Canadian Cardiovascular Society Cardiovascular Screening of Competitive Athletes: The Utility of the Screening Electrocardiogram to Predict Sudden Cardiac Death

被引：14

作者：

McKinney, James ^{[1
]}

Johri, Amer M. ^{[2
]}

Poirier, Paul ^{[3
]}

Fournier, Anne ^{[4
]}

Goodman, Jack M. ^{[5
]}

Moulson, Nathaniel ^{[1
]}

Pipe, Andrew ^{[6
]}

Philippon, Francois ^{[3
]}

Taylor, Taryn ^{[7
]}

Connelly, Kim ^{[1
]}

Dorian, Paul ^{[1
]}

机构：

[1] Univ British Columbia, Vancouver, BC, Canada

[2] Queens Univ, Kingston, ON, Canada

[3] Univ Laval, Quebec City, PQ, Canada

[4] Univ Montreal, Montreal, PQ, Canada

[5] Univ Toronto, Toronto, ON, Canada

[6] Univ Ottawa, Ottawa, ON, Canada

[7] Carleton Sport Med Clin, Ottawa, ON, Canada

来源：

CANADIAN JOURNAL OF CARDIOLOGY | 2019年 / 35卷 / 11期

关键词：

AMERICAN-HEART-ASSOCIATION; RIGHT-VENTRICULAR CARDIOMYOPATHY; SCIENTIFIC STATEMENT; DISQUALIFICATION RECOMMENDATIONS; INTERNATIONAL RECOMMENDATIONS; HYPERTROPHIC CARDIOMYOPATHY; CONSENSUS STATEMENT; PHYSICAL-ACTIVITY; DIAGNOSTIC YIELD; YOUNG;

D O I：

10.1016/j.cjca.2019.08.023

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Prevention of sudden cardiac arrest/death (SCA/D) among athletes is a universal goal, although the optimal strategy for its achievement is controversial, with the inclusion of the 12-lead electrocardiogram (ECG) at the center of the debate. The ECG exhibits superior sensitivity over history and physical examination to detect conditions associated with SCA/D. However, the identification of disease does not necessarily lead to a significant reduction in SCA/D. The "Canadian Cardiovascular Society/Canadian Heart Rhythm Society Joint Position Statement on the Cardiovascular Screening of Competitive Athletes" recommended against the routine performance of an ECG for the initial cardiovascular screening of competitive athletes. The incidence of SCA/D among athletes (<35 years of age), the risk of SCA/D during sport participation among individuals with abnormalities found on screening ECG, the efficacy of the ECG to identify conditions associated with SCA/D, and the positive predictive value of an abnormal ECG to predict SCA/D are critically examined. This review presents the evidence informing the panel's recommendation.

引用

页码：1557 / 1566

页数：10

共 58 条

[1] Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities: Task Force 10: The Cardiac Channelopathies A Scientific Statement From the American Heart Association and American College of Cardiology [J].

Ackerman, Michael J. ;

Zipes, Douglas P. ;

Kovacs, Richard J. ;

Maron, Barry J. .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2015, 66 (21) :2424-2428

[2] Population Burden of Sudden Death Associated With Hypertrophic Cardiomyopathy [J].

Aro, Aapo L. ;

Nair, Sandeep G. ;

Reinier, Kyndaron ;

Jayaraman, Reshmy ;

Stecker, Eric C. ;

Uy-Evanado, Audrey ;

Rusinaru, Carmen ;

Jui, Jonathan ;

Chugh, Sumeet S. .

CIRCULATION, 2017, 136 (17) :1665-+

[3] A Prospective Study of Sudden Cardiac Death among Children and Young Adults [J].

Bagnall, R. D. ;

Weintraub, R. G. ;

Ingles, J. ;

Duflou, J. ;

Yeates, L. ;

Lam, L. ;

Davis, A. M. ;

Thompson, T. ;

Connell, V. ;

Wallace, J. ;

Naylor, C. ;

Crawford, J. ;

Love, D. R. ;

Hallam, L. ;

White, J. ;

Lawrence, C. ;

Lynch, M. ;

Morgan, N. ;

James, P. ;

du Sart, D. ;

Puranik, R. ;

Langlois, N. ;

Vohra, J. ;

Winship, I. ;

Atherton, J. ;

McGaughran, J. ;

Skinner, J. R. ;

Semsarian, C. .

NEW ENGLAND JOURNAL OF MEDICINE, 2016, 374 (25) :2441-2452

[4] Sudden arrhythmic death syndrome: familial evaluation identifies inheritable heart disease in the majority of families [J].

Behr, Elijah R. ;

Dalageorgou, Chrysouta ;

Christiansen, Michael ;

Syrris, Petros ;

Hughes, Sian ;

Esteban, Maria T. Tome ;

Rowland, Edward ;

Jeffery, Steve ;

McKenna, William J. .

EUROPEAN HEART JOURNAL, 2008, 29 (13) :1670-1680

[5] Risk Stratification in Arrhythmogenic Right Ventricular Cardiomyopathy [J].

Calkins, Hugh ;

Corrado, Domenico ;

Marcus, Frank .

CIRCULATION, 2017, 136 (21) :2068-2082

[6] Cardiovascular pre-participation screening of young competitive athletes for prevention of sudden death: proposal for a common European protocol - Consensus statement of the Study Group of Sport Cardiology of the Working Group of Cardiac Rehabilitation and Exercise Physiology and the Working Group of Myocardial and Pericardial Diseases of the European Society of Cardiology [J].

Corrado, D ;

Pelliccia, A ;

Bjornstad, HH ;

Vanhees, L ;

Biffi, A ;

Borjesson, M ;

Panhuyzen-Goedkoop, N ;

Deligiannis, A ;

Solberg, E ;

Dugmore, D ;

Mellwig, KP ;

Assanelli, D ;

Delise, P ;

van-Buuren, F ;

Anastasakis, A ;

Heidbuchel, H ;

Hoffmann, E ;

Fagard, R ;

Priori, SG ;

Basso, C ;

Arbustini, E ;

Blomstrom-Lundqvist, C ;

McKenna, WJ ;

Thiene, G .

EUROPEAN HEART JOURNAL, 2005, 26 (05) :516-524

[7] Trends in sudden cardiovascular death in young competitive athletes after implementation of a preparticipation screening program [J].

Corrado, Domenico ;

Basso, Cristina ;

Pavei, Andrea ;

Michieli, Pierantonio ;

Schiavon, Maurizio ;

Thiene, Gaetano .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2006, 296 (13) :1593-1601

[8] Inter-Rater Reliability and Downstream Financial Implications of Electrocardiography Screening in Young Athletes [J].

Dhutia, Harshil ;

Malhotra, Aneil ;

Yeo, Tee Joo ;

Ster, Irina Chis ;

Gabus, Vincent ;

Steriotis, Alexandros ;

Dores, Helder ;

Mellor, Greg ;

Garcia-Corrales, Carmen ;

Ensam, Bode ;

Jayalapan, Viknesh ;

Ezzat, Vivienne Anne ;

Finocchiaro, Gherardo ;

Gati, Sabiha ;

Papadakis, Michael ;

Tome-Esteban, Maria ;

Sharma, Sanjay .

CIRCULATION-CARDIOVASCULAR QUALITY AND OUTCOMES, 2017, 10 (08)

[9] Impact of the International Recommendations for Electrocardiographic Interpretation on Cardiovascular Screening in Young Athletes [J].

Dhutia, Harshil ;

Malhotra, Aneil ;

Finocchiaro, Gherardo ;

Merghani, Ahmed ;

Papadakis, Michael ;

Naci, Huseyin ;

Tome, Maite ;

Sharma, Sanjay .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2017, 70 (06) :805-+

[10] International criteria for electrocardiographic interpretation in athletes: consensus statement [J].

Drezner, Jonathan A. ;

Sharma, Sanjay ;

Baggish, Aaron ;

Papadakis, Michael ;

Wilson, Mathew G. ;

Prutkin, Jordan M. ;

La Gerche, Andre ;

Ackerman, Michael J. ;

Borjesson, Mats ;

Salerno, Jack C. ;

Asif, Irfan M. ;

Owens, David S. ;

Chung, Eugene H. ;

Emery, Michael S. ;

Froelicher, Victor F. ;

Heidbuchel, Hein ;

Adamuz, Carmen ;

Asplund, Chad A. ;

Cohen, Gordon ;

Harmon, Kimberly G. ;

Marek, Joseph C. ;

Molossi, Silvana ;

Niebauer, Josef ;

Pelto, Hank F. ;

Perez, Marco V. ;

Riding, Nathan R. ;

Saarel, Tess ;

Schmied, Christian M. ;

Shipon, David M. ;

Stein, Ricardo ;

Vetter, Victoria L. ;

Pelliccia, Antonio ;

Corrado, Domenico .

BRITISH JOURNAL OF SPORTS MEDICINE, 2017, 51 (09) :704-731

← 1 2 3 4 5 6 →