Publication: Desarrollo de una estrategia de cribado para la detección precoz de patologías cardíacas en adolescentes
Authors
Zapata Martínez, Marta
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Escuela Internacional de Doctorado
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Gimeno Blanes, Juan Ramón
Publisher
Universidad de Murcia
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DOI
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info:eu-repo/semantics/doctoralThesis
Description
Abstract
Introducción y objetivos: El cribado de cardiopatías se ha estudiado en deportistas de alta competición y genera controversia. El objetivo fue desarrollar un cribado de detección de cardiopatías en atención primaria (AP), para identificar alteraciones electrocardiográficas patológicas y cardiopatías subyacentes en adolescentes.
Método: Es un estudio de 1 año de duración, observacional y prospectivo. El cribado consistió en: cuestionario de salud, auscultación cardíaca y un electrocardiograma (ECG). Cualquier anormalidad de estos implicó una 2ª revisión por cardiología (CDL).
Resultados: Fueron 698 adolescentes, con edad media 13,7 ± 0,5 años y 354 (50,7%) fueron chicos. Fueron seleccionados 149 (21,3%) para 2ª revisión por CDL: 88 (12,6%) cuestionario positivo, 11 (2,2%) auscultación cardíaca anormal y 66 (9,5%) hallazgos en ECG. Los adolescentes con evidencia de cardiopatía fueron 24 (3,4%).
Conclusiones: El cribado permitió identificar al 0,9% de adolescentes y 6 familiares con cardiopatía. El ECG detectó más casos patológicos que el cuestionario.
Introduction and objectives: Heart disease screening has been studied in highly competitive athletes and generates controversy. The objective was to develop a screening for heart disease in primary care (PC) to identify pathological electrocardiographic abnormalities and underlying heart disease in adolescents. Method: It is a 1-year, observational and prospective study. The screening consisted of: a health questionnaire, cardiac auscultation, and an electrocardiogram (ECG). Any abnormality of these implied a 2nd revision by cardiology (CDL). Results: There were 698 adolescents, with a mean age of 13.7 ± 0.5 years old and 354 (50.7%) were boys. 149 (21.3%) were selected for the 2nd CDL checkup: 88 (12.6%) positive questionnaire, 11 (2.2%) abnormal cardiac auscultation, and 66 (9.5%) ECG findings. Adolescents with evidence of heart disease were 24 (3.4%). Conclusions: The screening allowed the identification of 0.9% of adolescents and 6 relatives with heart disease. The ECG detected more pathological cases than the questionnaire.
Introduction and objectives: Heart disease screening has been studied in highly competitive athletes and generates controversy. The objective was to develop a screening for heart disease in primary care (PC) to identify pathological electrocardiographic abnormalities and underlying heart disease in adolescents. Method: It is a 1-year, observational and prospective study. The screening consisted of: a health questionnaire, cardiac auscultation, and an electrocardiogram (ECG). Any abnormality of these implied a 2nd revision by cardiology (CDL). Results: There were 698 adolescents, with a mean age of 13.7 ± 0.5 years old and 354 (50.7%) were boys. 149 (21.3%) were selected for the 2nd CDL checkup: 88 (12.6%) positive questionnaire, 11 (2.2%) abnormal cardiac auscultation, and 66 (9.5%) ECG findings. Adolescents with evidence of heart disease were 24 (3.4%). Conclusions: The screening allowed the identification of 0.9% of adolescents and 6 relatives with heart disease. The ECG detected more pathological cases than the questionnaire.
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