Many sporting teams, leagues and federations now mandate cardiac screening of athletes. The most common screening protocol in Australian sports involves a personal/family history and physical examination, together with a resting 12-lead ECG.1 Some bodies, such as the Union Cycliste Internationale, the England and Wales Cricket Board and the UK Football Association also mandate two-dimensional transthoracic echocardiography as part of the standard screen. While echocardiography is sometimes used as a screening tool, the variable use of this modality in cardiac screening programmes raises the issue of when this test should be used as a diagnostic tool for the follow-up evaluation of other screening abnormalities. There is a need for clear consensus guidance, which should take into account the additional costs, as well as the potential benefits of echocardiography and the potential harms of incidental findings. We audited the national cardiac screening programme of elite men’s and women’s Australian cricket.2 The protocol consists of history, physical examination and ECG. Overall, 2.0% of ECGs were abnormal or had ≥2 borderline findings according to the international criteria for athlete ECG interpretation,3 although 5.5% of cases had an echocardiogram, which …

中文翻译：

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运动员心脏筛查：临床医生需要就随访超声心动图检测的指征达成共识

许多运动队、联盟和联合会现在要求对运动员进行心脏筛查。澳大利亚体育运动中最常见的筛查方案包括个人/家族病史和体格检查，以及静息 12 导联心电图。1 一些机构，例如国际自行车联盟、英格兰和威尔士板球委员会和英国足球协会也要求二维经胸超声心动图作为标准屏幕的一部分。虽然超声心动图有时被用作筛查工具，但在心脏筛查计划中这种方式的不同使用引发了何时应将此测试用作其他筛查异常的后续评估的诊断工具的问题。需要明确的共识指导，其中应考虑到额外成本，以及超声心动图的潜在益处和偶然发现的潜在危害。我们审核了澳大利亚精英男子和女子板球的国家心脏筛查计划。2 方案包括病史、体格检查和心电图。总体而言，根据运动员心电图解释的国际标准，2.0% 的心电图异常或有≥2 个临界结果，3 尽管 5.5% 的病例有超声心动图，这……