ATLAS Pre-Participation Panels

Reducing Your Risk of Sudden Death and Injury
During Exercise or Intensive  Physical Activity

Our ATLAS Pre-Participation Screening is a heart screening program aimed at reducing the risk of sudden deaths and injury during exercise or any physically intensive activity. Before signing up for a pre-participation screening program, here is some information you may need to know.  There are 3 components to this pre-participation screening program and they are:

  1. Pre-participation heart check (i.e. cardiovascular screening) to reduce the risk of sudden death
  2. Pre-participation muscular-skeletal screening to identify injuries that need to be managed to prevent aggravation or to identify factors that may predispose the participants to future injuries
  3. Identify factors that may limit performance, e.g. anemia or existing medications etc

Factors Based on MOH Clinical Practice Guidelines – Screening for Cardiovascular Disease and Risk Factors – 2011.

Why and What is a Pre-participation Heart Check?

Since sudden death is often related to underlying heart conditions the concept of pre-participation heart check appears sensible. Pre-participation heart check usually requires one or more stages of screening process.  One usually begins with stage one, (i.e. ATLAS Endeavour I) which consists of a personal and family history-taking, a pre-participation cardiovascular screening questionnaire (recommended by the American Heart Association) and a physical examination by a cardiologist.  Biometric analysis (BMI), resting ECG and blood biochemistry are also done.  A cardiovascular risk score is then computed based on the above and depending on the risk score, further cardiac evaluation may be needed such as chest x-ray, exercise treadmill stress test, 2D Echo/Doppler study, CAC Score, etc.

Who should undergo Pre-participation Heart Check?

  1. An individual who may have intrinsic risk of sudden cardiac death (history of cardiac symptoms – exertional chest pain, exertional breathlessness, previous fainting episodes, etc, positive family history e.g. family history of premature coronary artery disease occurring in first degree relatives – male > 55 years old and female > 65 years old or family history of sudden death).
  2. Individuals with history of multiple cardiovascular risk factors including – high blood pressure, high cholesterol, high blood sugar levels, overweight/obesity, smoking, unhealthy diet, previously physically inactive.
  3. Males > 45 years old and female > 55 years old planning to start moderate to high intensity exercise.
  4. Diabetics ≥ 40 years old and planning to start moderate to high intensity exercise.

Depending on the risk levels, individuals will be advised on evaluation and management. A heart check will

  1. Assess the level of competition (see figure 1 below) or the degree of cardiovascular activity (figure 2 below) based on the exercise or sport involved.
  1. The degree of risk of the particular sport or activity (see figure 2 below).

Source: MOH Clinical Practice Guides – Screening for Cardiovascular Disease and Risk Factors 1/ 2011
Figure 1.  Athletes’ competitive levels.

Source: Maron et al. 36th Bethesda Conference: Eligibility Recommendations for Competitive Athletes With Cardiovascular Abnormalities. 173
Figure 2.  Categorization of sports based on cardiovascular activity

  1. Other factors such as age. For example, a 55-year-old novice marathon runner may be zealously undergoing high-intensity, high-mileage training without building up to it and would be considered at risk of sudden death even though he may be doing casual runs or a weekend runner.
  2. Assessment of the duration and intensity of the sports participation e.g. endurance or ultra-endurance demands and environmental stress.

The recognition that pre-participation screening is only part of a strategy to decrease the chance of sudden death and adverse events occurring, education is the other crucial component of the overall strategy.  Individuals should be educated on symptoms and signs that require medical attention before embarking on sports activity or exercise and this will be given in pre-run advice.

Finally, to reiterate: The purpose of pre-participation cardiovascular screening is to detect in the asymptomatic individual cardiovascular risks and disease with the view that early intervention will forestall the disease and complications respectively.

All ATLAS Pre-Participation Screenings are carried out at the WL&H Cardiovascular Centre at Gleneagles Medical Centre.
Please contact us at +65 6662 9366 for more information.

Pre-Participation Panel ONE

  • Medical Consultation 100% 100%
  • Biometric Analysis 100% 100%
  • Cardiovascular Risk Assessment 100% 100%
  • Cardiac Screening Suite 25% 25%
  • Diagnostic Imaging 0% 0%
  • Blood Panel 80% 80%
Diagnostic Items

Medical Examination & Consultation by Cardiologist

Personal and Family Medical History
Pre-Participation Cardiovascular Screening Questionnaire
[Recommended by the American Heart Association (AHA)]
Cardiovascular Examination by Cardiologist Including:
• Blood Pressure and Heart Rate Check
• Cardiac Auscultation

Personalised Medical Report

  • Once your test results have been finalised, you will receive your very own personalised WL&H Medical Health Report displaying your results

Second Consultation with Cardiologist

• Explanation of your results and health advice

Biometric Analysis

• Height
• Weight
• Body Mass Index (BMI)

Cardiac Screening Suite

• 12-Lead Resting Electrocardiogram (ECG) with report by Cardiologist

Personal Cardiovascular Risk Assessment

• 10-Year and Life-time Risk of Developing Heart Attack and Stroke
• Assessment of Ideal Cardiovascular Health Metrics
• Assessment of your “Heart Age”

Blood Panel

Haematology
• Full Blood Count

Diabetes Panel
• Blood Glucose
• HbA1c

Kidney Function Test
• Sodium
• Potassium
• Chloride
• Urea
• Creatinine
• Bicarbonate
• eGFR (For ages 18-74)

Bone and Joint Profile
• Uric Acid

Inflammatory Marker
• hsCRP

Urine Analysis
• Urine FEME

 

 

 

Lipid Profile
• Total Cholesterol
• LDL Cholesterol
• HDL Cholesterol
• Triglycerides
• Total Cholesterol/HDL Ratio

Liver Function Test
• Total Protein
• Albumin
• Globulin
• Albumin/Globulin Ratio
• Total Bilirubin
• Alanine Transaminase (ALT)
• Aspartate Transaminase (AST)
• Gamma-Glutamyl Transferase (GGT)
• Alkaline Phosphatase

Thyroid Function Test
• Free Thyroxine (Free T4)
• Thyroid Stimulating Hormone (TSH)

SGD$250.00

All prices are subject to prevailing GST and any applicable government taxes

Pre-Participation Panel TWO

  • Medical Consultation 100% 100%
  • Biometric Analysis & Vision Tests 100% 100%
  • Cardiovascular Risk Assessment 100% 100%
  • Cardiac Screening Suite 50% 50%
  • Diagnostic Imaging 100% 100%
  • Blood Panel 100% 100%
Diagnostic Items

Medical Examination & Consultation by Cardiologist

Personal and Family Medical History
Pre-Participation Cardiovascular Screening Questionnaire
[Recommended by the American Heart Association (AHA)]
Cardiovascular Examination by Cardiologist Including:
• Blood Pressure and Heart Rate Check
• Cardiac Auscultation

Personalised Medical Report

  • Once your test results have been finalised, you will receive your very own personalised WL&H Medical Health Report displaying your results

Second Consultation with Cardiologist

• Explanation of your results and health advice

Biometric Analysis

• Height
• Weight
• Body Mass Index (BMI)

Cardiac Screening Suite

• 12-Lead Resting Electrocardiogram (ECG) with report by Cardiologist

Personal Cardiovascular Risk Assessment

• 10-Year and Life-time Risk of Developing Heart Attack and Stroke
• Assessment of Ideal Cardiovascular Health Metrics
• Assessment of your “Heart Age”

Blood Panel

Haematology
• Full Blood Count

Diabetes Panel
• Blood Glucose
• HbA1c

Kidney Function Test
• Sodium
• Potassium
• Chloride
• Urea
• Creatinine
• Bicarbonate
• eGFR (For ages 18-74)

Bone and Joint Profile
• Uric Acid

Inflammatory Marker
• hsCRP

Urine Analysis
• Urine FEME

 

 

 

Lipid Profile
• Total Cholesterol
• LDL Cholesterol
• HDL Cholesterol
• Triglycerides
• Total Cholesterol/HDL Ratio

Liver Function Test
• Total Protein
• Albumin
• Globulin
• Albumin/Globulin Ratio
• Total Bilirubin
• Alanine Transaminase (ALT)
• Aspartate Transaminase (AST)
• Gamma-Glutamyl Transferase (GGT)
• Alkaline Phosphatase

Thyroid Function Test
• Free Thyroxine (Free T4)
• Thyroid Stimulating Hormone (TSH)

Additional Tests from Pre-Participation I

Diagnostic Imaging
• Chest X-Ray

Cardiac Screening Suite

• Treadmill Exercise Stress Test*
*Subject to prevailing MOH Guidelines1

1The 2016 Ministry of Health Guidelines on the Provision of Electrocardiography Stress Testing.

SGD$395.00

All prices are subject to prevailing GST and any applicable government taxes

Pre-Participation Panel THREE

  • Medical Consultation 100% 100%
  • Biometric Analysis & Vision Tests 100% 100%
  • Cardiovascular Risk Assessment 100% 100%
  • Cardiac Screening Suite 100% 100%
  • Diagnostic Imaging 100% 100%
  • Blood Panel 100% 100%
Diagnostic Items

Medical Examination & Consultation by Cardiologist

Personal and Family Medical History
Pre-Participation Cardiovascular Screening Questionnaire
[Recommended by the American Heart Association (AHA)]
Cardiovascular Examination by Cardiologist Including:
• Blood Pressure and Heart Rate Check
• Cardiac Auscultation

Diagnostic Imaging

• Chest X-Ray

Personalised Medical Report

  • Once your test results have been finalised, you will receive your very own personalised WL&H Medical Health Report displaying your results

Second Consultation with Cardiologist

• Explanation of your results and health advice

Biometric Analysis

• Height
• Weight
• Body Mass Index (BMI)

Cardiac Screening Suite

• 12-Lead Resting Electrocardiogram (ECG) with report by Cardiologist
• Treadmill Exercise Stress Test*
*Subject to prevailing MOH Guidelines1

1The 2016 Ministry of Health Guidelines on the Provision of Electrocardiography Stress Testing.

Personal Cardiovascular Risk Assessment

• 10-Year and Life-time Risk of Developing Heart Attack and Stroke
• Assessment of Ideal Cardiovascular Health Metrics
• Assessment of your “Heart Age”

Blood Panel

Haematology
• Full Blood Count

Diabetes Panel
• Blood Glucose
• HbA1c

Kidney Function Test
• Sodium
• Potassium
• Chloride
• Urea
• Creatinine
• Bicarbonate
• eGFR (For ages 18-74)

Bone and Joint Profile
• Uric Acid

Inflammatory Marker
• hsCRP

Urine Analysis
• Urine FEME

 

 

 

Lipid Profile
• Total Cholesterol
• LDL Cholesterol
• HDL Cholesterol
• Triglycerides
• Total Cholesterol/HDL Ratio

Liver Function Test
• Total Protein
• Albumin
• Globulin
• Albumin/Globulin Ratio
• Total Bilirubin
• Alanine Transaminase (ALT)
• Aspartate Transaminase (AST)
• Gamma-Glutamyl Transferase (GGT)
• Alkaline Phosphatase

Thyroid Function Test
• Free Thyroxine (Free T4)
• Thyroid Stimulating Hormone (TSH)

Additional Tests from Pre-Participation II

Cardiac Screening Suite
• 2-Dimensional Echocardiography/Doppler Study
• Coronary Calcium Score (CAC Score)

SGD$890.00

All prices are subject to prevailing GST and any applicable government taxes

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WL&H Medical

Shaw Centre, 1 Scotts Road, #20-11/13
Singapore 228208

Mon – Fri: 9.00am – 12.30pm  (Last Registration at 11:45am)
2.00pm – 5.00pm    (Last Registration at 4:45pm)
Sat: 9.00am – 12.30pm  (Last Registration at 11:45am)

WL&H Cardiovascular Centre

Gleneagles Medical Centre, 6 Napier Road,
Suite #04-10, Singapore 258499

 

Mon – Fri: 9.00am – 5.00pm
Sat: 9.00am – 1.00pm