Cardiovascular Screening before Sports Participation: Results of 11487 Children.

Autor: Duman D; Pediatric Cardiology, Mersin University Faculty of Medicine, Mersin, Turkey., Demetgül H; Pediatric Cardiology, Hatay Antakya State Hospital, Antakya, Turkey., Sel K; Pediatric Cardiology, SBU Ankara Dr Sami Ulus Maternity Child Health and Diseases Training and Research Hospital, Ankara, Turkey., Dönmez YN; Pediatric Cardiology, Ankara Training and Research Hospital, Ankara, Turkey., Çelikkaya ME; Pediatric Surgery, Hatay Mustafa Kemal University, Antakya, Turkey., Hüzmeli ED; Department of physical therapy and rehabilitation, Hatay Mustafa Kemal University, Antakya, Turkey., Akın A; Pediatric Cardiology, Dicle University Medical Faculty, Diyarbakir, Turkey.
Jazyk: angličtina
Zdroj: Klinische Padiatrie [Klin Padiatr] 2024 Jan; Vol. 236 (1), pp. 24-30. Date of Electronic Publication: 2023 Sep 04.
DOI: 10.1055/a-2144-6041
Abstrakt: Aim: In this study, it is aimed to analyze the data of children who were referred to our clinic for pre-participation sports screening.
Methods: Data, between September 2017 and December 2021, had been analyzed. All these subjects had been questioned for their personal and family medical stories and examined for cardiovascular system findings. Electrocardiography (ECG) and echocardiography were applied to all of them.
Results: 11487 children were consulted to the cardiology clinic for pre-sports participation screening. The mean age was 12.7±4,57 (7-18 years). 34/11487(0,29%) subjects weren't allowed to participate in sports activities at first. In 23 of 34 subjects, cardiac arrhythmias were established. 15 had Wolff-Parkinson-White (WPW) syndrome, 3 subjects had ventricular extrasystole, and also ventricular tachycardia in one of them. Four subjects had long QT syndrome and one had ST elevation with the pre-diagnosis of coronary artery disease. ECG screening alone aided in identifying asymptomatic (0.05%) that could have been potentially at risk for sudden cardiac death.
Conclusion: Positive ECG and echocardiography findings involve a very little ratio.But ECG involves an important tool for screening lethal cardiac arrhythmias in asymptomatic patients.If ECG or echocardiography couldn't be taken, further evaluation should be necessary with symptoms and/or family history.
Competing Interests: The authors declare that they have no conflict of interest.
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Databáze: MEDLINE