Division of Primary Care Sports Medicine, College of Medicine, The University of South Florida, Tampa, Florida 33612, USA.
Br J Sports Med. 2013 Feb;47(3):182-4. doi: 10.1136/bjsports-2012-091356. Epub 2012 Sep 13.
Sudden cardiac arrest is the leading cause of death in competitive athletes during sport, and screening strategies for the prevention of sudden cardiac death are debated. The purpose of this study was to assess the incorporation of routine non-invasive cardiovascular screening (NICS), such as ECG or echocardiography, in Division I collegiate preparticipation examinations.
Cross-sectional survey of current screening practices sent to the head athletic trainer of all National Collegiate Athletic Association (NCAA) Division I football programmes listed in the National Athletic Trainers' Association directory.
Seventy-four of 116 (64%) programmes responded. Thirty-five of 74 (47%) of responding schools have incorporated routine NICS testing. ECG is the primary modality for NICS in 31 (42%) of schools, and 17 (49%) also utilise echocardiography. Sixty-four per cent of the programmes that do NICS routinely screen their athletes only once as incoming freshmen. Of institutions that do not conduct NICS, American Heart Association guidelines against routine NICS and cost were the most common reasons reported.
While substantial debate exists regarding protocols for cardiovascular screening in athletes, nearly half of NCAA Division I football programmes in this study already incorporate NICS into their preparticipation screening programme. Additional research is needed to understand the impact of NICS in collegiate programmes.
在运动中，心搏骤停是竞技运动员死亡的主要原因，预防心源性猝死的筛查策略存在争议。本研究的目的是评估常规非侵入性心血管筛查（NICS），如心电图或超声心动图，在 I 级大学参与前检查中的纳入情况。
对全国大学体育协会（NCAA）I 级足球项目目录中列出的所有全国运动训练员协会（NATA）I 级足球项目的现任运动训练师进行横断面调查，以了解当前的筛查实践情况。
在 116 个项目中，有 74 个（64%）做出了回应。在 74 所回应的学校中，有 35 所（47%）已经纳入了常规 NICS 测试。心电图是 31 所学校（42%）进行 NICS 的主要方式，17 所学校（49%）还同时使用超声心动图。在例行进行 NICS 检查的项目中，有 64%的项目仅在新生入学时对运动员进行一次筛查。对于不进行 NICS 的机构，美国心脏协会反对常规 NICS 和费用的指南是报告的最常见原因。
虽然关于运动员心血管筛查方案存在大量争议，但在本研究中，近一半的 NCAA I 级足球项目已经将 NICS 纳入其参与前筛查计划。需要进一步研究以了解 NICS 在大学项目中的影响。
