Accuracy of ECG interpretation in competitive athletes: the impact of using standardised ECG criteria

British Journal of Sports Medicine

Volumn 46, Issue 5, 2012, Pages 335-340

  Drezner, Jonathan A ^a   Asif, Irfan M ^a   Owens, David S ^a   Prutkin, Jordan M ^a   Salerno, Jack C ^b   Fean, Robyn ^a   Rao, Ashwin L ^a   Stout, Karen ^a   Harmon, Kimberly G ^a  

^a UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE   (United States)

^b SEATTLE CHILDREN S HOSPITAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADOLESCENT; ADULT; ARTICLE; ATHLETE; CLINICAL COMPETENCE; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; ELECTROCARDIOGRAPHY; HEART DISEASE; HUMAN; PHYSICIAN; RANDOMIZED CONTROLLED TRIAL; STANDARD;

ADOLESCENT; ADULT; ATHLETES; CLINICAL COMPETENCE; ELECTROCARDIOGRAPHY; HEART DISEASES; HUMANS; PHYSICIANS; YOUNG ADULT;

EID: 84859267312     PISSN: 03063674     EISSN: 14730480     Source Type: Journal    
DOI: 10.1136/bjsports-2012-090612     Document Type: Article

References (28)

1. Corrado D, Basso C, Pavei A, et al. Trends in sudden cardiovascular death in young competitive athletes after implementation of a preparticipation screening program. JAMA 2006; 296:1593-601. (Pubitemid 44515020)
2. Corrado D, Biffi A, Basso C, et al. 12-lead ECG in the athlete: physiological versus pathological abnormalities. Br J Sports Med 2009; 43:669-76.
3. Corrado D, Pelliccia A, Bjørnstad HH, et al. Cardiovascular pre-participation screening of young competitive athletes for prevention of sudden death: proposal for a common European protocol. Consensus Statement of the Study Group of Sport Cardiology of the Working Group of Cardiac Rehabilitation and Exercise Physiology and the Working Group of Myocardial and Pericardial Diseases of the European Society of Cardiology. Eur Heart J 2005; 26:516-24.
4. Corrado D, Pelliccia A, Heidbuchel H, et al. Recommendations for interpretation of 12-lead electrocardiogram in the athlete. Eur Heart J 2010; 31:243-59.
5. Drezner JA. Contemporary approaches to the identification of athletes at risk for sudden cardiac death. Curr Opin Cardiol 2008; 23:494-501.
6. Drezner J, Berger S, Campbell R. Current controversies in the cardiovascular screening of athletes. Curr Sports Med Rep 2010; 9:86-92.
7. Pelliccia A, Culasso F, Di Paolo FM, et al. Prevalence of abnormal electrocardiograms in a large, unselected population undergoing pre-participation cardiovascular screening. Eur Heart J 2007; 28:2006-10. (Pubitemid 47579542)
8. Uberoi A, Stein R, Perez MV, et al. Detailed criteria for the interpretation of the electrocardiogram in young athletes. Circulation 2011; 124:746-57.
9. Maron BJ, Bodison SA, Wesley YE, et al. Results of screening a large group of intercollegiate competitive athletes for cardiovascular disease. J Am Coll Cardiol 1987; 10:1214-21. (Pubitemid 18004671)
10. Wilson MG, Basavarajaiah S, Whyte G P, et al. Efficacy of personal symptom and family history questionnaires when screening for inherited cardiac pathologies: the role of electrocardiography. Br J Sports Med 2008; 42:207-11. (Pubitemid 351449144)
11. Marek J, Bufalino V, Davis J, et al. Feasibility and findings of large-scale electrocardiographic screening in young adults: data from 32,561 subjects. Heart Rhythm 2011; 8:1555-9.
12. Ljungqvist A, Jenoure P, Engebretsen L, et al. The International Olympic Committee (IOC) consensus statement on periodic health evaluation of elite athletes March 2009. Br J Sports Med 2009; 43:631-43.
13. Maron BJ, Thompson PD, Ackerman MJ, et al. Recommendations and considerations related to preparticipation screening for cardiovascular abnormalities in competitive athletes: 2007 update: a scientific statement from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism: endorsed by the American College of Cardiology Foundation. Circulation 2007; 115:1643-455.
14. Harmon KG, Asif IM, Klossner D, et al. Incidence of sudden cardiac death in national collegiate athletic association athletes. Circulation 2011; 123:1594-600.
15. Maron BJ. Sudden death in young athletes. N Engl J Med 2003; 349:1064-75. (Pubitemid 37098275)
16. Maron BJ, Doerer JJ, Haas TS, et al. Sudden deaths in young competitive athletes: analysis of 1866 deaths in the United States, 1980-2006. Circulation 2009; 119:1085-92.
17. Baggish AL, Hutter AM Jr, Wang F, et al. Cardiovascular screening in college athletes with and without electrocardiography: A cross-sectional study. Ann Intern Med 2010; 152:269-75.
18. Hevia AC, Fernández MM, Palacio JM, et al. ECG as a part of the preparticipation screening programme: an old and still present international dilemma. Br J Sports Med 2011; 45:776-9.
19. Bessem B, Groot FP, Nieuwland W. The Lausanne recommendations: a Dutch experience. Br J Sports Med 2009; 43:708-15.
20. Drezner J, Corrado D. Is there evidence for recommending electrocardiogram as part of the pre-participation examination? Clin J Sport Med 2011; 21:18-24.
21. Thompson PD, Levine BD. Protecting athletes from sudden cardiac death. JAMA 2006; 296:1648-50. (Pubitemid 44515021)
22. Melacini P, Cianfrocca C, Calore C, et al. Abstract 3390: Marginal overlap between electrocardiographic abnormalities in patients with hypertrophic cardiomyopathy and trained athletes: implications for preparticipation screening. Circulation 2007; 116:765.
23. Sathanandam S, Zimmerman F, Davis J, et al. Abstract 2484: ECG screening criteria for LVH does not correlate with diagnosis of hypertrophic cardiomyopathy. Circulation 2009:S647.
24. Salerno SM, Alguire PC, Waxman HS. Training and competency evaluation for interpretation of 12-lead electrocardiograms: recommendations from the American College of Physicians. Ann Intern Med 2003; 138:747-50. (Pubitemid 38129137)
25. Kadish AH, Buxton AE, Kennedy HL, et al. ACC/AHA clinical competence statement on electrocardiography and ambulatory electrocardiography: A report of the ACC/AHA/ACP-ASIM task force on clinical competence (ACC/AHA Committee to develop a clinical competence statement on electrocardiography and ambulatory electrocardiography) endorsed by the International Society for Holter and noninvasive electrocardiology. Circulation 2001; 104:3169-78. (Pubitemid 34014076)
26. Hill AC, Miyake CY, Grady S, et al. Accuracy of interpretation of preparticipation screening electrocardiograms. J Pediatr 2011; 159:783-8.
27. Malhotra R, West JJ, Dent J, et al. Cost and yield of adding electrocardiography to history and physical in screening Division I intercollegiate athletes: a 5-year experience. Heart Rhythm 2011; 8:721-7.
28. Weiner RB, Hutter AM, Wang F, et al. Performance of the 2010 European Society of Cardiology criteria for ECG interpretation in athletes. Heart 2011; 97:1573-7.