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

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dc.contributor.authorSilva, Diego Lineker Marquetto [UNESP]
dc.contributor.authorBonatto, Rossano Cesar [UNESP]
dc.contributor.authorPadovani, [UNESP]
dc.contributor.authorFioretto, José Roberto [UNESP]
dc.contributor.authorBonatto, Celia de Paula Pimenta [UNESP]
dc.contributor.authorRoberto, Carlos
dc.contributor.institutionUniversidade Estadual Paulista (UNESP)
dc.date.accessioned2023-07-29T16:13:16Z
dc.date.available2023-07-29T16:13:16Z
dc.date.issued2023-01-01
dc.description.abstractBackground: 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 .en
dc.description.affiliationUniversidade Estadual Paulista Júlio de Mesquita Filho, SP
dc.description.affiliationUnespUniversidade Estadual Paulista Júlio de Mesquita Filho, SP
dc.identifierhttp://dx.doi.org/10.36660/ijcs.20220052
dc.identifier.citationInternational Journal of Cardiovascular Sciences, v. 36.
dc.identifier.doi10.36660/ijcs.20220052
dc.identifier.issn2359-5647
dc.identifier.issn2359-4802
dc.identifier.scopus2-s2.0-85158150514
dc.identifier.urihttp://hdl.handle.net/11449/249934
dc.language.isoeng
dc.relation.ispartofInternational Journal of Cardiovascular Sciences
dc.sourceScopus
dc.subjectAdolescents
dc.subjectChildren
dc.subjectElectrocardiography/methods
dc.subjectElectrocardiography/prevention and control
dc.subjectPhysical Exercise
dc.subjectYouth Sports
dc.titleElectrocardiogram as Part of the Evaluation of Children and Adolescents Before Starting Physical Exerciseen
dc.typeArtigo

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