Audit of a cardiac screening policy for elite Australian cricketers

Audit of a cardiac screening policy for elite Australian cricketers.

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Item Type: Article
Status: Published
Official URL: https://doi.org/10.1016/j.jsams.2019.12.025
Journal or Publication Title: Journal of Science and Medicine in Sport
Volume: 23
Number: 6
Page Range: pp. 541-547
Date: 2020
Divisions: Molecular Cardiology
Depositing User: General Admin
Identification Number: 10.1016/j.jsams.2019.12.025
ISSN: 14402440
Date Deposited: 04 Jan 2021 03:17
Abstract:

Objectives
To report the compliance and results of an electrocardiogram (ECG) cardiac screening program in male and female elite Australian cricketers.

Design
cross-sectional study.

Methods
Elite cricketers were offered screening in accordance with Cricket Australia policy. Players who consented provided a personal and family history, physical examination and resting 12-lead ECG. An audit (1 February 2019) examined all cardiac screening records for male and female players in all Australian Cricket state squads from 16 years upwards. Data extracted from the Cricket Australia database included the number of players who underwent screening; signed waivers opting out; and had follow-up tests. ECGs were re-reviewed according to the International Criteria.

Results
710 players were included in the cohort (mean age 20.4 ± 4.9 years, 62% male). 692 (97.5%) players underwent recommended cardiac screening or signed a waiver opting out (1.1%). 173 (24.4%) players were screened (or signed a waiver) more than once. Follow-up testing was conducted for 59 (6.9%) cases. No players were excluded from sport due to a cardiac problem and no major cardiac incidents occurred to any player in the audit cohort. Review of 830 ECGs showed benign athlete heart changes, including sinus bradycardia (33.5%), left ventricular hypertrophy (16.3%), and incomplete/partial right bundle branch block (8.4%), were common but abnormal screening ECGs were uncommon (2.0%).

Conclusions
An audit of a cardiac screening program in elite Australian cricketers found excellent compliance. A small proportion required follow-up testing and no player was excluded from sport due to a cardiac problem. ECG analysis suggested cricket is a sport of moderate cardiac demands, with benign athlete heart changes common.

Creators:
Creators
Email
Orchard, Jessica J.
UNSPECIFIED
Orchard, John W.
UNSPECIFIED
La Gerche, Andre
UNSPECIFIED
Kountouris, Alex
UNSPECIFIED
Raju, Hariharan
UNSPECIFIED
Young, Mark
UNSPECIFIED
Puranik, Rajesh
UNSPECIFIED
Semsarian, Chris
UNSPECIFIED
Last Modified: 04 Jan 2021 03:17
URI: https://eprints.centenary.org.au/id/eprint/746

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