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Title: | The use of cardiac imaging in the evaluation of athletes in the clinical practice: A survey by the Sports Cardiology and Exercise Section of the European Association of Preventive Cardiology and University of Siena, in collaboration with the European Association of Cardiovascular Imaging, the European Heart Rhythm Association and the ESC Working Group on Myocardial and Pericardial Diseases | Authors: | D'Ascenzi, Flavio Anselmi, Francesca Mondillo, Sergio Finocchiaro, Gherardo Caselli, Stefano Sanz-De La Garza, Maria Schmied, Christian Adami, Paolo Emilio Galderisi, Maurizio Adler, Yehuda Pantazis, Antonis Niebauer, Josef HEIDBUCHEL, Hein Papadakis, Michael DENDALE, Paul |
Issue Date: | 2020 | Publisher: | SAGE PUBLICATIONS LTD | Source: | EUROPEAN JOURNAL OF PREVENTIVE CARDIOLOGY, (Art N° UNSP 2047487320932018) | Abstract: | Aims Pre-participation evaluation (PPE) is recommended to prevent sudden cardiac death in athletes. Although imaging is not advocated as a first-line screening tool, there is a growing interest in the use of echocardiography in PPE of athletes. This survey aimed to map the use of imaging in the setting of PPE and explore physician beliefs and potential barriers that may influence individual practices. Methods An international survey of healthcare professionals was performed across ESC Member Countries. Percentages were reported based on the number of respondents per question. Results In total, 603 individuals from 97 countries participated in the survey. Two-thirds (65%) of respondents use echocardiography always or often as part of PPE of competitive athletes and this practice is not influenced by the professional or amateur status of the athlete. The majority (81%) of respondents who use echocardiography as a first-line screening tool perform the first echocardiogram during adolescence or at the first clinical evaluation, and 72% repeat it at least once in the athletes' career, at 1-5 yearly intervals. In contrast, cardiac magnetic resonance is reserved as a second-line investigation of symptomatic athletes. The majority of the respondents did not report any barriers to echocardiography, while several barriers were identified for cardiac magnetic resonance. Conclusions Echocardiography is frequently used as a first-line screening tool of athletes. In the absence of scientific evidence, before such practice is recommended, large studies using echocardiography in the PPE setting are necessary. | Notes: | D'Ascenzi, F (corresponding author), Univ Siena, Dept Med Biotechnol, Div Cardiol, Viale M Bracci 16, I-53100 Siena, Italy. flavio.dascenzi@unisi.it |
Other: | D'Ascenzi, F (corresponding author), Univ Siena, Dept Med Biotechnol, Div Cardiol, Viale M Bracci 16, I-53100 Siena, Italy. flavio.dascenzi@unisi.it | Keywords: | Pre-participation screening;athlete's heart;sudden cardiac death;echocardiography;cardiac magnetic resonance | Document URI: | http://hdl.handle.net/1942/31815 | ISSN: | 2047-4873 | e-ISSN: | 2047-4881 | DOI: | 10.1177/2047487320932018 | ISI #: | 000743685900009 | Rights: | The Author(s) 2020 | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2021 |
Appears in Collections: | Research publications |
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flavio.pdf Restricted Access | Published version | 497.17 kB | Adobe PDF | View/Open Request a copy |
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