Don't Just Check the Box: Check Your Athlete's Heart: Adding a 12-lead ECG to Pre-Participation Screening to Identify High Risk of Sudden Cardiac Arrest in Male High School Athletes
Year of Publication
Doctor of Nursing Practice
Dr. Martha Biddle
Dr. Leesa Schwarz
Dr. Lacey Buckler
Dr. Patricia K. Howard
PURPOSE: Sudden cardiac arrest (SCA) continues to be the leading cause of death in male high school athletes participating in competitive sports. There is gap in the current preventative screening practice of history and physical alone. The purpose of this project is to evaluate adding a 12-lead electrocardiogram (ECG) to pre-participation screening captures cardiac abnormalities that identify male athletes at a higher risk for developing SCA. METHODS: A descriptive secondary analysis design to determine the incidence of cardiac abnormalities detected with the addition of a 12-lead ECG during pre-participation screenings (annual sports physical) of high school-aged male athletes. The study was conducted in two parts. Part 1 included direct experiential learning observation at four prevention-screening sessions between the months of July and August 2020. Part 2 was a retrospective secondary analysis of data collected by the MCORE Foundation during previous preventative screenings to find correlation and feasibility of adding a 12-lead ECG and cardiac questionnaire to pre-participation screenings. RESULTS: The study identified a significant correlation between ECG findings and the pediatric cardiologist’s interpretations. CONCLUSION: Adding a 12-lead ECG showed significant correlation with pediatric cardiologist recommendations for treatment and evaluation.
King, Shannon, "Don't Just Check the Box: Check Your Athlete's Heart: Adding a 12-lead ECG to Pre-Participation Screening to Identify High Risk of Sudden Cardiac Arrest in Male High School Athletes" (2020). DNP Projects. 334.
Cardiovascular Diseases Commons, Congenital, Hereditary, and Neonatal Diseases and Abnormalities Commons, Critical Care Nursing Commons