Cardiac evaluation of paediatric athletes

作者：Guido Pieles, Elena Cavarretta, J. Orchard, M Abela, Elena Arbelo, Werner Budts, Silvia Castelletti, Guido Claessen, Domenico Corrado, Giovanni Di Salvo, Gherardo Finocchiaro, Peter Fritsch, Sabiha Gati, Stephan Gerling, M. Cecilia Gonzalez Corcia, Aneil Malhotra, V Maestrini, Josef Niebauer, David Niederseer, Michael Papadakis, R Oberhoffer, Antonio Pelliccia, Nathan R Riding, M Sanz-De La Garza, Georgia Sarquella‐Brugada, Sanjay Sharma, Graham Stuart, Monica Tiberi, Alessandro Zorzi, Flavio D’Ascenzi · 发表于：European Heart Journal · 年份：2026 · DOI：10.1093/eurheartj/ehag188 · 被引用次数：4 · 研究领域：Cardiovascular Effects of Exercise、Cardiovascular and Diving-Related Complications、Cardiac Arrhythmias and Treatments

Paediatric athletes are not simply 'mini adults'. Most existing recommendations for cardiac screening in paediatric athletes are primarily based on evidence in adults and are designed for adult athletes. Paediatric-specific recommendations are needed due to the specifics of cardiac physiology, maturation and growth, age-related disease expression, modified diagnostic pathways, training adaptations, and to address relevant ethical considerations. This clinical consensus document from the European Association of Preventive Cardiology (EAPC) of the ESC and the Association for European Paediatric and Congenital Cardiology (AEPC) introduces specific advice for paediatric athletes for the first time, based on expert consensus, and where available, data from paediatric athlete populations. Members of the writing group voted anonymously on key advice statements, with ≥80% agreement required for consensus. All advice in this document applies to paediatric athletes aged <16 years, including those under 12 years of age. This document advises that cardiac screening of paediatric athletes with personal and family medical history, physical examination and 12-lead resting electrocardiogram (ECG) should be performed and should start no later than the age of 12 years. Implementing a screening programme requires ensuring the availability of necessary healthcare resources. One transthoracic echocardiogram may be appropriate to identify high-risk structural cardiac diseases not identifiable on E...