Hypertrophic Cardiomyopathy in Youth Athletes Successfull Screening With Point-of-Care Ultrasound by Medical Students

被引:18
作者
Fox, J. Christian [1 ]
Lahham, Shadi [1 ]
Maldonado, Graciela [2 ]
Klaus, Suzi [2 ]
Aish, Bassil [3 ]
Sylwanowicz, Lauren V. [1 ]
Yanuck, Justin [1 ]
Wilson, Sean P. [1 ]
Shieh, Mason [2 ]
Anderson, Craig L. [1 ]
English, Carter [2 ]
Mayer, Ryan [2 ]
Mohan, Uthara R. [4 ]
机构
[1] Univ Calif Irvine Hlth, Dept Emergency Med, Orange, CA USA
[2] Univ Calif Irvine, Sch Med, Irvine, CA 92717 USA
[3] Univ Calif Irvine Hlth, Orange, CA USA
[4] Newport Harbor Cardiol, Newport Beach, CA USA
关键词
cardiac screening; echocardiography; hypertrophic cardiomyopathy; ultrasound; SUDDEN CARDIAC DEATH; YOUNG; CARDIOLOGY; STATEMENT; HEART; PREVENTION; CONSENSUS; SCHOOL;
D O I
10.7863/ultra.16.06044
中图分类号
O42 [声学];
学科分类号
070206 ; 082403 ;
摘要
Objectives-Hypertrophic cardiomyopathy (HCM) is a life-threatening genetic cardiovascular disease that often goes undetected in young athletes. Neither history nor physical examination are reliable to identify those at risk. The objective of this study is to determine whether minimally trained medical student volunteers can use ultrasound to screen for HCM. Methods-This was a prospective enrollment of young athletes performed at 12 area high schools and three area colleges, between May 2012 and August 2013. All participants underwent point-of-care ultrasound performed screening for HCM by trained medical students and reviewed by a pediatric cardiologist. An interventricular septum to left ventricular posterior wall ratio greater than L25 was considered to be abnormal (positive screen). Results-A total of 2332 participants were enrolled. There were 137 (5.8%) with a positive screening for HCM, of which 7 (5.1%) were confirmed to have HCM by a pediatric cardiologist. In a small cohort with positive screen for HCM, there was a 100% sensitivity (95% confidence interval, 59.04 to 100%) and 4.86% (95% confidence interval, 1.98 to 9.76%) positive predictive value of for having HCM. Conclusions-Volunteer medical students, using point-of-care ultrasound, were able to effectively screen for HCM in young athletes.
引用
收藏
页码:1109 / 1115
页数:7
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