David S. Owens
University of Washington
EpidemiologyInternal medicineSurgeryCardiologyIntensive care medicinePhysical therapyPediatricsProspective cohort studySudden cardiac deathDiseaseStenosisElectrocardiographyHypertrophic cardiomyopathyAortic valveAthletesPopulationAortic valve calcificationCause of deathSports medicineIncidence (epidemiology)Physical examinationMedicineCohort
Publications 77
#1David S. Owens (UW: University of Washington)H-Index: 25
#2Traci M. Bartz (UW: University of Washington)H-Index: 40
Last. Jorge R. KizerH-Index: 60
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OBJECTIVES Current estimates of aortic stenosis (AS) frequency have mostly relied on cross-sectional echocardiographic or longitudinal administrative data, making understanding of AS burden incomplete. We performed case adjudications to evaluate the frequency of AS and assess differences by age, sex and race in an older cohort with long-term follow-up. METHODS We developed case-capture methods using study echocardiograms, procedure and diagnosis codes, heart failure events and deaths for targete...
1 CitationsSource
#1Jonathan A. Drezner (UW: University of Washington)H-Index: 51
#1Jonathan A Drezner (UW: University of Washington)H-Index: 13
Last. Sanjay Sharma (St George's, University of London)H-Index: 92
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The diagnosis of a potentially lethal cardiovascular disease in a young athlete presents a complex dilemma regarding athlete safety, patient autonomy, team or institutional risk tolerance and medical decision-making. Consensus cardiology recommendations previously supported the 'blanket' disqualification of athletes with hypertrophic cardiomyopathy (HCM) from competitive sport. More recently, epidemiological studies examining the relative contribution of HCM as a cause of sudden cardiac death (S...
#1Ashley V Austin (UW: University of Washington)H-Index: 1
#2David S. Owens (UW: University of Washington)H-Index: 25
Last. Jonathan A. Drezner (UW: University of Washington)H-Index: 51
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Objectives We assessed whether the presence and character of a cardiac murmur in adolescents were associated with structural heart disease that confers risk of sudden cardiac death (SCD). Methods We performed a retrospective analysis of 15 141 adolescents age 12–19 who underwent a heart screen with history, physical examination and ECG. Participants with any screening abnormality underwent an echocardiogram for the assessment of structural heart disease. Murmurs were classified as physiological ...
#1Kimberly G. Harmon (UW: University of Washington)H-Index: 41
#2Monica Zigman Suchsland (UW: University of Washington)H-Index: 6
Last. Jonathan A. DreznerH-Index: 51
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Abstract Background Preparticipation screening for conditions associated with sudden cardiac death (SCD) is required in college athletes. Prior cost analyses use theoretical models based on variable assumptions; but no study uses real-life outcomes. Objective To compare disease prevalence, positive findings and costs of two different screening strategies: history and physical examination alone or with an electrocardiogram. Methods De-identified preparticipation data (2009-2017) from Pacific-12 C...
3 CitationsSource
#1Bradley J. Petek (Harvard University)H-Index: 9
#2Jonathan A. Drezner (UW: University of Washington)H-Index: 51
Last. Kimberly G. Harmon (UW: University of Washington)H-Index: 41
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Abstract Background Electrocardiogram (ECG) screening in athletes enhances the detection of conditions associated with sudden cardiac death (SCD), but concerns remain for false positive results when conducted outside of specialized centers. This study compared ECG interpretation in college athletes between local physicians and a sports cardiology center (SCC). Methods Screening ECGs in athletes from eight Pacific-12 Conference institutions performed between 2010 and 2016 were included. Local int...
1 CitationsSource
#1David S. OwensH-Index: 25
#2Jonathan A. DreznerH-Index: 51
#1Elizabeth Williams (UW: University of Washington)H-Index: 3
#2Hank F. Pelto (UW: University of Washington)H-Index: 5
Last. Jonathan A. Drezner (UW: University of Washington)H-Index: 51
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Background Preparticipation cardiovascular screening in athletes is fully endorsed by major medical societies, yet the most effective screening protocol remains debated. We prospectively compared t...
31 CitationsSource
#1Daniele Massera (NYU: New York University)H-Index: 9
#2Robyn L. McClelland (UW: University of Washington)H-Index: 83
Last. David A. Bluemke (UW: University of Wisconsin-Madison)H-Index: 138
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Background Hypertrophic cardiomyopathy is defined as unexplained left ventricular (LV) hypertrophy (wall thickness ≥15 mm) and is prevalent in 0.2% of adults (1:500) in population‐based studies using echocardiography. Cardiac magnetic resonance imaging (MRI) allows for more accurate wall thickness measurement across the entire ventricle than echocardiography. The prevalence of unexplained LV hypertrophy by cardiac MRI is unknown. MESA (Multi‐Ethnic Study of Atherosclerosis) recruited individuals...
8 CitationsSource
A preparticipation evaluation (PPE) with cardiovascular (CV) screening is required prior to athletic participation at all Pac-12 athletes. This study examines the number of CV conditions associated with sudden cardiac death (SCD) in Pac-12 athletes screened with and without a 12-lead