Preparticipation screening in young female elite ice hockey players
ObjectivesThe occurrence of sudden cardiac death (SCD) in competitive athletes has led to a discussion about appropriate preparticipation screening models. The role of an electrocardiogram (ECG) in routine testing remains controversial in current guidelines. Furthermore, data on cardiac findings and...
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Frontiers Media S.A.
2024-12-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2024.1461028/full |
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| author | Alexander Mohl Janis Pongratz Selina Muxel Manuel Berger Michael Berr Michael Berr Bastian Schneider Anna Schlichting-Knoob Ulrich Platz Ulrich Platz Uwe Dorwarth Sebastian Rogowski Ellen Hoffmann Florian Straube |
| author_facet | Alexander Mohl Janis Pongratz Selina Muxel Manuel Berger Michael Berr Michael Berr Bastian Schneider Anna Schlichting-Knoob Ulrich Platz Ulrich Platz Uwe Dorwarth Sebastian Rogowski Ellen Hoffmann Florian Straube |
| author_sort | Alexander Mohl |
| collection | DOAJ |
| description | ObjectivesThe occurrence of sudden cardiac death (SCD) in competitive athletes has led to a discussion about appropriate preparticipation screening models. The role of an electrocardiogram (ECG) in routine testing remains controversial in current guidelines. Furthermore, data on cardiac findings and the prognostic utility of screening strategies in young female elite ice hockey is scarce.MethodsFemale elite ice hockey players were enrolled in the open prospective “General Evaluation Program for Arrhythmia-Related Death in Athletes” (GEPARD) registry from 2008 to 2018. A staged preparticipation screening was performed. The main goal was to determine the prevalence of SCD conditions and identify effective screening tools. The secondary aim was to study baseline results and follow-ups on a unique subgroup of young female ice hockey players.ResultsA total of 88 female ice hockey players, mean age 16 ± 1 years, were prospectively enrolled. The prevalence of conditions potentially leading to SCD during competition was 3.4% (3/88). The 12-lead ECG led to the diagnosis of one congenital long QT and one acute myocarditis and showed a number needed to screen of 44, with a specificity of 98%. One athlete demonstrated a relevant pericardial effusion on echocardiography, which was related to acute toxoplasmosis. No cases of SCD occurred during long-term follow-up.ConclusionThe subgroup of young female ice hockey players showed a notable prevalence of athletes “at risk” of 3.4%, which indicates the importance of preparticipation screening that features a 12-lead ECG as the most important component. |
| format | Article |
| id | doaj-art-262ddfc686124884b520e41c1dfb81ab |
| institution | OA Journals |
| issn | 2297-055X |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj-art-262ddfc686124884b520e41c1dfb81ab2025-08-20T02:31:40ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2024-12-011110.3389/fcvm.2024.14610281461028Preparticipation screening in young female elite ice hockey playersAlexander Mohl0Janis Pongratz1Selina Muxel2Manuel Berger3Michael Berr4Michael Berr5Bastian Schneider6Anna Schlichting-Knoob7Ulrich Platz8Ulrich Platz9Uwe Dorwarth10Sebastian Rogowski11Ellen Hoffmann12Florian Straube13Department of Cardiology and Internal Intensive Care Medicine, Heart Center Munich-Bogenhausen Munich Municipal Hospital Group, Munich, GermanyDepartment of Cardiology and Internal Intensive Care Medicine, Heart Center Munich-Bogenhausen Munich Municipal Hospital Group, Munich, GermanyDepartment of Cardiology and Internal Intensive Care Medicine, Heart Center Munich-Bogenhausen Munich Municipal Hospital Group, Munich, GermanyDepartment of Cardiology and Internal Intensive Care Medicine, Heart Center Munich-Bogenhausen Munich Municipal Hospital Group, Munich, GermanyDepartment of Cardiology and Internal Intensive Care Medicine, Heart Center Munich-Bogenhausen Munich Municipal Hospital Group, Munich, GermanyDepartment of Cardiology, Cardio Centrum Düsseldorf, Düsseldorf, GermanyDepartment of Cardiology and Internal Intensive Care Medicine, Heart Center Munich-Bogenhausen Munich Municipal Hospital Group, Munich, GermanyDepartment of Cardiology and Internal Intensive Care Medicine, Heart Center Munich-Bogenhausen Munich Municipal Hospital Group, Munich, GermanyDepartment of Cardiology and Internal Intensive Care Medicine, Heart Center Munich-Bogenhausen Munich Municipal Hospital Group, Munich, GermanyDepartment of Cardiology, Cardiology Practice, Traunreut, GermanyDepartment of Cardiology and Internal Intensive Care Medicine, Heart Center Munich-Bogenhausen Munich Municipal Hospital Group, Munich, GermanyDepartment of Cardiology and Internal Intensive Care Medicine, Heart Center Munich-Bogenhausen Munich Municipal Hospital Group, Munich, GermanyDepartment of Cardiology and Internal Intensive Care Medicine, Heart Center Munich-Bogenhausen Munich Municipal Hospital Group, Munich, GermanyDepartment of Cardiology and Internal Intensive Care Medicine, Heart Center Munich-Bogenhausen Munich Municipal Hospital Group, Munich, GermanyObjectivesThe occurrence of sudden cardiac death (SCD) in competitive athletes has led to a discussion about appropriate preparticipation screening models. The role of an electrocardiogram (ECG) in routine testing remains controversial in current guidelines. Furthermore, data on cardiac findings and the prognostic utility of screening strategies in young female elite ice hockey is scarce.MethodsFemale elite ice hockey players were enrolled in the open prospective “General Evaluation Program for Arrhythmia-Related Death in Athletes” (GEPARD) registry from 2008 to 2018. A staged preparticipation screening was performed. The main goal was to determine the prevalence of SCD conditions and identify effective screening tools. The secondary aim was to study baseline results and follow-ups on a unique subgroup of young female ice hockey players.ResultsA total of 88 female ice hockey players, mean age 16 ± 1 years, were prospectively enrolled. The prevalence of conditions potentially leading to SCD during competition was 3.4% (3/88). The 12-lead ECG led to the diagnosis of one congenital long QT and one acute myocarditis and showed a number needed to screen of 44, with a specificity of 98%. One athlete demonstrated a relevant pericardial effusion on echocardiography, which was related to acute toxoplasmosis. No cases of SCD occurred during long-term follow-up.ConclusionThe subgroup of young female ice hockey players showed a notable prevalence of athletes “at risk” of 3.4%, which indicates the importance of preparticipation screening that features a 12-lead ECG as the most important component.https://www.frontiersin.org/articles/10.3389/fcvm.2024.1461028/fullpreparticipation screeningsudden cardiac deathpreventionathletesice hockeyfemales |
| spellingShingle | Alexander Mohl Janis Pongratz Selina Muxel Manuel Berger Michael Berr Michael Berr Bastian Schneider Anna Schlichting-Knoob Ulrich Platz Ulrich Platz Uwe Dorwarth Sebastian Rogowski Ellen Hoffmann Florian Straube Preparticipation screening in young female elite ice hockey players Frontiers in Cardiovascular Medicine preparticipation screening sudden cardiac death prevention athletes ice hockey females |
| title | Preparticipation screening in young female elite ice hockey players |
| title_full | Preparticipation screening in young female elite ice hockey players |
| title_fullStr | Preparticipation screening in young female elite ice hockey players |
| title_full_unstemmed | Preparticipation screening in young female elite ice hockey players |
| title_short | Preparticipation screening in young female elite ice hockey players |
| title_sort | preparticipation screening in young female elite ice hockey players |
| topic | preparticipation screening sudden cardiac death prevention athletes ice hockey females |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2024.1461028/full |
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