Current Practices and Attitudes of Canadian Team Physicians Toward Cardiovascular Preparticipation Screening

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To determine the current cardiovascular preparticipation screening practices and attitudes of team physicians for Canadian University and Major Junior Hockey Athletes, a 13-question survey was distributed to lead physicians of each organization. The response rate was 47% (48% [27 of 56] for the Canadian Interuniversity Sport and 55% [11 of 20] for the Ontario Hockey League). Ninety-two percent of physicians reported some form of preparticipation screening, with 22% currently using 12-lead electrocardiogram. Substantial inter- and intraorganization variability existed. Physicians not performing electrocardiogram screening reported lack of evidence (45%) and lack of cost-effectiveness (28%) as their rationale. To our knowledge, this is the first study to investigate Canadian athletic screening practices, and highlights the need for national guidelines.