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Evaluation of a Standardized Cardiac Athletic Screening for National Collegiate Athletic Association (NCAA) Athletes.
Abstract
INTRODUCTION:Sudden cardiac death is a rare cause of death in young athletes. Current
screening techniques include history and physical exam (H and P), with or without
an electrocardiogram (ECG). Adding point of care cardiac ultrasound has demonstrated
benefits, but there is limited data about implementing this technology. We evaluated
the feasibility of adding ultrasound to preparticipation screening for collegiate
athletes. METHODS:We prospectively enrolled 42 collegiate athletes randomly selected
from several sports. All athletes were screened using a 14-point H and P based on
2014 American College of Cardiology (ACC) and American Heart Association (AHA) guidelines,
ECG, and cardiac ultrasound. RESULTS:We screened 11 female and 31 male athletes. On
ultrasound, male athletes demonstrated significantly larger interventricular septal
wall thickness (p = 0.002), posterior wall thickness (p <0.001) and aortic root breadth
(p = 0.002) compared to females. Based on H and P and ECGs alone and a combination
of H and P with ECG, no athletes demonstrated a positive screening for cardiac abnormalities.
However, with combined H and P, ECG, and cardiac ultrasound, one athlete demonstrated
positive findings. CONCLUSIONS:We believe that adding point of care ultrasound to
the preparticipation exam of college athletes is feasible. This workflow may provide
a model for athletic departments' screening.
Type
Journal articleSubject
Science & TechnologyLife Sciences & Biomedicine
Emergency Medicine
HYPERTROPHIC CARDIOMYOPATHY
COST-EFFECTIVENESS
SUDDEN-DEATH
ELECTROCARDIOGRAM
HEART
ABNORMALITIES
ULTRASOUND
CRITERIA
SPORTS
RISK
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https://hdl.handle.net/10161/19568Published Version (Please cite this version)
10.5811/westjem.2019.7.43190Publication Info
Fischetti, Chanel E; Kamyszek, Reed W; Shaheen, Stephen; Oshlag, Benjamin; Banks,
Adam; Blood, AJ; ... Lahham, Shadi (2019). Evaluation of a Standardized Cardiac Athletic Screening for National Collegiate Athletic
Association (NCAA) Athletes. The western journal of emergency medicine, 20(5). pp. 810-817. 10.5811/westjem.2019.7.43190. Retrieved from https://hdl.handle.net/10161/19568.This is constructed from limited available data and may be imprecise. To cite this
article, please review & use the official citation provided by the journal.
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Show full item recordScholars@Duke
Blake Reid Boggess
Professor of Family Medicine and Community Health
Musculoskeletal Ultrasound, Non-operative Orthopedics, PRP- Platelet Rich Plasma Injections,
Heat Illness, Concussion, Orthopedic Physical Examination, Electrolyte Imbalance in
Exercise
Jeffrey Ryszard Bytomski
Professor in Family Medicine and Community Health
Stephen Patrick Shaheen
Assistant Professor of Emergency Medicine
Dr. Shaheen completed Emergency Medicine residency at the University of Maryland (2016)
and fellowship in Primary Care Sports Medicine at Duke University (2016). He actively
has dual-appointments through Emergency Medicine and Orthopedics. Currently, he works
with all levels of medical education and has several active projects in ultrasound
and Sports Medicine. He assists Duke Athletic teams with coverage, training, and
emergency preparedness.
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