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J Ultrasound Med. 2019 May 12. doi: 10.1002/jum.15021. [Epub ahead of print]

Point-of-Care Ultrasound as a Component of Preparticipation Screening of Athletes: A Systematic Review.

Author information

1
SportsCardiologyBC, University of British Columbia, Vancouver, British Columbia, Canada.
2
Division of Cardiology, University of British Columbia, Vancouver, British Columbia, Canada.
3
Division of Cardiology, Queen's University, Kingston, Ontario, Canada.

Abstract

This review examined whether the addition of point-of-care ultrasound (POCUS) to electrocardiography (ECG)-inclusive preparticipation screening strategies has the potential to reduce false-positive results and detect diseases associated with sudden cardiac death that may not be identified through current modalities. Five studies, representing 2646 athletes, demonstrated that ECG-inclusive preparticipation screening strategies resulted in positive results in 19.9% of the cohort. With the addition of POCUS, positive results were reduced to 4.9%, and 1 additional condition potentially associated with sudden cardiac death was identified. The magnitude of positive results with POCUS may be reduced if current ECG criteria were applied.

KEYWORDS:

athletes; point-of-care ultrasound; preparticipation screening

PMID:
31081230
DOI:
10.1002/jum.15021

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