Author + information
- Michael Scott Emerya,b,
- Kyle Hornsbya,b,
- Rachel Lahra,b,
- Zachary A. Boltwooda,b,
- Dawn Kirchnera,b,
- Changyu Shena,b,
- Jae Yeong Choa,b,
- Kye Hun Kima,b,
- Hyukjin Parka,b and
- Lawrence Rinka,b
Background: The history portion of the American Heart Association (AHA) preparticipation evaluation (PPE) consists of 7 personal & 3 family history questions. These were developed by expert opinion & have not been evaluated in a diverse international setting.
Methods: At the 2015 Summer World University Games, the International University Sports Federation sponsored a voluntary PPE event for athletes. This included the personal & family history portion of the AHA 14-element PPE, electrocardiogram, & transthoracic echocardiogram. A PPE form translated into multiple languages via a native speaker or Microsoft Word was used. No athlete was disqualified from competition. Categorical variables were summarized by frequency & percentage, & compared among groups using Chi-square test.
Results: 1,155 athletes completed the screen. 43.1% responded YES ≥ 1 question (19.7% = 1; 23.4% ≥ 2). The most common YES responses related to prior testing on your heart ordered by a physician (17.3%), family history of genetic cardiac conditions (10.9%), & chest discomfort related to exertion (10.5%). Table shows distribution of ethnicities/races & regions (% total population) & percent YES responses by question (p<0.05 only).
Conclusions: In this diverse international setting, the YES response rate to the personal & family history portions of the AHA PPE was quite high with marked differences based on ethnicity/race & regions. The variability in YES responses suggests possible cultural &/or translational concerns.
Poster Hall, Hall C
Friday, March 17, 2017, 10:00 a.m.-10:45 a.m.
Session Title: Improving Outcomes in the Athlete With Cardiovascular Disease
Abstract Category: 7. Arrhythmias and Clinical EP: Sports and Exercise
Presentation Number: 1111-116
- 2017 American College of Cardiology Foundation