Abstract P134: Cardiac Screening in Adolescent and Young Athletes: A 3 year Cross Sectional Study Assessing the Diagnostic Accuracy of the History Questionnaire, Physical Examination, and Electrocardiogram

Background & Aim: The accuracy of each cardiac screening tool for young athletes needs further investigation. The aim of this study is to evaluate the Preparticipation Physical Evaluation Monograph 4th Edition (PPE-4), which is the current recommendation for cardiovascular screening in young athletes, and the 12-lead electrocardiogram (ECG). Methods: During October 2010 to June 2013 student athletes from high schools around the greater Seattle area received a one-time cardiac screen including history and physical examination as recommended in the PPE-4, and a resting 12-lead ECG. Those with abnormal findings received a focused echocardiogram. Student athletes were defined as participating in at least one high school level sport or higher per year. A true positive was defined as the identification of a cardiac disorder associated with sudden cardiac death. Sensitivity (Sn), specificity (Sp), false positive rate (FP), and positive and negative likelihood ratios (+LR, -LR), were calculated for each screening...