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 language | English (US) |
|---|---|
| Pages (from-to) | 81-85 |
| Number of pages | 5 |
| Journal | Current Sports Medicine Reports |
| Volume | 15 |
| Issue number | 2 |
| DOIs | |
| State | Published - Mar 1 2016 |
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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 journal › Article
}
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.
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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 -