Practice Guidelines

Preparticipation Screening for CVD in Competitive Athletes: Recommendations from the AHA/ACC

 


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Am Fam Physician. 2016 Jul 15;94(2):170.

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Key Points for Practice

• Physicians should use the AHA's 14-point screening guidelines, as well as those from other societies, combined with a history and physical examination to screen for cardiovascular abnormalities.

• Universal screening of the general population of young persons with 12-lead ECG is not recommended, although use in smaller cohorts with history and physical examination may be considered in a closely monitored setting.

From the AFP Editors

Key Points for Practice

• Physicians should use the AHA's 14-point screening guidelines, as well as those from other societies, combined with a history and physical examination to screen for cardiovascular abnormalities.

• Universal screening of the general population of young persons with 12-lead ECG is not recommended, although use in smaller cohorts with history and physical examination may be considered in a closely monitored setting.

From the AFP Editors

In the United States, preparticipation cardiovascular screening for all athletes (not just those who are elite) consists of a personal and family history, and a physical examination without electrocardiography (ECG). Through such screening, those athletes with or suspected of having a possibly lethal genetic or congenital cardiovascular disease (CVD) can be identified and withdrawn from competition to decrease risks to themselves and their competitors, be treated, or be provided implantable cardioverter-defibrillators to prevent sudden death.

The American

Author disclosure: No relevant financial affiliations.

See related Practice Guideline in an upcoming issue of AFP.

Coverage of guidelines from other organizations does not imply endorsement by AFP or the AAFP.

This series is coordinated by Sumi Sexton, MD, Associate Deputy Editor.

A collection of Practice Guidelines published in AFP is available at http://www.aafp.org/afp/practguide.



 

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