AMSSM Position Statement on Cardiovascular Preparticipation Screening in Athletes: Current evidence, knowledge gaps, recommendations and future directions
| Autor: | Karl B. Fields, Chad A. Asplund, Kimberly G. Harmon, Francis G. O'Connor, Robert J. Dimeff, David E. Price, Irfan M. Asif, William O. Roberts, Jonathan A. Drezner, David T. Bernhardt |
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| Rok vydání: | 2016 |
| Předmět: |
Health Knowledge
Attitudes Practice medicine.medical_specialty Sports medicine Population Advisory Committees MEDLINE Alternative medicine Eligibility Determination Physical Therapy Sports Therapy and Rehabilitation Context (language use) Physical examination 030204 cardiovascular system & hematology Sports Medicine Cardiovascular System Electrocardiography 03 medical and health sciences 0302 clinical medicine medicine Humans Mass Screening Orthopedics and Sports Medicine education Physical Examination Societies Medical education.field_of_study medicine.diagnostic_test biology Athletes business.industry Public Health Environmental and Occupational Health Sudden cardiac arrest 030229 sport sciences General Medicine medicine.disease biology.organism_classification United States Harm Death Sudden Cardiac Early Diagnosis Cardiovascular Diseases Family medicine Practice Guidelines as Topic Exercise Test Physical therapy Medical emergency medicine.symptom business Sports |
| Zdroj: | British journal of sports medicine. 51(3) |
| ISSN: | 1473-0480 |
| Popis: | Cardiovascular screening in young athletes is widely recommended and routinely performed prior to participation in competitive sports. While there is general agreement that early detection of cardiac conditions at risk for sudden cardiac arrest and death (SCA/D) is an important objective, the optimal strategy for cardiovascular screening in athletes remains an issue of considerable debate. At the center of the controversy is the addition of a resting electrocardiogram (ECG) to the standard preparticipation evaluation using history and physical examination. The American Medical Society for Sports Medicine (AMSSM) formed a task force to address the current evidence and knowledge gaps regarding preparticipation cardiovascular screening in athletes from the perspective of a primary care sports medicine physician. The absence of definitive outcomes-based evidence at this time precludes AMSSM from endorsing any single or universal cardiovascular screening strategy for all athletes, including legislative mandates. This statement presents a new paradigm to assist the individual physician in assessing the most appropriate cardiovascular screening strategy unique to their athlete population, community needs, and resources. The decision to implement a cardiovascular screening program, with or without the addition of ECG, necessitates careful consideration of the risk of SCA/D in the targeted population and the availability of cardiology resources and infrastructure. Importantly, it is the individual physician's assessment in the context of an emerging evidence-base that the chosen model for early detection of cardiac disorders in the specific population provides greater benefit than harm. AMSSM is committed to advancing evidenced-based research and educational initiatives that will validate and promote the most efficacious strategies to foster safe sport participation and reduce SCA/D in athletes. |
| Databáze: | OpenAIRE |
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