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

European Journal of Preventive Cardiology
Flavio D'AscenziPaul Dendale

Abstract

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. An international survey of healthcare professionals was performed across ESC Member Countries. Percentages were reported based on the number of respondents per question. 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 no...Continue Reading

References

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Sep 21, 2013·European Journal of Preventive Cardiology·Flavio D'AscenziSergio Mondillo
Jan 7, 2017·Journal of the American College of Cardiology·Aneil MalhotraSanjay Sharma
Feb 25, 2017·Journal of the American College of Cardiology·Sanjay SharmaDomenico Corrado
Jun 26, 2018·European Journal of Preventive Cardiology·Flavio D'Ascenzi
Aug 9, 2018·The New England Journal of Medicine·Aneil MalhotraSanjay Sharma
Sep 8, 2018·JACC. Cardiovascular Imaging·Flavio D'AscenziSergio Mondillo
Oct 8, 2018·International Journal of Cardiology·Flavio D'AscenziSergio Mondillo
Oct 24, 2018·The American Journal of Cardiology·Daniel S ModaffPeter S Rahko
Mar 27, 2020·European Journal of Preventive Cardiology·Flavio D'AscenziSergio Mondillo
Feb 22, 2021·European Journal of Preventive Cardiology·Flavio D'AscenziSergio Mondillo

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Citations

Dec 2, 2020·Scandinavian Journal of Medicine & Science in Sports·Flavio D'AscenziUNKNOWN Working Group of Echocardiography of the Italian Society of Cardiology (SIC)
Jan 14, 2021·Heart·David Niederseer, Christian Schmied
Nov 19, 2020·Heart·David NiederseerChristian Schmied

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