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Cardiovascular Screening Practices and Attitudes From the NCAA Autonomous 'Power' 5 Conferences

机译：来自NCAA自主“权力”5会议的心血管筛查实践和态度

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Background: The development of athlete-specific electrocardiogram (ECG) interpretation standards, along with recent rates of sudden cardiac death (SCD) in athletes being higher than previously estimated, has heightened the debate in the sports medicine community regarding cardiovascular screening of the college athlete, including whether certain high-risk subsets, such as male basketball athletes, should undergo more intensive screening. Hypothesis: ECG and/or echocardiography screening in National Collegiate Athletic Association Autonomous 5 Division I (A5DI) schools will be more common than previous reports, and there will be more frequent use of noninvasive cardiac screening for men's basketball players than the general athlete population. Study Design: Cross-sectional, quantitative study. Level of Evidence: Level 4. Methods: The head team physician for each of the 65 schools in the A5DI conferences was contacted to complete an anonymous survey regarding cardiovascular screening practices at their institution. The survey inquired about current screening protocols, whether SCD epidemiology (SCD-E) was considered in establishing those practices, and whether awareness of present epidemiology altered physician attitudes toward screening. Results: A total of 45 of the 65 team physicians (69%) responded. All schools reported performing history and a physical evaluation. While 17 (38%) perform only history and physical, 26 (58%) also include an ECG, and 12 (27%) include echocardiography for all student-athletes. Specifically for male basketball athletes, 10 (22%) schools perform only history and physical, 32 (71%) include ECG, and 20 (45%) include echocardiography. Additionally, 64% reported using SCD-E in developing their screening protocol. Those that had not considered SCD-E indicated they were unlikely to change their screening protocol when presented with current SCD-E. Conclusion: The majority (62%) of A5DI institutions include ECG and/or echocardiography as part of their cardiovascular screening of all athletes, increasing to 78% when specifically analyzing male basketball athletes. Clinical Relevance: A5DI institutions, presumably with greater resources, have largely implemented more intensive cardiovascular screening than just history and physical for all student-athletes and specifically for men's basketball—the athlete group at greatest risk.
机译：背景：运动员特定的心电图（ECG）解释标准的发展以及最近的运动员突然的心脏死亡率（SCD）高于先前估计，已经提高了对学院运动员心血管筛查的体育中界的辩论，包括某些高风险子集，如男性篮球运动员，应该接受更强化的筛选。假设：ECG和/或超声心动图筛查国家大学运动协会自主5师I（A5DI）学校将比以前的报告更常见，并且在男子篮球运动员中将更频繁地使用非侵入性心脏筛选，而不是一般运动员人口。研究设计：横截面，定量研究。证据级别：4级该调查询问了当前筛查协议，是否考虑了在建立这些做法时考虑了SCD流行病学（SCD-E），以及是否了解目前流行病学的认识改变了医生对筛查的态度。结果：共有45名65支球队医生（69％）回应。所有学校报告历史和物理评估。虽然17（38％）仅执行历史和物理，26（58％），也包括ECG，12名（27％）包括所有学生运动员的超声心动图。专门针对雄性篮球运动员，10名（22％）学校只表演历史，物理，32（71％）包括ECG，20（45％）包括超声心动图。此外，64％在开发筛选方案时使用SCD-E报告。那些没有考虑SCD-E的人表明，当呈现当前的SCD-e时，它们不太可能改变他们的筛选方案。结论：A5DI机构的大多数（62％）包括ECG和/或超声心动图，作为所有运动员的心血管筛查的一部分，特别是在专门分析雄性篮球运动员时增加到78％。临床相关性：A5DI机构，大大资源，大大实施了更密集的心血管筛查，而不是所有学生运动员的历史和身体，专门为男士篮球 - 运动员群体以最大的风险。

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