ESC Congress 2004: Recommendations on screening and sports participation in cardiovascular disease


Study group report

This presentation deals with the need for a common European programme for pre-participation screening of young competitive aimed to prevent sudden death during sports performance.

The 1996 American Heart Association consensus panel recommendations stated that pre-participation cardiovascular screening for young competitive athletes is justifiable and compelling on ethical, legal and medical grounds.

The Study Group on Sports Cardiology of the Working Group of Cardiac Rehabilitation and Exercise Physiology of the European Society of Cardiology, which comprises cardiovascular specialists and other physicians from different European countries with extensive clinical experience with young competitive athletes as well as with pathological substrates of sudden death, is providing a consensus statement on the protocol of pre-participation screening in European country. The document takes note from the 25 year Italian experience on systematic pre-participation screening of competitive athletes and focuses on relevant issues, mostly regarding the relative risk, causes and prevalence of sudden death in athletes; the efficacy, feasibility and cost-effectiveness of population-based pre-participation cardiovascular screening; the key role of 12-lead ECG for identification of cardiovascular diseases such as cardiomyopathies and channelopathies at risk of sudden death during sports; and the potential of preventing fatal events.

The main purpose of the consensus document is to reinforce the principle of the need of pre-participation medical clearance of all young athletes involved in organized sports programs, on the basis of

    1) the proven efficacy of systematic screening by 12-lead ECG (in addition to history and physical examination) to identify hypertrophic cardiomyopathy - the leading cause of sports-related sudden death - and to prevent athletic field fatalities;

    2) the potential screening ability in detecting other lethal cardiovascular diseases presenting with ECG abnormalities.

The consensus document recommends the implementation of a common European screening protocol essentially based on 12-lead ECG.

D Corrado (Padua, IT)

Source: Eurekalert & others

Last reviewed: By John M. Grohol, Psy.D. on 21 Feb 2009
    Published on All rights reserved.