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Evaluation of a Standardized Cardiac Athletic Screening for National Collegiate Athletic Association (NCAA) Athletes.

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Date
2019-08-14
Authors
Fischetti, Chanel E
Kamyszek, Reed W
Shaheen, Stephen
Oshlag, Benjamin
Banks, Adam
Blood, AJ
Bytomski, Jeffrey R
Boggess, Blake
Lahham, Shadi
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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 article
Subject
Science & Technology
Life Sciences & Biomedicine
Emergency Medicine
HYPERTROPHIC CARDIOMYOPATHY
COST-EFFECTIVENESS
SUDDEN-DEATH
ELECTROCARDIOGRAM
HEART
ABNORMALITIES
ULTRASOUND
CRITERIA
SPORTS
RISK
Permalink
https://hdl.handle.net/10161/19568
Published Version (Please cite this version)
10.5811/westjem.2019.7.43190
Publication 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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Scholars@Duke

Boggess

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
Bytomski

Jeffrey Ryszard Bytomski

Professor in Family Medicine and Community Health
Shaheen

Stephen Patrick Shaheen

Assistant Professor of Surgery
Alphabetical list of authors with Scholars@Duke profiles.
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