Abstract:
:A comprehensive medical history that includes questions about a personal and family history of cardiovascular disease is the most important initial component of the preparticipation athletic evaluation. Additional questions should focus on any history of neurologic or musculoskeletal problems. A limited physical examination should emphasize cardiac auscultation with provocative maneuvers to screen for hypertrophic cardiomyopathy. This condition is the most common cause of sudden death in young male athletes. Other components of the physical examination include an evaluation of the spine and extremities. Screening tests such as electrocardiography, treadmill stress testing and urinalysis are not indicated in the absence of symptoms or a significant history of risk factors. Specific conditions that would exclude or limit athletic participation include hypertrophic cardiomyopathy, long QT interval syndrome, concussion, significant knee injury, sickle cell disease and uncontrolled seizures. Overall, about 1 percent of athletes who are screened are completely disqualified from sports participation.
journal_name
Am Fam Physicianjournal_title
American family physicianauthors
Kurowski K,Chandran Ssubject
Has Abstractpub_date
2000-05-01 00:00:00pages
2683-90, 2696-8issue
9eissn
0002-838Xissn
1532-0650journal_volume
61pub_type
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journal_title:American family physician
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pub_type: 杂志文章,评审
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journal_title:American family physician
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