Author + information
- Joseph C. Mareka,b,
- Kathleen A. Mareka,b,
- Jeffrey M. Mareka,b,
- Peter Libera,b,
- Frank Zimmermana,b and
- Victor Froelichera,b
Background: ECG screening for the risk of sudden cardiac death (SCD) in young adults has been demonstrated to be superior to the standard pre participation exam. Performing ECGs in the office of primary care physicians has not been believed to be feasible. Reasons cited are cost of equipment, access to experienced ECG readers and disruption to the busy office flow. The purpose of this study is to describe our experience with performing ECG screenings in primary care physician offices.
Methods: We embarked on a pilot program of ECG testing in the offices of a pediatric group utilizing an innovative ECG machine (CardeaScreen). This compact easy to use device allows HIPAA compliant electronic transfer of high fidelity tracings. The ECGs were interpreted on the same day by physicians experienced in identifying cardiac conditions responsible for SCD in young adults. A modification of the Seattle criteria was used to interpret the tracings. Screening ECGs were offered to asymptomatic young adults through the YH4L screening program at 2 office locations of a 5 person general pediatric practice. The ECGs were performed by office staff who underwent a special training session.
Results: A total of 2,054 ECGs were performed over a 6 month period (from 6-1-14 to 12-1-15), on patients aged 12-22 yrs (48.7% female). A majority (77.7%) of those undergoing screening participated in organized sports. 0.83% were of unacceptable quality and were successfully repeated. A total of 25 ECGs (1.2%) were abnormal; a rate comparable to that seen in a large-scale school based ECG screening program. The most common abnormalities identified were: WPW, prolonged QT, and findings suggestive of cardiomyopathy.
Conclusions: Large volume ECG screening at pediatrician offices with remote interpretation by skilled ECG readers can be performed without disruption to the practice flow utilizing an innovative ECG machine (CardeaScreen). This may be a more accessible method of ECG screening for SCD in the community.
Moderated Poster Contributions
Arrhythmias and Clinical EP Moderated Poster Theater, Poster Hall, Hall C
Saturday, March 18, 2017, 9:45 a.m.-9:55 a.m.
Session Title: ECG Screening and Risk Prediction
Abstract Category: 7. Arrhythmias and Clinical EP: Sports and Exercise
Presentation Number: 1213M-03
- 2017 American College of Cardiology Foundation