Original Research

Preparticipation Cardiovascular Screening: An Infrastructure Assessment in Collegiate Athletics

Conway, Justin J. MD^*; Toresdahl, Brett G. MD^†; Asplund, Chad A. MD^‡; Asif, Irfan M. MD^§

Author Information

^*Crystal Run Healthcare, Middletown, New York;

^†Primary Care Sports Medicine Service, Hospital for Special Surgery, New York, New York;

^‡Georgia Southern University, Statesboro, Georgia; and

^§Greenville Health System, University of South Carolina School of Medicine, Greenville, South Carolina.

Corresponding Author: Justin J. Conway, MD, Crystal Run Healthcare, 155 Crystal Run Rd, Middletown, NY 10941 ([email protected]).

The authors report no conflicts of interest.

Clinical Journal of Sport Medicine 30(4):p 315-320, July 2020. | DOI: 10.1097/JSM.0000000000000616

Abstract

Objective:

To assess the available infrastructure for secondary testing after preparticipation cardiovascular screening of collegiate athletes.

Design:

Cross-sectional study.

Setting:

National Collegiate Athletic Association (NCAA) athletic programs

Participants:

Team physicians.

Interventions:

Online survey distributed by the NCAA and American Medical Society for Sports Medicine.

Main Outcome Measures:

Availability of secondary cardiovascular diagnostic testing and services.

Results:

Team physicians from 235 schools completed the assessment, representing 21% of all NCAA schools. Ninety (38.3%) NCAA team physicians reported screening athletes using electrocardiogram (ECG). Division I schools were more likely than Division II and III schools to perform both screening ECG (RR, 2.38, P < 0.0001) and echocardiogram (RR, 2.83, P = 0.01). More than 97% of schools had access to resting echocardiogram, stress ECG/echocardiogram, and Holter monitoring within 25 miles with no significant variability between divisions, regions, or size of undergraduate student body. Cardiac magnetic resonance imaging and electrophysiology studies were available within 25 miles of more than 80% of schools, and genetics testing was available within 25 miles for 64.8%.