Point-of-Care Ultrasound as a Component of Preparticipation Screening of Athletes: A Systematic Review

J Ultrasound Med. 2019 Dec;38(12):3123-3130. doi: 10.1002/jum.15021. Epub 2019 May 12.

Abstract

This review examined whether the addition of point-of-care ultrasound (POCUS) to electrocardiography (ECG)-inclusive preparticipation screening strategies has the potential to reduce false-positive results and detect diseases associated with sudden cardiac death that may not be identified through current modalities. Five studies, representing 2646 athletes, demonstrated that ECG-inclusive preparticipation screening strategies resulted in positive results in 19.9% of the cohort. With the addition of POCUS, positive results were reduced to 4.9%, and 1 additional condition potentially associated with sudden cardiac death was identified. The magnitude of positive results with POCUS may be reduced if current ECG criteria were applied.

Keywords: athletes; point-of-care ultrasound; preparticipation screening.

Publication types

  • Systematic Review

MeSH terms

  • Death, Sudden, Cardiac / prevention & control*
  • Echocardiography*
  • Electrocardiography*
  • Humans
  • Mass Screening
  • Point-of-Care Systems*
  • Sports*