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Master Thesis

Enquête d'opinion auprès de médecins généralistes sur la réalisation d'un électrocardiogramme lors de la visite de non contre-indication au sport chez les 12 à 35 ans

Abstract : Introduction: ECG at rest is recommended by the French cardiology society (SFC), in addition to medical history and clinical examination for pre participation check up before competitive sport. In France, this visit is mainly carried out in general practice. Our goal is to assess the views of general practitioners (GP) on this cardiac screening, actual practice and current knowledge, limits and changes to consider. Method: We collected opinion by questionnaires sent to GP in Savoie, Isère and Rhône departments, by e-mail from May to July 2011. Email addresses were obtained by official medical organisations and continuing education associations. We excluded unconventional practitioners. Results: Among 107 physicians answered, 52% (CI +/- 9.6%) are aware of the recommendations. 56% perform an ECG but only 17% systematically. 92% believe screening is useful, 74% feasible and 56% feel competent for it. 67% seems to know diseases findable by the ECG and 54% the athlete's physiological changes. With an abnormal ECG, 91% ask for further examination and 58% make sport restriction. 53% would change their practice after recommendations. Conclusion: Our selected population was in favour of these sport pre participation exams. GP are efficient in ECG screening, but lack of time, of financial support or of effectiveness evidence restrain its realization. A prospective study seems necessary to validate the screening. The use of tools for reading the ECG and patients and doctors information are essential to its development.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-00660381
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Submitted on : Monday, January 16, 2012 - 3:13:00 PM
Last modification on : Wednesday, July 15, 2020 - 8:58:04 AM
Long-term archiving on: : Monday, November 19, 2012 - 1:46:15 PM

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Florence Grand. Enquête d'opinion auprès de médecins généralistes sur la réalisation d'un électrocardiogramme lors de la visite de non contre-indication au sport chez les 12 à 35 ans. Médecine humaine et pathologie. 2012. ⟨dumas-00660381⟩

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