Featured Research

from universities, journals, and other organizations

Should athletes undergo mandatory ECG screening?

Date:
October 1, 2010
Source:
BMJ-British Medical Journal
Summary:
Should athletes have to undergo mandatory electrocardiographic screening (also known as ECG or heart trace) before competing? Doctors debate the issue in this week's BMJ.

Should athletes have to undergo mandatory electrocardiographic screening (also known as ECG or heart trace) before competing? Doctors debate the issue in the British Medical Journal.

Antonio Pelliccia and Domenico Corrado argue that screening athletes for "silent" heart problems would save lives. They say the best evidence of the efficacy of ECG screening on mortality in athletes comes from Italy, the only country where it is required by law, and where a mass screening programme has been in place for almost 30 years.

The incidence of sudden deaths before and after implementation of the programme fell by 89%, and no deaths were reported among athletes disqualified from competition because of hypertrophic cardiomyopathy. They say this supports the idea that timely identification of affected athletes offers the possibility to improve survival.

"Cardiovascular screening for young competitive athletes is justifiable and compelling on ethical, legal, and medical grounds" they argue.

But in an opposing piece, Dr Roald Bahr argues that the diagnostic accuracy of ECG screening varies, that false positives can be as high as 40%, and that some conditions, such as coronary atherosclerosis, are likely to remain undetected.

The conditions that cause cardiac death differ substantially between populations, he says. He argues that a screening programme that has successfully identified cardiomyopathies in Italy will not necessarily be effective in, for example, Norway, where this seems to be a rare cause of sudden death.

He argues that because diagnostic accuracy is low, and depends on which cardiac conditions are the main causes of sudden death, ECG screening for athletes would fail public health criteria.

"Screening of hundreds of thousands of athletes to save possibly one life a year, cannot be justified," he concludes.


Story Source:

The above story is based on materials provided by BMJ-British Medical Journal. Note: Materials may be edited for content and length.


Cite This Page:

BMJ-British Medical Journal. "Should athletes undergo mandatory ECG screening?." ScienceDaily. ScienceDaily, 1 October 2010. <www.sciencedaily.com/releases/2010/10/101001105604.htm>.
BMJ-British Medical Journal. (2010, October 1). Should athletes undergo mandatory ECG screening?. ScienceDaily. Retrieved September 20, 2014 from www.sciencedaily.com/releases/2010/10/101001105604.htm
BMJ-British Medical Journal. "Should athletes undergo mandatory ECG screening?." ScienceDaily. www.sciencedaily.com/releases/2010/10/101001105604.htm (accessed September 20, 2014).

Share This



More Health & Medicine News

Saturday, September 20, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Sierra Leone's Nationwide Ebola Curfew Underway

Sierra Leone's Nationwide Ebola Curfew Underway

Newsy (Sep. 20, 2014) Sierra Leone is locked down as aid workers and volunteers look for new cases of Ebola. Video provided by Newsy
Powered by NewsLook.com
Changes Found In Brain After One Dose Of Antidepressants

Changes Found In Brain After One Dose Of Antidepressants

Newsy (Sep. 19, 2014) A study suggest antidepressants can kick in much sooner than previously thought. Video provided by Newsy
Powered by NewsLook.com
Could Grief Affect The Immune Systems Of Senior Citizens?

Could Grief Affect The Immune Systems Of Senior Citizens?

Newsy (Sep. 19, 2014) The study found elderly people are much more likely to become susceptible to infection than younger adults going though a similar situation. Video provided by Newsy
Powered by NewsLook.com
Jury Delivers Verdict in Salmonella Trial

Jury Delivers Verdict in Salmonella Trial

AP (Sep. 19, 2014) A federal jury has convicted three people in connection with an outbreak of salmonella poisoning five years ago that sickened hundreds of people and was linked to a number of deaths. (Sept. 19) Video provided by AP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins