Format

Send to

Choose Destination
Eur Heart J. 2018 Apr 21;39(16):1466-1480. doi: 10.1093/eurheartj/ehw631.

International recommendations for electrocardiographic interpretation in athletes.

Author information

1
Cardiology Clinical Academic Group, St George's, University of London, UK.
2
Department of Family Medicine, University of Washington, Seattle, WA, USA.
3
Division of Cardiology, Massachusettes General Hospital, MA, USA.
4
Department of Sports Medicine, ASPETAR, Qatar Orthopaedic and Sports Medicine Hospital, Qatar.
5
Division of Cardiology, University of Washington, Seattle, WA, USA.
6
Department of Cardiology, Baker IDI Heart and Diabetes Institute, Melbourne, Australia.
7
Department of Cardiovascular Diseases, Pediatric and Adolescent Medicine, and Molecular Pharmacology and Experimental Therapeutics, Mayo Clinic, MN, USA.
8
Department of Neuroscience and Physiology, Sahlgrenska University Hospital/Ostra Sahlgrenska Academy, Goteborg, Sweden.
9
Department of Pediatrics, University of Washington, Seattle, WA, USA.
10
Department of Family Medicine, University of South Carolina, Greenville, SC, USA.
11
Division of Cardiology, University of North Carolina School of Medicine, NC, USA.
12
Center of Cardiovascular Care in Athletics, Indiana University School of Medicine, IN, USA.
13
Department of Medicine, Stanford University, CA, USA.
14
Department of Cardiology, Arrhythmology Hasselt University, Hasselt, Belgium.
15
Department of Cardiology, Antwerp, Belgium.
16
Georgia Southern University, GA, USA.
17
Division of Pediatric Cardiothoracic Surgery, University of California San Francisco School of Medicine, CA, USA.
18
Advocate Heart Institute, Illinois, USA.
19
Division of Pediatric Cardiology, Baylor College of Medicine, TX, USA.
20
University Institute of Sports Medicine, Paracelsus Medical University, Austria.
21
Center for Inherited Cardiovascular Disease, Stanford University, CA, USA.
22
Pediatric Cardiology, Cleveland Clinic, OH, USA.
23
University of Herzzentrum, Zurich, Switzerland.
24
Heart Center of Philadelphia, Jefferson University Hospitals, PA, USA.
25
Department of Cardiology, Hospital de Clinicas de Porte Allegre, Brazil.
26
The Children's Hospital of Philadelphia, PA, USA.
27
Institute of Sports Medicine and Science, Rome, Italy.
28
Department of Cardiac, Thoracic and Vascular Sciences, University of Padua Medical School, Italy.

Abstract

Sudden cardiac death (SCD) is the leading cause of mortality in athletes during sport. A variety of mostly hereditary, structural, or electrical cardiac disorders are associated with SCD in young athletes, the majority of which can be identified or suggested by abnormalities on a resting 12-lead electrocardiogram (ECG). Whether used for diagnostic or screening purposes, physicians responsible for the cardiovascular care of athletes should be knowledgeable and competent in ECG interpretation in athletes. However, in most countries a shortage of physician expertise limits wider application of the ECG in the care of the athlete. A critical need exists for physician education in modern ECG interpretation that distinguishes normal physiological adaptations in athletes from distinctly abnormal findings suggestive of underlying pathology. Since the original 2010 European Society of Cardiology recommendations for ECG interpretation in athletes, ECG standards have evolved quickly over the last decade; pushed by a growing body of scientific data that both tests proposed criteria sets and establishes new evidence to guide refinements. On 26-27 February 2015, an international group of experts in sports cardiology, inherited cardiac disease, and sports medicine convened in Seattle, Washington, to update contemporary standards for ECG interpretation in athletes. The objective of the meeting was to define and revise ECG interpretation standards based on new and emerging research and to develop a clear guide to the proper evaluation of ECG abnormalities in athletes. This statement represents an international consensus for ECG interpretation in athletes and provides expert opinion-based recommendations linking specific ECG abnormalities and the secondary evaluation for conditions associated with SCD.

PMID:
28329355
DOI:
10.1093/eurheartj/ehw631

Supplemental Content

Full text links

Icon for Silverchair Information Systems
Loading ...
Support Center