Electrocardiographic screening in athletes: the time is now for universal screening.

Abstract:

:Regular physical exercise reduces cardiovascular morbidity and mortality. A small proportion of athletes, however, are at increased risk of exercise-related sudden cardiac death (SCD) as a result of quiescent cardiac anomalies. The preventable nature of such deaths has prompted the medical and sporting governing bodies to recommend preparticipation cardiovascular screening (PPS) in young athletes (< or =35 years) to permit the identification of potentially fatal disorders. Although evidence from the Italian experience suggests that electrocardiographic screening of young athletes has led to a significant reduction in SCD from cardiomyopathies, considerable controversy relating to the efficacy, cost-effectiveness and the impact of false-positive results of PPS still exists. This review presents an appraisal of all the available scientific evidence, attempting to resolve the concerns of the antagonists and examine how PPS compares with the World Health Organization screening criteria, providing compelling justifications for the implementation of universal PPS in young, competitive athletes.

journal_name

Br J Sports Med

authors

Papadakis M,Sharma S

doi

10.1136/bjsm.2008.054874

subject

Has Abstract

pub_date

2009-09-01 00:00:00

pages

663-8

issue

9

eissn

0306-3674

issn

1473-0480

pii

43/9/663

journal_volume

43

pub_type

杂志文章,评审
  • Development of the interval endurance capacity in elite and sub-elite youth field hockey players.

    abstract:OBJECTIVES:To gain more insight into the mechanisms that underlie the development of interval endurance capacity in talented youth field hockey players in the 12-19 age band. METHODS:A total of 377 measurements were taken over three years. A longitudinal model for interval endurance capacity was developed using the mu...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.2005.023044

    authors: Elferink-Gemser MT,Visscher C,van Duijn MA,Lemmink KA

    更新日期:2006-04-01 00:00:00

  • The New Zealand rugby injury and performance project. IV. Anthropometric and physical performance comparisons between positional categories of senior A rugby players.

    abstract:OBJECTIVE:To describe the anthropometric and physical performance characteristics of a sample of senior A club rugby players and to highlight differences between the positional categories of the players within the forwards and backs. METHODS:94 senior A male rugby players were assessed on a number of anthropometric an...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.30.1.53

    authors: Quarrie KL,Handcock P,Toomey MJ,Waller AE

    更新日期:1996-03-01 00:00:00

  • Eccentric/concentric ratios at selected velocities for the invertor and evertor muscles of the chronically unstable ankle.

    abstract:OBJECTIVE:The use of muscle balancing by the clinician to determine return to activity or discharge of a patient is not a well understood measure. Because of the lack of information on the poorly understood concept of eccentric/concentric (E/C) ratios at the ankle, the purpose was to determine the E/C ratios for the in...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.33.4.255

    authors: Hartsell HD,Spaulding SJ

    更新日期:1999-08-01 00:00:00

  • The effects of eccentric training on lower limb flexibility: a systematic review.

    abstract:BACKGROUND:Reduced flexibility has been documented in athletes with lower limb injury, however, stretching has limited evidence of effectiveness in preventing injury or reducing the risk of recurrence. In contrast, it has been proposed that eccentric training can improve strength and reduce the risk of injury, and faci...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章,评审

    doi:10.1136/bjsports-2011-090835

    authors: O'Sullivan K,McAuliffe S,Deburca N

    更新日期:2012-09-01 00:00:00

  • Effect of exercise intensity on postexercise energy expenditure in women.

    abstract::This study was designed to examine the effect of exercise intensity on the magnitude and duration of excess postexercise oxygen consumption (EPOC) in women. On separate days and in a counterbalanced order, seven moderately active young adult women performed a 850 kJ cycle ergometer exercise at an intensity of 40 or 60...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.25.1.38

    authors: Sedlock DA

    更新日期:1991-03-01 00:00:00

  • Outbreak of Salmonella food poisoning at Junior World Rowing Championships.

    abstract::This paper describes an outbreak of Salmonella enteriditis occurring at the Junior World Rowing Championships at Poznan, Poland, in August 1995 which was to have a significant effect on the performance of several of the largest national teams. ...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.30.4.347

    authors: Anderson AC

    更新日期:1996-12-01 00:00:00

  • Association of white blood cell subfraction concentration with fitness and fatness.

    abstract:OBJECTIVE:To examine the association between fitness, BMI, and neutrophil, lymphocyte, monocyte, basophil, and eosinophil concentrations in apparently healthy, non-smoking men. DESIGN:Cross-sectional study of 452 men from the Aerobics Center Longitudinal Study examining the resting concentration of white blood cell su...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.2008.050682

    authors: Johannsen NM,Priest EL,Dixit VD,Earnest CP,Blair SN,Church TS

    更新日期:2010-06-01 00:00:00

  • Sensitivity of reticulocyte indices to iron therapy in an intensely training athlete.

    abstract::Iron deficiency anaemia, and its debilitating effect on performance, is an area of concern for many female athletes. Automated technologies that analyse individual reticulocytes may provide a sensitive measure of bone marrow response to iron supplementation. The reticulocyte characteristics of a female volleyball play...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.32.3.259

    authors: Ashenden MJ,Dobson GP,Hahn AG

    更新日期:1998-09-01 00:00:00

  • A biomechanical basis for tears of the human acetabular labrum.

    abstract:OBJECTIVE:Acetabular labral tears predominantly affect young patients and are a source of hip pain in the athlete. Four causes of the initiation of labral tears have been proposed; trauma, hypolaxity of the anterior capsule, dysplasia and bony impingement. A further cause could be reduced biomechanical properties in th...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.2008.053645

    authors: Smith CD,Masouros S,Hill AM,Amis AA,Bull AM

    更新日期:2009-08-01 00:00:00

  • Training loads and injury risk in Australian football-differing acute: chronic workload ratios influence match injury risk.

    abstract:AIMS:(1) To investigate whether a daily acute:chronic workload ratio informs injury risk in Australian football players; (2) to identify which combination of workload variable, acute and chronic time window best explains injury likelihood. METHODS:Workload and injury data were collected from 53 athletes over 2 seasons...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsports-2016-096309

    authors: Carey DL,Blanch P,Ong KL,Crossley KM,Crow J,Morris ME

    更新日期:2017-08-01 00:00:00

  • Mechanisms of injuries in World Cup Snowboard Cross: a systematic video analysis of 19 cases.

    abstract:BACKGROUND:Snowboard cross (SBX) became an official Olympic sport in 2006. This discipline includes manoeuvring several obstacles while competing in heats. It is common for the riders to collide, making this sport both exciting and at risk of injuries. Although a recent study from the 2010 Olympic Games has shown that ...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsports-2011-090527

    authors: Bakken A,Bere T,Bahr R,Kristianslund E,Nordsletten L

    更新日期:2011-12-01 00:00:00

  • Ex-professional association footballers have an increased prevalence of osteoarthritis of the hip compared with age matched controls despite not having sustained notable hip injuries.

    abstract:OBJECTIVE:To compare the prevalence of self reported, physician diagnosed osteoarthritis (OA) of the hip in ex-professional footballers with that in age matched controls in the general public. METHOD:A questionnaire was sent to the 92 football league and premiership managers to assess the prevalence of OA of various j...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.37.1.80

    authors: Shepard GJ,Banks AJ,Ryan WG

    更新日期:2003-02-01 00:00:00

  • Imaging services at the Paralympic Games London 2012: analysis of demand and distribution of workload.

    abstract:BACKGROUND:Very little data have been published on medical imaging services at disability games. 7.9 million euros (£6.6 million, US$11 million) were invested in setting up radiology facilities within purpose built polyclinics at the London 2012 Olympic and Paralympic games. This paper details imaging services at the 2...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsports-2013-093386

    authors: Bethapudi S,Campbell RS,Budgett R,Willick SE,Van de Vliet P

    更新日期:2015-01-01 00:00:00

  • Protective capability of bicycle helmets.

    abstract::Cycle helmets that meet UK and US standards have been tested. The mechanisms of energy absorption for frontal and side impacts have been analysed. A good helmet should protect the wearer for impacts up to 15 mph into a rigid flat surface. ...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.24.1.55

    authors: Mills NJ

    更新日期:1990-03-01 00:00:00

  • Reduction of exercise-induced asthma in children by short, repeated warm ups.

    abstract:AIM:To study the effect of a warm up schedule on exercise-induced asthma in asthmatic children to enable them to engage in asthmogenic activities. METHOD:In the first study, peak flows during and after three short, repeated warm up schedules (SRWU 1, 2, and 3), identical in form but differing in intensity, were compar...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.33.2.100

    authors: de Bisschop C,Guenard H,Desnot P,Vergeret J

    更新日期:1999-04-01 00:00:00

  • World Health Organization 2020 guidelines on physical activity and sedentary behaviour.

    abstract:OBJECTIVES:To describe new WHO 2020 guidelines on physical activity and sedentary behaviour. METHODS:The guidelines were developed in accordance with WHO protocols. An expert Guideline Development Group reviewed evidence to assess associations between physical activity and sedentary behaviour for an agreed set of heal...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsports-2020-102955

    authors: Bull FC,Al-Ansari SS,Biddle S,Borodulin K,Buman MP,Cardon G,Carty C,Chaput JP,Chastin S,Chou R,Dempsey PC,DiPietro L,Ekelund U,Firth J,Friedenreich CM,Garcia L,Gichu M,Jago R,Katzmarzyk PT,Lambert E,Leitzmann M,

    更新日期:2020-12-01 00:00:00

  • The "bench-presser's shoulder": an overuse insertional tendinopathy of the pectoralis minor muscle.

    abstract:BACKGROUND:Tendinopathies of the rotator cuff muscles, biceps tendon and pectoralis major muscle are common causes of shoulder pain in athletes. Overuse insertional tendinopathy of pectoralis minor is a previously undescribed cause of shoulder pain in weightlifters/sportsmen. OBJECTIVES:To describe the clinical featur...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.2006.032383

    authors: Bhatia DN,de Beer JF,van Rooyen KS,Lam F,du Toit DF

    更新日期:2007-08-01 00:00:00

  • Effect of aging on the stride pattern of veteran marathon runners.

    abstract:OBJECTIVE:To investigate the stride pattern of different age groups of veteran runners in a marathon road race. METHODS:This kinematic study investigated the stride pattern (stride length, stride period, velocity, stance time, and non-stance time) for 151 runners (78 men aged up to 75-80, 73 women aged up to 60-64) at...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.2006.026252

    authors: Conoboy P,Dyson R

    更新日期:2006-07-01 00:00:00

  • Treating low back pain in athletes: a systematic review with meta-analysis.

    abstract:OBJECTIVE:To summarise the evidence for non-pharmacological management of low back pain (LBP) in athletes, a common problem in sport that can negatively impact performance and contribute to early retirement. DATA SOURCES:Five databases (EMBASE, Medline, CINAHL, Web of Science, Scopus) were searched from inception to S...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章,评审

    doi:10.1136/bjsports-2020-102723

    authors: Thornton JS,Caneiro JP,Hartvigsen J,Ardern CL,Vinther A,Wilkie K,Trease L,Ackerman KE,Dane K,McDonnell SJ,Mockler D,Gissane C,Wilson F

    更新日期:2020-12-21 00:00:00

  • Epidemiology of medically treated sport and active recreation injuries in the Latrobe Valley, Victoria, Australia.

    abstract:OBJECTIVE:To quantify and describe medically treated sport and active recreation injuries in a defined region of the Latrobe Valley from 7 November 1994 to 6 November 1995. METHOD:A geographic target area was defined, restricted to the six postcodes that fell wholly within the catchment area of the Latrobe Regional Ho...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.37.5.405

    authors: Cassell EP,Finch CF,Stathakis VZ

    更新日期:2003-01-01 00:00:00

  • Standardised criteria improve accuracy of ECG interpretation in competitive athletes: a randomised controlled trial.

    abstract:BACKGROUND:Screening to prevent sudden cardiac death remains a contentious topic in sport and exercise medicine. The aim of this study was to assess whether the use of a standardised criteria tool improves the accuracy of ECG interpretation by physicians screening athletes. METHODS:Design: Randomised control trial. St...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1136/bjsports-2013-093360

    authors: Exeter DJ,Elley CR,Fulcher ML,Lee AC,Drezner JA,Asif IM

    更新日期:2014-08-01 00:00:00

  • Expression of concern: Which specific modes of exercise training are most effective for treating low back pain? Network meta-analysis.

    abstract::Editorial Note As discussed in a recent editorial, the British Journal of Sports Medicine (BJSM) rescinds the Expression of Concern [1] for a recent network meta-analysis (NMA) [2] that was issued solely on the basis of comments by Professor Maher and colleagues [3]. The original authors (Dr Belavy and colleagues) hav...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsports-2019-100886eoc1

    authors:

    更新日期:2020-09-03 00:00:00

  • Effect of exercise training on liver function in adults who are overweight or exhibit fatty liver disease: a systematic review and meta-analysis.

    abstract:OBJECTIVE:Exercise training has been shown to have beneficial effects on liver function in adults overweight or with fatty liver disease. To establish which exercise programme characteristics were likely to elicit optimal improvements. DESIGN:Systematic review and meta-analysis of randomised, controlled trials. DATA ...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1136/bjsports-2016-096197

    authors: Smart NA,King N,McFarlane JR,Graham PL,Dieberg G

    更新日期:2018-07-01 00:00:00

  • Frozen chips: an unusual cause of severe frostbite injury.

    abstract::A case of severe frostbite injury to the right foot is presented. This was caused by the inappropriate application of a bag of frozen chips to the foot in an attempt to ease non-specific pain. No specific acute traumatic injury was identified. As the patient was a teacher of physical education, the pain had initially ...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.34.5.382

    authors: Graham CA,Stevenson J

    更新日期:2000-10-01 00:00:00

  • Tenocyte hypercellularity and vascular proliferation in a rabbit model of tendinopathy: contralateral effects suggest the involvement of central neuronal mechanisms.

    abstract:OBJECTIVE:To determine whether there are objective findings of tendinosis in a rabbit tendinopathy model on exercised and contralateral (non-exercised) Achilles tendons. DESIGN:Four groups of six New Zealand white rabbits per group were used. The animals of one (control) group were not subjected to exercise/stimulatio...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.2009.068122

    authors: Andersson G,Forsgren S,Scott A,Gaida JE,Stjernfeldt JE,Lorentzon R,Alfredson H,Backman C,Danielson P

    更新日期:2011-04-01 00:00:00

  • Effects of prolonged strenuous exercise (marathon running) on biochemical and haematological markers used in the investigation of patients in the emergency department.

    abstract:OBJECTIVES:To investigate the effects of strenuous exercise on commonly used biochemical and haematological variables in subjects running the 2002 London marathon. METHODS:34 healthy volunteers (7 female, 27 male) were recruited for the study. Blood was taken before the start (at registration) and immediately after co...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.2002.002873

    authors: Smith JE,Garbutt G,Lopes P,Tunstall Pedoe D

    更新日期:2004-06-01 00:00:00

  • High incidence of exercise-induced bronchoconstriction in triathletes of the Swiss national team.

    abstract:AIM:To assess the progression of bronchial reactivity (BR) and incidence of bronchial hyperreactivity (BH), exercise-induced bronchoconstriction (EIB) and asthma in triathletes over 2 years. METHODS:Subjects were seven athletes from the Swiss national triathlon team (mean (SD) age 24.3 (4.8) years), who initially were...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.2006.030569

    authors: Knöpfli BH,Luke-Zeitoun M,von Duvillard SP,Burki A,Bachlechner C,Keller H

    更新日期:2007-08-01 00:00:00

  • Foot orthoses and gait: a systematic review and meta-analysis of literature pertaining to potential mechanisms.

    abstract::This article systematically reviews the available literature to improve our understanding of the physiological basis for orthoses under the kinematic, shock attenuation and neuromotor control paradigms. The propositions made under these three paradigms have not been systematically reviewed collectively, and as such, t...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章,评审

    doi:10.1136/bjsm.2009.066977

    authors: Mills K,Blanch P,Chapman AR,McPoil TG,Vicenzino B

    更新日期:2010-11-01 00:00:00

  • Are there risk factors in alpine skiing? A controlled multicentre survey of 1278 skiers.

    abstract:OBJECTIVE:To analyse risk factors in alpine skiing. DESIGN:A controlled multicentre survey of injured and non-injured alpine skiers. SETTING:One tertiary and two secondary trauma centres in Bern, Switzerland. PATIENTS AND METHODS:All injured skiers admitted from November 2007 to April 2008 were analysed using a comp...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1136/bjsm.2009.064741

    authors: Hasler RM,Dubler S,Benneker LM,Berov S,Spycher J,Heim D,Zimmermann H,Exadaktylos AK

    更新日期:2009-12-01 00:00:00

  • Alterations to cell metabolism in connective tissues of the knee after ovariohysterectomy in a rabbit model: are there implications for the postmenopausal athlete?

    abstract:BACKGROUND:Participation in regular exercise and athletic activities across the lifespan is encouraged to maintain the cardiovascular and musculoskeletal systems and general wellbeing. Before the menopause there is an increased risk of anterior cruciate ligament (ACL) injuries in female athletes, whereas there is an in...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.2008.054296

    authors: Hart DA,Achari Y

    更新日期:2010-09-01 00:00:00