Featured Research

from universities, journals, and other organizations

Researchers recommend preparticipation cardiac screening for college athletes

Date:
May 26, 2011
Source:
Elsevier
Summary:
Sudden cardiac death in young athletes who had not previously exhibited symptoms is a relatively rare yet tragic event. This occurs in around 60-80 young athletes annually in the United States. In a new study, researchers collected electrocardiograms and echocardiograms of 964 athletes at a single university and found that distinct ECG abnormalities were present in 10% and were more common in males as well as black athletes. Two athletes were subsequently excluded from competition.

Sudden cardiac death in young athletes who had not previously exhibited symptoms is a relatively rare yet tragic event. This occurs in around 60-80 young athletes annually in the United States. In the June 2011 issue of The American Journal of Medicine, researchers collected electrocardiograms and echocardiograms of 964 athletes at a single university and found that distinct ECG abnormalities were present in 10% and were more common in males as well as black athletes. Two athletes were subsequently excluded from competition.

Related Articles


Investigators from Saint Luke's Mid America Heart and Vascular Institute, Kansas City, MO, Lawrence Memorial Hospital, Lawrence, KS, and the University of Kansas, Lawrence, prospectively screened male and female varsity athletes enrolled at the University of Kansas, Lawrence. These athletes represented 14 competitive sports with football comprising about 25% of the subjects, rowing 18% and track and field 16%. Close to 9% of all subjects reported a family history of premature death and nearly 15% reported symptoms. Almost 23% of all athletes met the current guidelines for further cardiac testing.

"These findings offer a framework for performing preparticipation screening in competitive collegiate athletes," commented lead investigator Anthony Magalski, MD, Saint Luke's Mid America Heart and Vascular Institute, Kansas City. "To our knowledge, this work represents one of the largest single cohorts of collegiate athletes in the US undergoing comprehensive preparticipation screening incorporating both 12-lead electrocardiography and echocardiography in every athlete. The addition of electrocardiography and echocardiography to routine preparticipation history and physical examination provided incremental diagnostic value. Although routinely practiced in Europe, promoted by the International Olympic Committee, and mandated in Italy, preparticipation screening including 12-lead ECG is not commonly performed in competitive collegiate athletes in the US."

Researchers found that male athletes were nearly 3 times more likely to have distinctly abnormal ECG patterns, while mildly abnormal patterns were similar in males and females. Black athletes were more than twice as likely to have distinctly abnormal ECG patterns, and even after adjusting for sex and body mass index, blacks were still 70 to 80% more likely to show these patterns. However, the racial differences in ECG patterns observed in the current study were not confirmed through echocardiography and this could lead to a higher likelihood of false-positive ECG findings in the black athlete.

The authors point to three novel findings resulting from the study: First, adherence strictly to American Heart Association/American College of Cardiology guidelines for preparticipation screening identified nearly one quarter of athletes who were candidates for noninvasive cardiovascular screening based on history or symptoms. Second, ECG findings revealed clinically important electrical abnormalities in nearly 1% of the cohort, including 7 athletes with previously unrecognized Wolff-Parkinson- White patterns and 1 with long QT syndrome. Third, although black race was independently associated with a greater prevalence of distinctly abnormal ECG patterns, clinically important racial differences in cardiac structure were not apparent.


Story Source:

The above story is based on materials provided by Elsevier. Note: Materials may be edited for content and length.


Journal Reference:

  1. Anthony Magalski, Marcia McCoy, Michael Zabel, Lawrence M. Magee, Joseph Goeke, Michael L. Main, Linda Bunten, Kimberly J. Reid, Brian M. Ramza. Cardiovascular Screening with Electrocardiography and Echocardiography in Collegiate Athletes. The American Journal of Medicine, 2011; 124 (6): 511 DOI: 10.1016/j.amjmed.2011.01.009

Cite This Page:

Elsevier. "Researchers recommend preparticipation cardiac screening for college athletes." ScienceDaily. ScienceDaily, 26 May 2011. <www.sciencedaily.com/releases/2011/05/110526064334.htm>.
Elsevier. (2011, May 26). Researchers recommend preparticipation cardiac screening for college athletes. ScienceDaily. Retrieved February 28, 2015 from www.sciencedaily.com/releases/2011/05/110526064334.htm
Elsevier. "Researchers recommend preparticipation cardiac screening for college athletes." ScienceDaily. www.sciencedaily.com/releases/2011/05/110526064334.htm (accessed February 28, 2015).

Share This


More From ScienceDaily



More Health & Medicine News

Saturday, February 28, 2015

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Could a $34 Smartphone Device Improve HIV Diagnosis in Africa?

Could a $34 Smartphone Device Improve HIV Diagnosis in Africa?

Reuters - Innovations Video Online (Feb. 27, 2015) A dongle that plugs into a Smartphone mimics a lab-based blood test for HIV and syphilis and can detect the diseases in 15 minutes, say researchers. Tara Cleary reports. Video provided by Reuters
Powered by NewsLook.com
Doctor Says Head Transplants Possible Within Two Years

Doctor Says Head Transplants Possible Within Two Years

Buzz60 (Feb. 27, 2015) An Italian doctor is saying he could stick someone&apos;s head onto someone else&apos;s body. Patrick Jones (@Patrick_E_Jones) reports. Video provided by Buzz60
Powered by NewsLook.com
How Your Dentist Could Help Screen You For Diabetes

How Your Dentist Could Help Screen You For Diabetes

Newsy (Feb. 27, 2015) A new study from researchers at New York University suggests dentists could soon use blood samples taken from patients&apos; mouths to test for diabetes. Video provided by Newsy
Powered by NewsLook.com
The Best Tips to Makeover Your Health

The Best Tips to Makeover Your Health

Buzz60 (Feb. 27, 2015) If you&apos;re looking to boost your health this season, there are a few quick and easy steps to prompt you for success. Krystin Goodwin (@Krystingoodwin) has the best tips to give your health a makeover this spring! Video provided by Buzz60
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:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

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