Crystal Run Healthcare, Middletown, New York.
Primary Care Sports Medicine Service, Hospital for Special Surgery, New York, New York.
Clin J Sport Med. 2020 Jul;30(4):315-320. doi: 10.1097/JSM.0000000000000616.
To assess the available infrastructure for secondary testing after preparticipation cardiovascular screening of collegiate athletes.
Cross-sectional study.
National Collegiate Athletic Association (NCAA) athletic programs PARTICIPANTS:: Team physicians.
Online survey distributed by the NCAA and American Medical Society for Sports Medicine.
Availability of secondary cardiovascular diagnostic testing and services.
Team physicians from 235 schools completed the assessment, representing 21% of all NCAA schools. Ninety (38.3%) NCAA team physicians reported screening athletes using electrocardiogram (ECG). Division I schools were more likely than Division II and III schools to perform both screening ECG (RR, 2.38, P < 0.0001) and echocardiogram (RR, 2.83, P = 0.01). More than 97% of schools had access to resting echocardiogram, stress ECG/echocardiogram, and Holter monitoring within 25 miles with no significant variability between divisions, regions, or size of undergraduate student body. Cardiac magnetic resonance imaging and electrophysiology studies were available within 25 miles of more than 80% of schools, and genetics testing was available within 25 miles for 64.8%.
Secondary testing for cardiovascular abnormalities seems to be readily available for NCAA athletes, regardless of division, region, or school size.
评估大学生运动员参加赛前心血管筛查后的二级检测的现有基础设施。
横断面研究。
美国大学生体育协会（NCAA）的体育项目。
队医。
NCAA 和美国运动医学学会的在线调查。
二级心血管诊断检测和服务的可用性。
235 所学校的 90 名（38.3%）NCAA 队医报告使用心电图（ECG）对运动员进行筛查。与二级和三级学校相比，一级学校更有可能进行筛查 ECG（RR，2.38，P < 0.0001）和超声心动图（RR，2.83，P = 0.01）。超过 97%的学校在 25 英里范围内可以进行静息超声心动图、应激心电图/超声心动图和动态心电图监测，不同部门、地区或本科生规模之间没有显著差异。80%以上的学校都可以在 25 英里范围内进行心脏磁共振成像和电生理研究，有 64.8%的学校可以在 25 英里范围内进行基因检测。
无论分部、地区或学校规模如何，对 NCAA 运动员的心血管异常的二级检测似乎都很容易获得。
