Electrocardiogram as Part of the Evaluation of Children and Adolescents Before Starting Physical Exercise

Detalhes bibliográficos
Autor(a) principal: Silva, Diego Lineker Marquetto [UNESP]
Data de Publicação: 2023
Outros Autores: Bonatto, Rossano Cesar [UNESP], Padovani, [UNESP], Fioretto, José Roberto [UNESP], Bonatto, Celia de Paula Pimenta [UNESP], Roberto, Carlos
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.36660/ijcs.20220052
http://hdl.handle.net/11449/249934
Resumo: Background: Children and adolescents should be encouraged to participate in sports; however, physicians should screen for cardiac abnormalities that can lead to sudden death. The European Society of Cardiology, the Brazilian Society of Cardiology and the Brazilian Society of Sports Medicine indicate performing an electrocardiogram (ECG) in evaluating athletes, while the American Heart Association indicates complementary exams only when there is a personal or family history of cardiovascular diseases or changes in clinical examination. Objectives: To evaluate the need for an ECG in evaluating children and adolescents before starting physical activities. Methods: We recruited 983 children and adolescents who practiced physical activities for anthropometric assessment, clinical examination and conventional ECG at rest. Variables were analysed using the Goodman test with a significance level of 5%. Results: Participants had a higher incidence of overweight, obesity and severe obesity compared to standard World Health Organization (WHO) values. The most common finding in clinical examination was heart murmur (18.5% of participants). Electrocardiographic changes were found in 3.3% of participants, including paroxysmal supraventricular tachycardia and pre-excitation syndrome, which may be responsible for sudden death, even in asymptomatic individuals with no personal or family history of heart disease and no abnormality on clinical examination. Conclusions: ECG revealed arrhythmias that were not detected by clinical examination and may precede sudden death in individuals subjected to physical exertion, indicating its role in the assessment of children and adolescents before starting regular physical exercise .
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spelling Electrocardiogram as Part of the Evaluation of Children and Adolescents Before Starting Physical ExerciseAdolescentsChildrenElectrocardiography/methodsElectrocardiography/prevention and controlPhysical ExerciseYouth SportsBackground: Children and adolescents should be encouraged to participate in sports; however, physicians should screen for cardiac abnormalities that can lead to sudden death. The European Society of Cardiology, the Brazilian Society of Cardiology and the Brazilian Society of Sports Medicine indicate performing an electrocardiogram (ECG) in evaluating athletes, while the American Heart Association indicates complementary exams only when there is a personal or family history of cardiovascular diseases or changes in clinical examination. Objectives: To evaluate the need for an ECG in evaluating children and adolescents before starting physical activities. Methods: We recruited 983 children and adolescents who practiced physical activities for anthropometric assessment, clinical examination and conventional ECG at rest. Variables were analysed using the Goodman test with a significance level of 5%. Results: Participants had a higher incidence of overweight, obesity and severe obesity compared to standard World Health Organization (WHO) values. The most common finding in clinical examination was heart murmur (18.5% of participants). Electrocardiographic changes were found in 3.3% of participants, including paroxysmal supraventricular tachycardia and pre-excitation syndrome, which may be responsible for sudden death, even in asymptomatic individuals with no personal or family history of heart disease and no abnormality on clinical examination. Conclusions: ECG revealed arrhythmias that were not detected by clinical examination and may precede sudden death in individuals subjected to physical exertion, indicating its role in the assessment of children and adolescents before starting regular physical exercise .Universidade Estadual Paulista Júlio de Mesquita Filho, SPUniversidade Estadual Paulista Júlio de Mesquita Filho, SPUniversidade Estadual Paulista (UNESP)Silva, Diego Lineker Marquetto [UNESP]Bonatto, Rossano Cesar [UNESP]Padovani, [UNESP]Fioretto, José Roberto [UNESP]Bonatto, Celia de Paula Pimenta [UNESP]Roberto, Carlos2023-07-29T16:13:16Z2023-07-29T16:13:16Z2023-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://dx.doi.org/10.36660/ijcs.20220052International Journal of Cardiovascular Sciences, v. 36.2359-56472359-4802http://hdl.handle.net/11449/24993410.36660/ijcs.202200522-s2.0-85158150514Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengInternational Journal of Cardiovascular Sciencesinfo:eu-repo/semantics/openAccess2023-07-29T16:13:16Zoai:repositorio.unesp.br:11449/249934Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462023-07-29T16:13:16Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Electrocardiogram as Part of the Evaluation of Children and Adolescents Before Starting Physical Exercise
title Electrocardiogram as Part of the Evaluation of Children and Adolescents Before Starting Physical Exercise
spellingShingle Electrocardiogram as Part of the Evaluation of Children and Adolescents Before Starting Physical Exercise
Silva, Diego Lineker Marquetto [UNESP]
Adolescents
Children
Electrocardiography/methods
Electrocardiography/prevention and control
Physical Exercise
Youth Sports
title_short Electrocardiogram as Part of the Evaluation of Children and Adolescents Before Starting Physical Exercise
title_full Electrocardiogram as Part of the Evaluation of Children and Adolescents Before Starting Physical Exercise
title_fullStr Electrocardiogram as Part of the Evaluation of Children and Adolescents Before Starting Physical Exercise
title_full_unstemmed Electrocardiogram as Part of the Evaluation of Children and Adolescents Before Starting Physical Exercise
title_sort Electrocardiogram as Part of the Evaluation of Children and Adolescents Before Starting Physical Exercise
author Silva, Diego Lineker Marquetto [UNESP]
author_facet Silva, Diego Lineker Marquetto [UNESP]
Bonatto, Rossano Cesar [UNESP]
Padovani, [UNESP]
Fioretto, José Roberto [UNESP]
Bonatto, Celia de Paula Pimenta [UNESP]
Roberto, Carlos
author_role author
author2 Bonatto, Rossano Cesar [UNESP]
Padovani, [UNESP]
Fioretto, José Roberto [UNESP]
Bonatto, Celia de Paula Pimenta [UNESP]
Roberto, Carlos
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade Estadual Paulista (UNESP)
dc.contributor.author.fl_str_mv Silva, Diego Lineker Marquetto [UNESP]
Bonatto, Rossano Cesar [UNESP]
Padovani, [UNESP]
Fioretto, José Roberto [UNESP]
Bonatto, Celia de Paula Pimenta [UNESP]
Roberto, Carlos
dc.subject.por.fl_str_mv Adolescents
Children
Electrocardiography/methods
Electrocardiography/prevention and control
Physical Exercise
Youth Sports
topic Adolescents
Children
Electrocardiography/methods
Electrocardiography/prevention and control
Physical Exercise
Youth Sports
description Background: Children and adolescents should be encouraged to participate in sports; however, physicians should screen for cardiac abnormalities that can lead to sudden death. The European Society of Cardiology, the Brazilian Society of Cardiology and the Brazilian Society of Sports Medicine indicate performing an electrocardiogram (ECG) in evaluating athletes, while the American Heart Association indicates complementary exams only when there is a personal or family history of cardiovascular diseases or changes in clinical examination. Objectives: To evaluate the need for an ECG in evaluating children and adolescents before starting physical activities. Methods: We recruited 983 children and adolescents who practiced physical activities for anthropometric assessment, clinical examination and conventional ECG at rest. Variables were analysed using the Goodman test with a significance level of 5%. Results: Participants had a higher incidence of overweight, obesity and severe obesity compared to standard World Health Organization (WHO) values. The most common finding in clinical examination was heart murmur (18.5% of participants). Electrocardiographic changes were found in 3.3% of participants, including paroxysmal supraventricular tachycardia and pre-excitation syndrome, which may be responsible for sudden death, even in asymptomatic individuals with no personal or family history of heart disease and no abnormality on clinical examination. Conclusions: ECG revealed arrhythmias that were not detected by clinical examination and may precede sudden death in individuals subjected to physical exertion, indicating its role in the assessment of children and adolescents before starting regular physical exercise .
publishDate 2023
dc.date.none.fl_str_mv 2023-07-29T16:13:16Z
2023-07-29T16:13:16Z
2023-01-01
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.36660/ijcs.20220052
International Journal of Cardiovascular Sciences, v. 36.
2359-5647
2359-4802
http://hdl.handle.net/11449/249934
10.36660/ijcs.20220052
2-s2.0-85158150514
url http://dx.doi.org/10.36660/ijcs.20220052
http://hdl.handle.net/11449/249934
identifier_str_mv International Journal of Cardiovascular Sciences, v. 36.
2359-5647
2359-4802
10.36660/ijcs.20220052
2-s2.0-85158150514
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv International Journal of Cardiovascular Sciences
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.source.none.fl_str_mv Scopus
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
repository.mail.fl_str_mv
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