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Sports preparticipation cardiac screening: what about children?

Daniël De Wolf (UGent) and Dirk Matthys (UGent)
(2014) EUROPEAN JOURNAL OF PEDIATRICS. 173(6). p.711-719
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Abstract
Sudden cardiac death in young athletes is a devastating event. Screening programs have been proposed to prevent sudden cardiac death in young athletes. Mortality rates and causes of death differ among young adults and children. Children have a considerably lower incidence of sudden cardiac death. Data lack to compare athletes and non-athletes in childhood, but 40-50 % of sudden cardiac death in this age group seems to be related to exercise. Screening programs including history and physical exam are not very sensitive or specific and will result in important numbers of false-positives and false-negatives. Especially, interpretation of ECG in children is different from ECG in adults, with less accurate diagnoses as a consequence. Secondary prevention by widespread education of simple resuscitation techniques and use of automatic external defibrillators if available will probably save as many lives as any screening program. Conclusion: Sufficient data are lacking to support general preparticipation screening with history, physical exam, and ECG in competitive children. Nevertheless, the impact of such a program, together with secondary preventive measures, should be evaluated in large prospective studies.
Keywords
Sudden cardiac death, Sceening, Childhood, Preparticipation, Sport, SUDDEN-DEATH, YOUNG-ADULTS, ASYMPTOMATIC CHILDREN, COST-EFFECTIVENESS, PHYSICAL-ACTIVITY, ARREST, ADOLESCENTS, NONDISEASE, PREVENTION, MORBIDITY

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Citation

Please use this url to cite or link to this publication:

Chicago
De Wolf, Daniël, and Dirk Matthys. 2014. “Sports Preparticipation Cardiac Screening: What About Children?” European Journal of Pediatrics 173 (6): 711–719.
APA
De Wolf, D., & Matthys, D. (2014). Sports preparticipation cardiac screening: what about children? EUROPEAN JOURNAL OF PEDIATRICS, 173(6), 711–719.
Vancouver
1.
De Wolf D, Matthys D. Sports preparticipation cardiac screening: what about children? EUROPEAN JOURNAL OF PEDIATRICS. 2014;173(6):711–9.
MLA
De Wolf, Daniël, and Dirk Matthys. “Sports Preparticipation Cardiac Screening: What About Children?” EUROPEAN JOURNAL OF PEDIATRICS 173.6 (2014): 711–719. Print.
@article{4263817,
  abstract     = {Sudden cardiac death in young athletes is a devastating event. Screening programs have been proposed to prevent sudden cardiac death in young athletes. Mortality rates and causes of death differ among young adults and children. Children have a considerably lower incidence of sudden cardiac death. Data lack to compare athletes and non-athletes in childhood, but 40-50 \% of sudden cardiac death in this age group seems to be related to exercise. Screening programs including history and physical exam are not very sensitive or specific and will result in important numbers of false-positives and false-negatives. Especially, interpretation of ECG in children is different from ECG in adults, with less accurate diagnoses as a consequence. Secondary prevention by widespread education of simple resuscitation techniques and use of automatic external defibrillators if available will probably save as many lives as any screening program. Conclusion: Sufficient data are lacking to support general preparticipation screening with history, physical exam, and ECG in competitive children. Nevertheless, the impact of such a program, together with secondary preventive measures, should be evaluated in large prospective studies.},
  author       = {De Wolf, Dani{\"e}l and Matthys, Dirk},
  issn         = {0340-6199},
  journal      = {EUROPEAN JOURNAL OF PEDIATRICS},
  language     = {eng},
  number       = {6},
  pages        = {711--719},
  title        = {Sports preparticipation cardiac screening: what about children?},
  url          = {http://dx.doi.org/10.1007/s00431-013-2064-x},
  volume       = {173},
  year         = {2014},
}

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