Preparticipation Screening of Athletes: The Prevalence of Positive Family History
Sudden cardiac death (SCD) is a leading cause of death among athletes, and those with a positive family history (FH) of SCD and/or cardiovascular disease (CVD) may be at increased risk. The primary objective of this study was to assess the prevalence and predictors of positive FH of SCD and CVD in a...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-04-01
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| Series: | Journal of Cardiovascular Development and Disease |
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| Online Access: | https://www.mdpi.com/2308-3425/10/4/183 |
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| author | Bogna Jiravska Godula Otakar Jiravsky Petra Pesova Libor Jelinek Marketa Sovova Katarina Moravcova Jaromir Ozana Miroslav Hudec Roman Miklik Jan Hecko Libor Sknouril Eliska Sovova |
| author_facet | Bogna Jiravska Godula Otakar Jiravsky Petra Pesova Libor Jelinek Marketa Sovova Katarina Moravcova Jaromir Ozana Miroslav Hudec Roman Miklik Jan Hecko Libor Sknouril Eliska Sovova |
| author_sort | Bogna Jiravska Godula |
| collection | DOAJ |
| description | Sudden cardiac death (SCD) is a leading cause of death among athletes, and those with a positive family history (FH) of SCD and/or cardiovascular disease (CVD) may be at increased risk. The primary objective of this study was to assess the prevalence and predictors of positive FH of SCD and CVD in athletes using four widely used preparticipation screening (PPS) systems. The secondary objective was to compare the functionality of the screening systems. In a cohort of 13,876 athletes, 1.28% had a positive FH in at least one PPS system. Multivariate logistic regression analysis identified the maximum heart rate as significantly associated with positive FH (OR = 1.042, 95% CI = 1.027–1.056, <i>p</i> < 0.001). The highest prevalence of positive FH was found using the PPE-4 system (1.20%), followed by FIFA, AHA, and IOC systems (1.11%, 0.89%, and 0.71%, respectively). In conclusion, the prevalence of positive FH for SCD and CVD in Czech athletes was found to be 1.28%. Furthermore, positive FH was associated with a higher maximum heart rate at the peak of the exercise test. The findings of this study revealed significant differences in detection rates between PPS protocols, so further research is needed to determine the optimal method of FH collection. |
| first_indexed | 2024-03-11T04:54:15Z |
| format | Article |
| id | doaj.art-a52e3a0d621e43a7923d484fce230098 |
| institution | Directory Open Access Journal |
| issn | 2308-3425 |
| language | English |
| last_indexed | 2024-03-11T04:54:15Z |
| publishDate | 2023-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Cardiovascular Development and Disease |
| spelling | doaj.art-a52e3a0d621e43a7923d484fce2300982023-11-17T19:47:58ZengMDPI AGJournal of Cardiovascular Development and Disease2308-34252023-04-0110418310.3390/jcdd10040183Preparticipation Screening of Athletes: The Prevalence of Positive Family HistoryBogna Jiravska Godula0Otakar Jiravsky1Petra Pesova2Libor Jelinek3Marketa Sovova4Katarina Moravcova5Jaromir Ozana6Miroslav Hudec7Roman Miklik8Jan Hecko9Libor Sknouril10Eliska Sovova11Faculty of Medicine, Palacky University, Krizkovskeho 511/8, 779 00 Olomouc, Czech RepublicSports Cardiology Center, Nemocnice Agel Trinec-Podlesi, Konska 453, 739 61 Trinec, Czech RepublicFaculty of Medicine, Palacky University, Krizkovskeho 511/8, 779 00 Olomouc, Czech RepublicFaculty of Medicine, Palacky University, Krizkovskeho 511/8, 779 00 Olomouc, Czech RepublicFaculty of Medicine, Palacky University, Krizkovskeho 511/8, 779 00 Olomouc, Czech RepublicFaculty of Medicine, Palacky University, Krizkovskeho 511/8, 779 00 Olomouc, Czech RepublicFaculty of Medicine, Palacky University, Krizkovskeho 511/8, 779 00 Olomouc, Czech RepublicSports Cardiology Center, Nemocnice Agel Trinec-Podlesi, Konska 453, 739 61 Trinec, Czech RepublicSports Cardiology Center, Nemocnice Agel Trinec-Podlesi, Konska 453, 739 61 Trinec, Czech RepublicSports Cardiology Center, Nemocnice Agel Trinec-Podlesi, Konska 453, 739 61 Trinec, Czech RepublicSports Cardiology Center, Nemocnice Agel Trinec-Podlesi, Konska 453, 739 61 Trinec, Czech RepublicFaculty of Medicine, Palacky University, Krizkovskeho 511/8, 779 00 Olomouc, Czech RepublicSudden cardiac death (SCD) is a leading cause of death among athletes, and those with a positive family history (FH) of SCD and/or cardiovascular disease (CVD) may be at increased risk. The primary objective of this study was to assess the prevalence and predictors of positive FH of SCD and CVD in athletes using four widely used preparticipation screening (PPS) systems. The secondary objective was to compare the functionality of the screening systems. In a cohort of 13,876 athletes, 1.28% had a positive FH in at least one PPS system. Multivariate logistic regression analysis identified the maximum heart rate as significantly associated with positive FH (OR = 1.042, 95% CI = 1.027–1.056, <i>p</i> < 0.001). The highest prevalence of positive FH was found using the PPE-4 system (1.20%), followed by FIFA, AHA, and IOC systems (1.11%, 0.89%, and 0.71%, respectively). In conclusion, the prevalence of positive FH for SCD and CVD in Czech athletes was found to be 1.28%. Furthermore, positive FH was associated with a higher maximum heart rate at the peak of the exercise test. The findings of this study revealed significant differences in detection rates between PPS protocols, so further research is needed to determine the optimal method of FH collection.https://www.mdpi.com/2308-3425/10/4/183sudden cardiac deathathletepreparticipation screening |
| spellingShingle | Bogna Jiravska Godula Otakar Jiravsky Petra Pesova Libor Jelinek Marketa Sovova Katarina Moravcova Jaromir Ozana Miroslav Hudec Roman Miklik Jan Hecko Libor Sknouril Eliska Sovova Preparticipation Screening of Athletes: The Prevalence of Positive Family History Journal of Cardiovascular Development and Disease sudden cardiac death athlete preparticipation screening |
| title | Preparticipation Screening of Athletes: The Prevalence of Positive Family History |
| title_full | Preparticipation Screening of Athletes: The Prevalence of Positive Family History |
| title_fullStr | Preparticipation Screening of Athletes: The Prevalence of Positive Family History |
| title_full_unstemmed | Preparticipation Screening of Athletes: The Prevalence of Positive Family History |
| title_short | Preparticipation Screening of Athletes: The Prevalence of Positive Family History |
| title_sort | preparticipation screening of athletes the prevalence of positive family history |
| topic | sudden cardiac death athlete preparticipation screening |
| url | https://www.mdpi.com/2308-3425/10/4/183 |
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