ArticleJournal of the American Heart Association2019
Performance of the American Heart Association ( AHA ) 14-Point Evaluation Versus Electrocardiography for the Cardiovascular Screening of High School Athletes: A Prospective Study.
Article in Journal of the American Heart Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06518252 (Detection of the Risk of Sudden Cardiac Death in Athletes From the Universidad Nacional de Colombia), which is not on this map. Cited by 44 papers, 3 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Detection of the Risk of Sudden Cardiac Death in Athletes From the Universidad Nacional de Colombia
Who cites it
44 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Cardiac evaluation of paediatric athletes.European heart journal · 2026Guideline
- Sex Differences in the Incidence of Sudden Cardiac Arrest/Death in Competitive Athletes: A Systematic Review and Meta-analysis.Sports medicine (Auckland, N.Z.) · 2025Pooled it
- Screening Electrocardiogram in Young Athletes and Military Members: A Systematic Review and Meta-Analysis.Journal of athletic training · 2022Pooled it
- Methodological Considerations on Pre-Sport Cardiac Evaluation in Children: Detection of Risks Other Than Sudden Cardiac Death.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2026Article
- Effects of Use of Primary Care Checklists and of Extent of Clinical Experience on Performance in Interpreting Paediatric ECGs Linked to Risk of Sudden Cardiac Death.Healthcare (Basel, Switzerland) · 2026Article
- Pre-Sport Cardiac Evaluation in Children: Detection of Risks Other Than Sudden Cardiac Death.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2026Article
- A Parent Survey: Characteristics of Sudden Cardiac Arrest in Youth.Journal of pediatrics. Clinical practice · 2026Article
- Cardiac Screening in Young Athletes: The Role of Diagnostics in Preventing Sudden Cardiac Death and Exploring Clearance Protocols.Journal of clinical medicine · 2026Review
- Preparticipation electrocardiogram screening in a Gulf Coast community: A prospective study.Heart rhythm O2 · 2025Article
- Looking Under the Hood: Screening for Cardiac Abnormalities in Young Athletes.Current reviews in musculoskeletal medicine · 2025Review
- Recommendations for cardiac screening and emergency action planning in youth football: a FIFA consensus statement.British journal of sports medicine · 2025Article
- Review
- Out-of-hospital cardiac arrest in Norwegians aged 12-49 years: nationwide analysis of preceding symptoms and risk factors related to aetiology and pre-arrest exercise habits.BMJ open sport & exercise medicine · 2025Article
- Cardiac Screening in Athletes: Current Status and Future Challenges.Open access journal of sports medicine · 2025Review
- The diagnostic accuracy of contemporary ECG interpretation criteria in risk stratification of master athletes.Frontiers in cardiovascular medicine · 2025Article
- Deep learning-based analysis of 12-lead electrocardiograms in school-age children: a proof of concept study.Frontiers in cardiovascular medicine · 2025Article
- Cardiovascular Disease Screening in Primary School Children.Children (Basel, Switzerland) · 2024Article
- Fine Tuning ECG Interpretation for Young Athletes: ECG Screening Using Z-score-based Analysis.Sports medicine - open · 2024Article
- Causes of sudden cardiac arrest and death and the diagnostic yield of sport preparticipation screening in children.British journal of sports medicine · 2024Article
- The International Criteria for Electrocardiogram Interpretation in Athletes: Common Pitfalls and Future Directions.Cardiac electrophysiology clinics · 2024Review
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8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background Preparticipation cardiovascular screening in athletes is fully endorsed by major medical societies, yet the most effective screening protocol remains debated. We prospectively compared the performance of the American Heart Association ( AHA ) 14-point screening evaluation and a resting ECG for cardiovascular screening of high school athletes. Methods and Results Competitive athletes participating in organized high school or premier/select level sports underwent cardiovascular screening using the AHA 14-point history and physical examination, and an ECG interpreted with the Seattle Criteria. A limited echocardiogram was performed for all screening abnormalities. The primary outcome measure was identification of a cardiovascular disorder associated with sudden cardiac death. From October 2014 to June 2017, 3620 high school athletes (median age, 16 years; range 13-19; 46.2% female; 78.6% white, 8.0% black) were screened. One or more positive responses to the AHA 14-point questionnaire were present in 814 (22.5%) athletes. The most common history responses included chest pain (8.1%), family history of inheritable conditions (7.3%), and shortness of breath (6.4%). Abnormal physical examination was present in 356 (9.8%) athletes, and 103 (2.8%) athletes had an abnormal ECG . Sixteen (0.4%) athletes had conditions associated with sudden cardiac death. The sensitivity (18.8%), specificity (68.0%), and positive predictive value (0.3%) of the AHA 14-point evaluation was substantially lower than the sensitivity (87.5%), specificity (97.5%), and positive predictive value (13.6%) of ECG . Conclusions The AHA 14-point evaluation performs poorly compared with ECG for cardiovascular screening of high school athletes. The use of consensus-derived history questionnaires as the primary tool for cardiovascular screening in athletes should be reevaluated.
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