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Screening the apparently healthy athlete for risk: a paradigm in transition

Published online by Cambridge University Press:  13 January 2017

Joshua D. Kurtz ,
Ronald J. Kanter ,
Melissa Olen  and
Anthony F. Rossi
Joshua D. Kurtz*
Affiliation:
Department of Pediatrics, Nicklaus Children’s Hospital, Miami, FL, United States of America
Ronald J. Kanter
Affiliation:
Department of Pediatrics, Nicklaus Children’s Hospital, Miami, FL, United States of America
Melissa Olen
Affiliation:
Department of Pediatrics, Nicklaus Children’s Hospital, Miami, FL, United States of America
Anthony F. Rossi
Affiliation:
Department of Pediatrics, Nicklaus Children’s Hospital, Miami, FL, United States of America
*
Correspondence to: J. D. Kurtz, MD, Department of Pediatrics, Nicklaus Children’s Hospital, 3100 SW 62nd Avenue, Miami, FL 33156, United States of America. Tel: +305 669 5873; Fax: +305 669 6531; E-mail: Joshua.Kurtz@mch.com
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Abstract

It has largely been accepted that pre-participation screening for student athletes is necessary, but there is still no consensus on the most effective and efficient ways to accomplish this. Most clinical strategies are based on retrospective case series. By applying the European Society of Cardiology and Seattle criteria, electrocardiography appears to afford the lowest false-positive rate for identifying potentially dangerous cardiac abnormalities in athletes. Prospective, randomised trials may help determine the most effective primary prevention. Normative data for age, gender, and ethnicity for screening tools need to be formulated to further reduce false-positive results. Targeted advanced screening aimed at the highest risk groups may be the most beneficial and cost-effective application of primary prevention.

Keywords

Sudden cardiac deathsudden cardiac arrestprimary preventionelectrocardiogramechocardiogram
Type
Original Articles
Information
Cardiology in the Young , Volume 27 , Supplement S1: Sudden Cardiac Arrest in the Young: A Contemporary Perspective , January 2017 , pp. S89 - S93
Copyright
© Cambridge University Press 2017 

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