Abstract 865: Cost Effective Complete Screening of Athletes in a Large District
Prevention of sudden death in athletes has been a difficult to achieve goal in the United States. In CypressFairbanks ISD we have utilized a novel method of screening of athletes in a large and progressive school district in the suburbs of Houston. Our 10 high schools were each given a laptop based ECG system and athletic trainers in each school performed and transmitted to a cardiologist an ECG on freshman athletes whose parents agreed to have them screened (2057/2148.) There were 186 abnormal ECG’s among these and in all but 13 screening echo’s were performed. LV and RV size and contractility, wall motion and thickness, valvular morphology, competency, and flow normalcy were recorded. Serious cardiac conditions were identified in three students: Non-compaction Cardiomyopathy, Coarctation of the Aorta, and Right Ventricular Cardiomyopathy. 8 Cases of WPW were referred to pediatric EP specialists. 17 cases of MVP were seen and information was given to students and parents, and 6 students were diagnosed with pulmonary hypertension: 4 mild (25– 45) and 2 moderate, (45– 65.) Bicuspid aortic valves were seen in 2, and 6 had valvular regurgitation: 3 aortic (mild-moderate) and 3 Mitral (moderate.) Concentric LVH was seen in 3, and all three were hypertensive and referred for treatment. In all, only 11 students were screened out of competitive athletics, although the WPW patients usually underwent ablation before returning to competition. The cost of the ECG and echo screening was donated by Cypress Cardiology PA, but if commercially conducted in this model the cost per student is estimated at less than $10 each. It is impossible to predict the non-occurrence of sudden death in this group, but our discovery of significant pathology would imply that risk of SCD has been reduced. This model, with modifications, would be applicable to school districts nationwide.