and Cost Analysis
Health

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Public Health, Environmental and Occupational Health

Cite this

The Evidence Against Cardiac Screening Using Electrocardiogram in Athletes. / Asplund, Chad Alan; O'Connor, Francis G.

In: Current Sports Medicine Reports, Vol. 15, No. 2, 01.03.2016, p. 81-85.

Research output: Contribution to journalArticle

Asplund, Chad Alan ; O'Connor, Francis G. / The Evidence Against Cardiac Screening Using Electrocardiogram in Athletes. In: Current Sports Medicine Reports. 2016 ; Vol. 15, No. 2. pp. 81-85.
@article{c72b19f6da184863aaea724536badee4,
title = "The Evidence Against Cardiac Screening Using Electrocardiogram in Athletes",
abstract = "Sudden cardiac death (SCD) in young athletes is publicly remarkable and tragic because of the loss of a seemingly healthy young person. Because many of the potential etiologies may be identified with a preparticipation electrocardiogram (ECG), the possible use of an ECG as a screening tool has received much attention. A good screening test should be cost-effective and should influence a disease or health outcome that has a significant impact on public health. The reality is that the prevalence of SCD is low and no outcome-based data exist to determine whether early detection saves lives. Further, there is insufficient screening infrastructure, and the risk of screening and follow-up may be higher than that of the actual disease. Until outcomes data demonstrate a benefit with regard to SCD, universal screening cannot be recommended.",
author = "Asplund, {Chad Alan} and O'Connor, {Francis G.}",
year = "2016",
month = "3",
day = "1",
doi = "10.1249/JSR.0000000000000237",
language = "English (US)",
volume = "15",
pages = "81--85",
journal = "Current Sports Medicine Reports",
issn = "1537-890X",
publisher = "Lippincott Williams and Wilkins",
number = "2",

}

TY - JOUR

T1 - The Evidence Against Cardiac Screening Using Electrocardiogram in Athletes

AU - Asplund, Chad Alan

AU - O'Connor, Francis G.

PY - 2016/3/1

Y1 - 2016/3/1

N2 - Sudden cardiac death (SCD) in young athletes is publicly remarkable and tragic because of the loss of a seemingly healthy young person. Because many of the potential etiologies may be identified with a preparticipation electrocardiogram (ECG), the possible use of an ECG as a screening tool has received much attention. A good screening test should be cost-effective and should influence a disease or health outcome that has a significant impact on public health. The reality is that the prevalence of SCD is low and no outcome-based data exist to determine whether early detection saves lives. Further, there is insufficient screening infrastructure, and the risk of screening and follow-up may be higher than that of the actual disease. Until outcomes data demonstrate a benefit with regard to SCD, universal screening cannot be recommended.

AB - Sudden cardiac death (SCD) in young athletes is publicly remarkable and tragic because of the loss of a seemingly healthy young person. Because many of the potential etiologies may be identified with a preparticipation electrocardiogram (ECG), the possible use of an ECG as a screening tool has received much attention. A good screening test should be cost-effective and should influence a disease or health outcome that has a significant impact on public health. The reality is that the prevalence of SCD is low and no outcome-based data exist to determine whether early detection saves lives. Further, there is insufficient screening infrastructure, and the risk of screening and follow-up may be higher than that of the actual disease. Until outcomes data demonstrate a benefit with regard to SCD, universal screening cannot be recommended.

UR - http://www.scopus.com/inward/record.url?scp=84960384041&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84960384041&partnerID=8YFLogxK

U2 - 10.1249/JSR.0000000000000237

DO - 10.1249/JSR.0000000000000237

M3 - Article

C2 - 26963014

AN - SCOPUS:84960384041

VL - 15

SP - 81

EP - 85

JO - Current Sports Medicine Reports

JF - Current Sports Medicine Reports

SN - 1537-890X

IS - 2

ER -