ArticleBritish journal of sports medicine2020
The Italian preparticipation evaluation programme: diagnostic yield, rate of disqualification and cost analysis.
Article in British journal of sports medicine, 2020. 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 29 papers, 1 of them a synthesis that pooled it.
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Detection of the Risk of Sudden Cardiac Death in Athletes From the Universidad Nacional de Colombia
Who cites it
29 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Sports Preparticipation Evaluation for Healthy Adults: A Consensus-Based German Guideline.Sports medicine (Auckland, N.Z.) · 2025Guideline
- Sudden Death in Young Competitive Athletes Due to Arrhythmogenic Cardiomyopathy: A 4-Decade National Referral Center Experience.Circulation. Arrhythmia and electrophysiology · 2026Article
- Marathon-associated sudden cardiac death: a mini review of risk perception, pathophysiological mechanisms, and prevention strategies.Frontiers in cardiovascular medicine · 2026Review
- Vademecum for the Physician Evaluating a Master Athlete.Current atherosclerosis reports · 2025Review
- Cardiovascular Pre-participation Evaluation of Athletes with an Impairment Recruited for Paris 2024 Paralympic Games.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2025Article
- Prevalence and relation to training of electrocardiographic findings in Caucasian children and adolescents 8- to 18-year-old practicing competitive sport.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2025Observational
- Prevalence and characteristics of coronary artery disease in master athletes with ST-segment depression or high-risk premature ventricular beats at pre-participation exercise testing.European heart journal open · 2025Article
- Pre-participation Cardiovascular Evaluation for Paris 2024 Olympic Games in Elite Athletes: The Italian Experience.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2025Article
- Echocardiography in the cardiac assessment of young athletes: a 2025 guideline from the British Society of Echocardiography (endorsed by Cardiac Risk in the Young).Echo research and practice · 2025Review
- Cardiac screening in athletes: benefits and potential challenges.The British journal of cardiology · 2025Article
- Cardiac Screening in Athletes: Current Status and Future Challenges.Open access journal of sports medicine · 2025Review
- The International Criteria for Electrocardiogram Interpretation in Athletes: Common Pitfalls and Future Directions.Cardiac electrophysiology clinics · 2024Review
- Interpolated junctional extrasystoles mimicking complex polymorphic ventricular arrhythmias in a healthy young athlete: a case report.European heart journal. Case reports · 2024Article
- Evolving spectrum of arrhythmogenic cardiomyopathy: Implications for Sports Cardiology.Clinical cardiology · 2023Review
- Value of screening for the risk of sudden cardiac death in young competitive athletes.European heart journal · 2023Article
- The International Criteria for Electrocardiogram Interpretation in Athletes: Common Pitfalls and Future Directions.Cardiology clinics · 2023Review
- The eSports Medicine: Pre-Participation Screening and Injuries Management-An Update.Sports (Basel, Switzerland) · 2023Review
- Sport activities for children and adolescents: the Position of the European Academy of Paediatrics and the European Confederation of Primary Care Paediatricians 2023-Part 1. Pre-participation physical evaluation in young athletes.Frontiers in pediatrics · 2023Review
- Motion Artifact Reduction in Electrocardiogram Signals Through a Redundant Denoising Independent Component Analysis Method for Wearable Health Care Monitoring Systems: Algorithm Development and Validation.JMIR medical informatics · 2022Article
- Prevalence and clinical significance of isolated low QRS voltages in young athletes.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2022Article
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10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionItalian law mandates that every competitive athlete must undergo annual preparticipation evaluation (PPE) to identify cardiovascular (CV) diseases that pose a risk of sudden death (SD) during sport and other conditions that may threaten the athlete's health. We investigated the diagnostic yield, rate of disqualification and costs of our PPE.
methodsWe included 5910 consecutive apparently healthy athletes (61% males, mean age 15±4 years) who underwent annual PPE performed by a sports medicine specialist. The PPE included history, physical examination, weight, height and blood pressure measurement, test of visual acuity, spirometry, urine chemistry, resting 12-lead ECG and exercise testing with ECG monitoring. In cases of abnormal findings, we carried out second-line investigations.
resultsDuring a 12-month study period, 5.326 (90.2%) athletes were cleared for competition after a normal first-line evaluation and 584 (9.8%) underwent one or more further examinations. Of those, 88 (1.5%) were diagnosed to have a CV disease (including 18 (0.3%) at-risk of SD) and 31 (0.5%) had a non-CV diagnosis. A total of 32 (0.5%) athletes were temporarily (n=15) or permanently (n=17) disqualified from competitive sports. The average cost per athlete was €79, which consisted of €64 (80%) for first-line evaluations and €15 (20%) for additional investigations.
conclusionPPE according to the Italian model identified a range of diseases in 2.0% of apparently healthy athletes at an average cost of €79.
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