No psychological distress in sportsmen aged 45 years and older after cardiovascular screening, including cardiac CT: The Measuring Athlete’s Risk of Cardiovascular events (MARC) study

BACKGROUND: Psychological distress caused by cardiovascular pre-participation screening (PPS) may be a reason not to implement a PPS program. We assessed the psychological impact of PPS, including cardiac computed tomography (CT), in 318 asymptomatic sportsmen aged ≥45 years. METHODS: Coronary arter...

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Autores principales: Schurink, M. M., Braber, T. L., Prakken, N. H. J., Doevendans, P. A. F. M., Backx, F. J. G., Grobbee, D. E., Rienks, R., Nathoe, H. M., Bots, M. L., Velthuis, B. K., Mosterd, A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Bohn Stafleu van Loghum 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5355386/
https://www.ncbi.nlm.nih.gov/pubmed/28144819
http://dx.doi.org/10.1007/s12471-017-0948-5
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author Schurink, M. M.
Braber, T. L.
Prakken, N. H. J.
Doevendans, P. A. F. M.
Backx, F. J. G.
Grobbee, D. E.
Rienks, R.
Nathoe, H. M.
Bots, M. L.
Velthuis, B. K.
Mosterd, A.
author_facet Schurink, M. M.
Braber, T. L.
Prakken, N. H. J.
Doevendans, P. A. F. M.
Backx, F. J. G.
Grobbee, D. E.
Rienks, R.
Nathoe, H. M.
Bots, M. L.
Velthuis, B. K.
Mosterd, A.
author_sort Schurink, M. M.
collection PubMed
description BACKGROUND: Psychological distress caused by cardiovascular pre-participation screening (PPS) may be a reason not to implement a PPS program. We assessed the psychological impact of PPS, including cardiac computed tomography (CT), in 318 asymptomatic sportsmen aged ≥45 years. METHODS: Coronary artery disease (CAD) was defined as a coronary artery calcium score ≥100 Agatson units and/or ≥50% luminal stenosis on contrast-enhanced cardiac CT. Psychological impact was measured with the Impact of Event Scale (IES) (seven items) on a six-point scale (grade 0–5). A sum score ≥19 indicates clinically relevant psychological distress. A Likert scale was used to assess overall experiences and impact on sports and lifestyle. RESULTS: A total of 275 participants (86.5% response rate, 95% CI 83–90%) with a mean age of 54.5 ± 6.4 years completed the questionnaires, 48 (17.5%, 95% CI 13–22%) of whom had CAD. The median IES score was 1 (IQR 0–2, [0–23]). IES was slightly higher in those with CAD (mean rank 175 vs. 130, p < 0.001). One participant (with CAD) experienced clinically relevant psychological distress (IES = 23). Participants reported numerous benefits, including feeling safer exercising (58.6%, 95% CI 53–65%) and positive lifestyle changes, especially in those with CAD (17.2 vs. 52.1%, p < 0.001). The majority were satisfied with their participation (93.8%, 95% CI 91–97%). CONCLUSION: Cardiovascular PPS, including cardiac CT, causes no relevant psychological distress in older sportsmen. Psychological distress should not be a reason to forego screening in sportsmen. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi: 10.1007/s12471-017-0948-5) contains supplementary material, which is available to authorized users.
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spelling pubmed-53553862017-03-29 No psychological distress in sportsmen aged 45 years and older after cardiovascular screening, including cardiac CT: The Measuring Athlete’s Risk of Cardiovascular events (MARC) study Schurink, M. M. Braber, T. L. Prakken, N. H. J. Doevendans, P. A. F. M. Backx, F. J. G. Grobbee, D. E. Rienks, R. Nathoe, H. M. Bots, M. L. Velthuis, B. K. Mosterd, A. Neth Heart J Original Article BACKGROUND: Psychological distress caused by cardiovascular pre-participation screening (PPS) may be a reason not to implement a PPS program. We assessed the psychological impact of PPS, including cardiac computed tomography (CT), in 318 asymptomatic sportsmen aged ≥45 years. METHODS: Coronary artery disease (CAD) was defined as a coronary artery calcium score ≥100 Agatson units and/or ≥50% luminal stenosis on contrast-enhanced cardiac CT. Psychological impact was measured with the Impact of Event Scale (IES) (seven items) on a six-point scale (grade 0–5). A sum score ≥19 indicates clinically relevant psychological distress. A Likert scale was used to assess overall experiences and impact on sports and lifestyle. RESULTS: A total of 275 participants (86.5% response rate, 95% CI 83–90%) with a mean age of 54.5 ± 6.4 years completed the questionnaires, 48 (17.5%, 95% CI 13–22%) of whom had CAD. The median IES score was 1 (IQR 0–2, [0–23]). IES was slightly higher in those with CAD (mean rank 175 vs. 130, p < 0.001). One participant (with CAD) experienced clinically relevant psychological distress (IES = 23). Participants reported numerous benefits, including feeling safer exercising (58.6%, 95% CI 53–65%) and positive lifestyle changes, especially in those with CAD (17.2 vs. 52.1%, p < 0.001). The majority were satisfied with their participation (93.8%, 95% CI 91–97%). CONCLUSION: Cardiovascular PPS, including cardiac CT, causes no relevant psychological distress in older sportsmen. Psychological distress should not be a reason to forego screening in sportsmen. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (doi: 10.1007/s12471-017-0948-5) contains supplementary material, which is available to authorized users. Bohn Stafleu van Loghum 2017-01-31 2017-04 /pmc/articles/PMC5355386/ /pubmed/28144819 http://dx.doi.org/10.1007/s12471-017-0948-5 Text en © The Author(s) 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Original Article
Schurink, M. M.
Braber, T. L.
Prakken, N. H. J.
Doevendans, P. A. F. M.
Backx, F. J. G.
Grobbee, D. E.
Rienks, R.
Nathoe, H. M.
Bots, M. L.
Velthuis, B. K.
Mosterd, A.
No psychological distress in sportsmen aged 45 years and older after cardiovascular screening, including cardiac CT: The Measuring Athlete’s Risk of Cardiovascular events (MARC) study
title No psychological distress in sportsmen aged 45 years and older after cardiovascular screening, including cardiac CT: The Measuring Athlete’s Risk of Cardiovascular events (MARC) study
title_full No psychological distress in sportsmen aged 45 years and older after cardiovascular screening, including cardiac CT: The Measuring Athlete’s Risk of Cardiovascular events (MARC) study
title_fullStr No psychological distress in sportsmen aged 45 years and older after cardiovascular screening, including cardiac CT: The Measuring Athlete’s Risk of Cardiovascular events (MARC) study
title_full_unstemmed No psychological distress in sportsmen aged 45 years and older after cardiovascular screening, including cardiac CT: The Measuring Athlete’s Risk of Cardiovascular events (MARC) study
title_short No psychological distress in sportsmen aged 45 years and older after cardiovascular screening, including cardiac CT: The Measuring Athlete’s Risk of Cardiovascular events (MARC) study
title_sort no psychological distress in sportsmen aged 45 years and older after cardiovascular screening, including cardiac ct: the measuring athlete’s risk of cardiovascular events (marc) study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5355386/
https://www.ncbi.nlm.nih.gov/pubmed/28144819
http://dx.doi.org/10.1007/s12471-017-0948-5
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