Celebration of Scholars
Hypertrophic Cardiomyopathy pre-screening in college athletes
Name:
Kelsey Welch
Major: Athletic Training
Hometown: Virginia Beach, VA
Faculty Sponsor:
Ashley Greenwood ’14
Other Sponsors: Jensen, Laurie
Type of research: Independent research
Abstract
Hypertrophic Cardiomyopathy is a shocking occurrence health care providers in sports medicine potentially encounter. This event occurs in over 80% of asymptomatic patients under the age of thirty years old. Sudden Cardiac Arrest (SCA) can occur due to genetics, left ventricle wall thickness, or Hypertrophic Cardiomyopathy (HCM). According to the American Heart Association (AHA), there is no recommendation for pre-screening tools besides an intensive patient history and physical examination for HCM. However, this method of screening can lack sensitivity and specificity to identify HCM. This analysis asks, in college students, would pre-participation screening for hypertrophic cardiomyopathy reduce the risk of death in athletes compared to no use of a pre-screen tool? What is the cost analysis for universities to adopt the pre-screen tools recommended for use by researchers?
The articles were found through various medical research channels such as the National Institutes of Health, Pubmed, Cochrane Library, and Medline Plus. The key words used were HCM, SCA, college, athletes, cost, test(-ing), Electrocardiogram, pre-screen, and tool. Over fifty articles were examined from the research but only fifteen were used.
Collectively, the articles presented that there is a need for more use of a pre-screen tool, such as an ECG. The research found that the cost of pre-screening tools outweighs the benefits for identifying student-athletes with HCM.