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{
    "pk": 12637,
    "title": "Evaluation of a Standardized Cardiac Athletic Screening for National Collegiate Athletic Association (NCAA) Athletes",
    "subtitle": null,
    "abstract": "Introduction:\n Sudden cardiac death is a rare cause of death in young athletes. Current screening techniques include history and physical exam (H and P), with or without an electrocardiogram (ECG). Adding point of care cardiac ultrasound has demonstrated benefits, but there is limited data about implementing this technology. We evaluated the feasibility of adding ultrasound to preparticipation screening for collegiate athletes.\nMethods:\n We prospectively enrolled 42 collegiate athletes randomly selected from several sports. All athletes were screened using a 14-point H and P based on 2014 American College of Cardiology (ACC) and American Heart Association (AHA) guidelines, ECG, and cardiac ultrasound.\nResults:\n We screened 11 female and 31 male athletes. On ultrasound, male athletes demonstrated significantly larger interventricular septal wall thickness (p = 0.002), posterior wall thickness (p <0.001) and aortic root breadth (p = 0.002) compared to females. Based on H and P and ECGs alone and a combination of H and P with ECG, no athletes demonstrated a positive screening for cardiac abnormalities. However, with combined H and P, ECG, and cardiac ultrasound, one athlete demonstrated positive findings.\nConclusions:\n We believe that adding point of care ultrasound to the preparticipation exam of college athletes is feasible. This workflow may provide a model for athletic departments’ screening.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "Ultrasound screening"
        },
        {
            "word": "Hypertrophic cardiomyopathy"
        },
        {
            "word": "Athletics"
        }
    ],
    "section": "Injury Prevention and Population Health",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/80z175qc",
    "frozenauthors": [
        {
            "first_name": "Chanel",
            "middle_name": "",
            "last_name": "Fischetti",
            "name_suffix": "",
            "institution": "University of California, Irvine Medical Center, Department of Emergency Medicine, Orange, California",
            "department": "None"
        },
        {
            "first_name": "Reed",
            "middle_name": "W.",
            "last_name": "Kamyszek",
            "name_suffix": "",
            "institution": "Duke University School of Medicine, Durham, North Carolina",
            "department": "None"
        },
        {
            "first_name": "Stephen",
            "middle_name": "",
            "last_name": "Shaheen",
            "name_suffix": "",
            "institution": "Duke University Medical Center, Department of Surgery, Durham, North Carolina",
            "department": "None"
        },
        {
            "first_name": "Benjamin",
            "middle_name": "",
            "last_name": "Oshlag",
            "name_suffix": "",
            "institution": "New York Presbyterian Hospital/Columbia University Medical Center, Department of Emergency Medicine, New York, New York",
            "department": "None"
        },
        {
            "first_name": "Adam",
            "middle_name": "",
            "last_name": "Banks",
            "name_suffix": "",
            "institution": "Duke University Medical Center, Department of Medicine, Durham, North Carolina",
            "department": "None"
        },
        {
            "first_name": "AJ",
            "middle_name": "",
            "last_name": "Blood",
            "name_suffix": "",
            "institution": "Brigham and Women’s Hospital, Department of Medicine, Boston, Massachusetts",
            "department": "None"
        },
        {
            "first_name": "Jeffrey",
            "middle_name": "R.",
            "last_name": "Bytomski",
            "name_suffix": "",
            "institution": "Duke University Medical Center, Department of Community and Family Medicine, Durham, North Carolina",
            "department": "None"
        },
        {
            "first_name": "Blake",
            "middle_name": "",
            "last_name": "Boggess",
            "name_suffix": "",
            "institution": "Department of Community and Family Medicine, Duke University Medical Center, Durham, NC USA",
            "department": "None"
        },
        {
            "first_name": "Shadi",
            "middle_name": "",
            "last_name": "Lahham",
            "name_suffix": "",
            "institution": "University of California, Irvine Medical Center, Department of Emergency Medicine, Orange, California",
            "department": "None"
        }
    ],
    "date_submitted": "2019-03-25T05:04:44Z",
    "date_accepted": "2019-03-25T05:04:44Z",
    "date_published": "2019-08-14T19:16:09Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/12637/galley/6687/download/"
        }
    ]
}