Dokuz Eylül University, Faculty of Medicine, Department of Sports Medicine - İzmir, Turkey.
Dokuz Eylül University, Faculty of Medicine, Department of Cardiology - İzmir, Turkey.
Rev Assoc Med Bras (1992). 2023 Oct 27;69(11):e20230476. doi: 10.1590/1806-9282.20230476. eCollection 2023.
Preparticipation screening of athletes by electrocardiography is the most crucial step in determining sudden cardiac death risk factors. Several electrocardiography interpretation software programs have been developed for physicians practicing in this field. Our study aimed to assess cardiopoint sudden death screening module by comparing its findings with two cardiologists using Seattle and International criteria.
A total of 303 licensed national athletes (37% females) were enrolled. electrocardiographies were examined by the cardiopoint sudden death screening module using Seattle criteria and cardiologists. The consistency between cardiologists and software was compared, and the confidence assessment of the module was tested.
With regard to Seattle criteria, moderate consistency was found between the cardiopoint sudden death screening module and the 1st (κ=0.41) and 2nd cardiologist (κ=0.59). Consistency between two cardiologists was moderate (κ=0.55). When we applied International criteria, there was moderate consistency between the module and the 1st cardiologist (κ=0.42), and good consistency between the module and the 2nd cardiologist (κ=0.63). Consistency between the two cardiologists was good (κ=0.62).
The cardiopoint sudden death screening module had similar agreement with cardiologists based on both criteria. However, the software needs to be updated according to International criteria. Using computer-based measurements for preparticipation screening will help to save time and provide standardization of electrocardiography interpretation.
运动员的参赛前筛查通过心电图检查是确定心源性猝死风险因素的最关键步骤。已经开发出了几种用于该领域医生的心电图解读软件程序。我们的研究旨在通过比较西雅图和国际标准，评估 cardiopoint 猝死筛查模块与两位心脏病专家的发现。
共纳入 303 名有执照的国家运动员（37%为女性）。使用西雅图标准和心脏病专家对 cardiopoint 猝死筛查模块进行心电图检查。比较了心脏病专家和软件之间的一致性，并测试了模块的置信度评估。
关于西雅图标准，cardiopoint 猝死筛查模块与第 1 位（κ=0.41）和第 2 位心脏病专家之间存在中度一致性。两位心脏病专家之间的一致性为中度（κ=0.55）。当我们应用国际标准时，模块与第 1 位心脏病专家之间存在中度一致性（κ=0.42），与第 2 位心脏病专家之间存在良好一致性（κ=0.63）。两位心脏病专家之间的一致性为良好（κ=0.62）。
该模块根据两个标准与心脏病专家具有相似的一致性。但是，软件需要根据国际标准进行更新。使用基于计算机的测量进行参赛前筛查将有助于节省时间并提供心电图解释的标准化。
