Please ensure that you read and fully understand this form before you sign your consent form.

We will be happy to answer any questions that you may have about SportAssure, the cardiac screening process, and this disclaimer and consent form before you sign it.

 

1. SportAssure provide a cardiac screening service to assess your cardiac risk factors, quantified as a QRISK2 score (a nationally recognised risk tool), and check for evidence of a cardiac abnormality that might lead to sudden cardiac death through a 12-lead ECG.

 

2. It is estimated that 1 in 300 people may have an undetected heart condition.

 

3. The aim of cardiac screening is to reassure otherwise asymptomatic individuals that their risk of suffering sudden cardiac death is very low. A normal ECG is extremely reassuring. It is recommended by the European Society of Cardiology and International Olympic Committee that you have cardiac screening before participating in ANY competitive sport.

 

4. A normal ECG however, does not definitively guarantee cardiac health in the long term. You should always seek advice from your GP if you develop symptoms in the future. Symptoms that are of particular concern are;

• Chest pain or discomfort associated with exertional activity.

• Breathlessness associated with exertional activity which is disproportional to the level of intensity.

• Loss of consciousness, or feeling feint associated with exertion.

• Palpitations (a noticeably rapid, strong or irregular heartbeat) associated with exertion.

 

5. SportAssure’s cardiac screening process comprises of a Health Questionnaire, Physical Examination including auscultation of heart sounds, blood pressure, cholesterol level, and Body Mass Index (BMI) calculation, as well as an ECG.

 

6. The results of your ECG will be reviewed in retrospect alongside your health questionnaire by two Cardiology Nurse Specialists. Should further advice regarding an ECG be deemed appropriate, SportAssure has a consultant cardiologist who specialises in Electrophysiology available to support with this.

 

7. There is a small chance that the results of your ECG may produce a false positive result of cardiac abnormality. In the event of a possible cardiac abnormality being detected by SportAssure Cardiac Screening, SportAssure will recommend that you arrange for further cardiac testing to be undertaken to check cardiac function. This can be arranged by your GP.

 

8. The answers to your questionnaire and results of the screening process are treated as strictly confidential, and will not be shared with any other party. Any further action - recommended or otherwise - is your own responsibility. The results will be dispatched to you via email, in the form of a PDF, with an original ECG within 10 working days.

 

9. SportAssure is committed to complying with Data Protection Law. The results of your cardiac screen will be held electronically within an encrypted database so that they are available should you wish to access the information at some point in the future, unless you explicitly ask for these to be removed from our database.

 

10.  Whilst we advocate cardiac screening, there is a potential risk this may result in a ‘false positive’ or ‘false negative’.

a. A false positive is when an individual’s screening result suggests that they may have a cardiac abnormality that upon further testing, is proven not to be the case. This may cause undue anxiety and stress to the individual.

b. A false negative is when an individual’s screening results suggests they have no cardiac abnormality, however in reality they do. In these instances, and where an individual has no symptoms, risk of sudden cardiac death (SCD) remains extremely low. This may however, provide false reassurance to the individual.