Diagnostic accuracy of extended-length electrocardiogram in differentiating between athlete's heart and hypertrophic cardiomyopathy

Journal of Electrocardiology

Volumn 42, Issue 6, 2009, Pages 636-641

  Caselli, Luigi ^a   Galanti, Giorgio ^a   Padeletti, Luigi ^a   Nieri, Michele ^a   Cecchi, Franco ^a   Cipollini, Franco ^b   Baldi, Massimo ^a   Perrotta, Laura ^a   Vignini, Simone ^a   Michelucci, Antonio ^a  

^a UNIVERSITY OF FLORENCE   (Italy)

^b Azienda USL 3 di Pistoia   (Italy)

Author keywords

High resolution electrocardiography; Myocardial hypertrophy; Noninvasive electrophysiology

Indexed keywords

ADULT; ARTICLE; ATHLETE; DIAGNOSTIC ACCURACY; DIFFERENTIAL DIAGNOSIS; ELECTROCARDIOGRAM; FALSE POSITIVE RESULT; HEART LEFT VENTRICLE HYPERTROPHY; HEART RATE; HUMAN; HYPERTROPHIC CARDIOMYOPATHY; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; QT DISPERSION; QT INTERVAL; T WAVE;

ADULT; AGED; ATHLETES; CARDIOMYOPATHY, HYPERTROPHIC; DIAGNOSIS, COMPUTER-ASSISTED; DIAGNOSIS, DIFFERENTIAL; ELECTROCARDIOGRAPHY; HUMANS; HYPERTROPHY, LEFT VENTRICULAR; MALE; MIDDLE AGED; REPRODUCIBILITY OF RESULTS; SENSITIVITY AND SPECIFICITY;

EID: 70350068414     PISSN: 00220736     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jelectrocard.2009.06.002     Document Type: Article

References (25)

1. Maron B.J. Hypertrophic cardiomyopathy. In: Braunwald E. (Ed). Braunwald's heart disease: a textbook of cardiovascular medicine. 8th ed. (2008), Saunders Elsevier, Philadelphia 1768
2. Pelliccia A., Maron B.J., Culasso F., et al. Clinical significance of abnormal electrocardiographic patterns in trained athletes. Circulation 102 (2000) 278
3. Barletta G., Lazzeri C., Franchi F., Del Bene R., and Michelucci A. Hypertrophic cardiomyopathy: electrical abnormalities detected by the extended-length ECG and their relation to syncope. Int J Cardiol 97 (2004) 43
4. Maron B.J., Epstein S.E., and Mitchell J.E. The competitive athlete with cardiovascular disease: definitions, guidelines, and considerations. Introduction to Bethesda conference #16; "Cardiovascular abnormalities in the athlete: recommendations regarding eligibility for competition". J Am Coll Cardiol 6 (1985) 1189
5. Devereux R.B., and Reichek N. Echocardiographic determination of left ventricular mass in men: anatomic validation of the method. Circulation 55 (1977) 613
6. Ommen S.R., Nishimura R.A., Appleton C.P., et al. Clinical utility of Doppler echocardiography and tissue Doppler imaging in the estimation of left ventricular filling pressures: a comparative simultaneous Doppler-catheterization study. Circulation 102 (2000) 1788
7. Macfarlane P.W. Is electrocardiography still useful in the diagnosis of cardiac chamber hypertrophy and dilatation?. Cardiol Clin 24 (2006) 401
8. Vinereanu D., Florescu N., Sculthorpe N., Tweddel A.C., Stephens M.R., and Fraser A.G. Differentiation between pathologic and physiologic left ventricular hypertrophy by tissue Doppler assessment of long-axis function in patients with hypertrophic cardiomyopathy or systemic hypertension and in athletes. Am J Cardiol 88 (2001) 53
9. Maron B.J. Hypertrophic cardiomyopathy: a systematic review. JAMA 287 (2002) 1308
10. Bossuyt P.M., Reitsma J.B., Bruns D.E., et al. The STARD statement for reporting studies of diagnostic accuracy: explanation and elaboration. Ann Intern Med 138 (2003) W1
11. Hodges M., and Mortara D.W. The extended-length electrocardiogram (XL-ECG): a new tool for predicting risk of sudden cardiac death. J Electrocardiol Suppl 32 (1999) 55
12. Macfarlane P.W. Lead systems. In: Macfarlane P.W., and Lawrie T.D.V. (Eds). Comprehensive electrocardiography. Theory and practice in health and disease (1989), Pergamon Press, New York 315
13. Perkiomaki J.S., Zareba W., Kalaria V.G., Couderc J., Huikuri H.V., and Moss A.J. Comparability of nonlinear measures of heart rate variability between long- and short-term electrocardiographic recordings. Am J Cardiol 87 (2001) 905
14. Simson M.B. Signal-averaged electrocardiography. In: Zipes D.P., and Jalife J. (Eds). Cardiac electrophysiology. From cell to bedside (1995), WB Saunders, Philadelphia 1038
15. de Bruyne M.C., Hoes A.W., Kors J.A., Hofman A., van Bemmel J.H., and Grobbee D.E. QTc dispersion predicts cardiac mortality in the elderly: the Rotterdam study. Circulation 97 (1998) 467
16. Priori S.G., Mortara D.W., Napolitano C., et al. Evaluation of the spatial aspects of T-wave complexity in the long-QT syndrome. Circulation 96 (1997) 3006
17. Lux R.L., Fuller M.S., MacLeod R.S., Ershler P.R., Punske B.B., and Taccardi B. Noninvasive indices of repolarization and its dispersion. J Electrocardiol Suppl 32 (1999) 153
18. Kors J.A., van Herpen G., and van Bemmel J.H. QT dispersion as an attribute of T-loop morphology. Circulation 99 (1999) 1458
19. Pelliccia A., and Maron B.J. Athlete's heart electrocardiogram mimicking hypertrophic cardiomyopathy. Curr Cardiol Rep 3 (2001) 147
20. Lawless C.E., and Best T.M. Electrocardiograms in athletes: interpretation and diagnostic accuracy. Med Sci Sports Exerc 40 (2008) 787
21. Basavarajaiah S., Wilson M., Whyte G., Shah A., McKenna W., and Sharma S. Prevalence of hypertrophic cardiomyopathy in highly trained athletes: relevance to pre-participation screening. J Am Coll Cardiol 51 (2008) 1033
22. Whyte G.P., George K., Sharma S., et al. The upper limit of physiological cardiac hypertrophy in elite male and female athletes: the British experience. Eur J Appl Physiol 92 (2004) 592
23. Lonati L.M., Magnaghi G., Bizzi C., and Leonetti G. Patterns of QT dispersion in athletic and hypertensive left ventricular hypertrophy. Ann Noninvasive Electrocardiol 9 (2004) 252
24. Giaccardi M., Camilli G., Colella A., et al. XL-ECG in athlete's physiological heart hypertrophy: a time saving procedure. Int J Cardiol 124 (2008) 112
25. Bacharova L. Electrical and structural remodeling in left ventricular hypertrophy-a substrate for a decrease in QRS voltage?. Ann Noninvasive Electrocardiol 12 (2007) 260