Are Electrocardiograms accurate in detecting cardiac pathologiesin athletes ages 13-25: A Critically Appraised Topic

Clinical Scenario: Electrocardiograms (ECGs) have become increasingly utilized in pre-participation exams for athletes in settings ranging from secondary schools to professional sport. Historically, this diagnostic modality has been effective when used properly and interpreted accurately in other healthcare settings. ECGs have the potential to accurately detect athletes who possibly have underlying cardiac pathologies. The aim of this review is to identify if ECGs can accurately detect cardiac pathologies in those athletes who are between the ages of 13-25. Challenges and positive outcomes are interpreted and highlighted throughout the review.

Clinical Question: Are ECGs accurate in detecting cardiac pathologies in athletes ages 13-25?

Summary of Key Findings: ECGs proved accurate in detecting cardiac pathologies. In the studies surveyed comparing ECGs with other diagnostic criteria, the ECG performed better and assisted physicians in diagnosing cardiac pathologies. However, more research is needed to conclude if ECGs can be used to diagnose cardiac pathologies without the use of other modalities or examinations.

Strength of Recommendation: Based on the evidence presented the strength of recommendation is a grade B, or moderate quality of information. Collectively, these studies possessed moderate limitations but were able to support the inclusion of ECGs in cardiac of health of athletes ranging in ages 12-25.