The Impending Dilemma of Electrocardiogram Screening in Athletic Children.

Détails

ID Serval
serval:BIB_B33B44EA5253
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Titre
The Impending Dilemma of Electrocardiogram Screening in Athletic Children.
Périodique
Pediatric cardiology
Auteur(s)
Léger L., Gojanovic B., Sekarski N., Meijboom E.J., Mivelaz Y.
ISSN
1432-1971 (Electronic)
ISSN-L
0172-0643
Statut éditorial
Publié
Date de publication
01/2016
Peer-reviewed
Oui
Volume
37
Numéro
1
Pages
1-13
Langue
anglais
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Résumé
Sudden cardiac death (SCD) affects 2/100,000 young, active athletes per year of which 40% are less than 18 years old. In 2004, the International Olympic Committee accepted the Lausanne Recommendations, including a 12-lead electrocardiogram (ECG), as a pre-participation screening tool for adult Olympic athletes. The debate on extending those recommendations to the pediatric population has recently begun. The aims of our study were to highlight the characteristics of the young athlete ECG, phenotypical manifestations of SCD-related disease in children, and challenges of implanting ECG screening in athletic children. A systematic review of the literature is performed. We searched available electronic medical databases for articles relevant to SCD, ECG, silent cardiac diseases, and athletic children. We focused on ECG screening and description in a pediatric population. We identified 2240 studies. Sixty-two relevant articles and one book were selected. In children, prepubertal ECG and the ECG phenotype of most SCD-related diseases differ notably from adults. The characteristics of the prepubertal ECG and of the phenotypical manifestation of SCD-related disease in children will result in less specific and less sensitive ECG-based screening programs. Those limitations advise against extending the adult recommendation to children, without further studies. Until then, history and physical exam should remain the cornerstone of screening for SCD-related pathologies in children.

Mots-clé
Adolescent, Adult, Athletes, Child, Death, Sudden, Cardiac/prevention & control, Electrocardiography/methods, Heart Diseases/diagnosis, Humans, Mass Screening/methods, Sports, Young Adult
Pubmed
Création de la notice
01/03/2016 18:31
Dernière modification de la notice
20/08/2019 15:21
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