Gesundheit und Bewegung

Goals of pre-participation examination (PPE)in athletes are primarily to protect health of athletes. This applies for children, adolescents, leisure time and top athletes.To recognise early possible risks, history and clinical examination is agreed to be the basis of PPE. However, there is a long-st...

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Autores principales:	Löllgen H, Börjesson M, Cummiskey J, Bachl N, Debruyne A
Formato:	article
Lenguaje:	DE EN
Publicado:	Dynamic Media Sales Verlag 2015
Materias:	Sports medicine RC1200-1245
Acceso en línea:	https://doaj.org/article/5d2ccd0b911d4f6fb151cf391a9626db
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id	oai:doaj.org-article:5d2ccd0b911d4f6fb151cf391a9626db
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spelling	oai:doaj.org-article:5d2ccd0b911d4f6fb151cf391a9626db2021-11-16T19:01:42ZGesundheit und Bewegung0344-59252510-526410.5960/dzsm.2015.182https://doaj.org/article/5d2ccd0b911d4f6fb151cf391a9626db2015-06-01T00:00:00Zhttps://www.germanjournalsportsmedicine.com/archive/archive-2015/issue-6/the-pre-participation-examination-in-sports-efsma-statement-on-ecg-for-pre-particpation-examination/https://doaj.org/toc/0344-5925https://doaj.org/toc/2510-5264Goals of pre-participation examination (PPE)in athletes are primarily to protect health of athletes. This applies for children, adolescents, leisure time and top athletes.To recognise early possible risks, history and clinical examination is agreed to be the basis of PPE. However, there is a long-standing controversy about whether ECG at rest should also be mandatory for all athletes. ECG is rejected in the US but included in most European countries. In addition, some large sports organisations also requireECG in PPE of athletes. The resting ECG can detect potential life-threatening diseases such as cardiomyopathies or ion-channel diseases, thus avoiding sudden cardiac events or even death. The present paper discusses many arguments pro and contra ECG in athletes screening. Arguments against are organisational problems, as sports physicians are not present nationwide in the US. Main arguments against are the lack of large prospective studies demonstrating reduced mortality by ECG, and the low sensitivity, specificity and predictive values of the ECG. However, current studies,new stringent and reliable criteria for ECG interpretation (e.g. Seattle criteria) increased the validity: false positive and negative findings decrease significantly. This is also supported by new, athlete-related ECG interpretation software in ECG devices, which are more reliable than visual analysis. This also may reduce legal problems, whereas psychological problems are of low importance as has been shown recently. Therefore, ECG recording in all athletes is strongly recommended in Europe. ECG is superior to history and clinical exam in detecting hidden and congenital diseases. However, special education in sports cardiologyis advised, courses and training in ECG interpretation in athletes, as well as special ECG devices are mandatory for correct ECG interpretation in athletes.KEY WORDS:ECG, Athlete, Pre-Participation Examination, PC-Analysis of ECG, Sports CardiologyLöllgen HBörjesson MCummiskey JBachl NDebruyne ADynamic Media Sales VerlagarticleSports medicineRC1200-1245DEENDeutsche Zeitschrift für Sportmedizin, Vol 66, Iss 6 (2015)
institution	DOAJ
collection	DOAJ
language	DE EN
topic	Sports medicine RC1200-1245
spellingShingle	Sports medicine RC1200-1245 Löllgen H Börjesson M Cummiskey J Bachl N Debruyne A Gesundheit und Bewegung
description	Goals of pre-participation examination (PPE)in athletes are primarily to protect health of athletes. This applies for children, adolescents, leisure time and top athletes.To recognise early possible risks, history and clinical examination is agreed to be the basis of PPE. However, there is a long-standing controversy about whether ECG at rest should also be mandatory for all athletes. ECG is rejected in the US but included in most European countries. In addition, some large sports organisations also requireECG in PPE of athletes. The resting ECG can detect potential life-threatening diseases such as cardiomyopathies or ion-channel diseases, thus avoiding sudden cardiac events or even death. The present paper discusses many arguments pro and contra ECG in athletes screening. Arguments against are organisational problems, as sports physicians are not present nationwide in the US. Main arguments against are the lack of large prospective studies demonstrating reduced mortality by ECG, and the low sensitivity, specificity and predictive values of the ECG. However, current studies,new stringent and reliable criteria for ECG interpretation (e.g. Seattle criteria) increased the validity: false positive and negative findings decrease significantly. This is also supported by new, athlete-related ECG interpretation software in ECG devices, which are more reliable than visual analysis. This also may reduce legal problems, whereas psychological problems are of low importance as has been shown recently. Therefore, ECG recording in all athletes is strongly recommended in Europe. ECG is superior to history and clinical exam in detecting hidden and congenital diseases. However, special education in sports cardiologyis advised, courses and training in ECG interpretation in athletes, as well as special ECG devices are mandatory for correct ECG interpretation in athletes.KEY WORDS:ECG, Athlete, Pre-Participation Examination, PC-Analysis of ECG, Sports Cardiology
format	article
author	Löllgen H Börjesson M Cummiskey J Bachl N Debruyne A
author_facet	Löllgen H Börjesson M Cummiskey J Bachl N Debruyne A
author_sort	Löllgen H
title	Gesundheit und Bewegung
title_short	Gesundheit und Bewegung
title_full	Gesundheit und Bewegung
title_fullStr	Gesundheit und Bewegung
title_full_unstemmed	Gesundheit und Bewegung
title_sort	gesundheit und bewegung
publisher	Dynamic Media Sales Verlag
publishDate	2015
url	https://doaj.org/article/5d2ccd0b911d4f6fb151cf391a9626db
work_keys_str_mv	AT lollgenh gesundheitundbewegung AT borjessonm gesundheitundbewegung AT cummiskeyj gesundheitundbewegung AT bachln gesundheitundbewegung AT debruynea gesundheitundbewegung
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Gesundheit und Bewegung

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