Electrocardiogram interpretation in the athlete

Herzschrittmachertherapie und Elektrophysiologie

Volumn 23, Issue 2, 2012, Pages 65-71

  Williams, E S ^a   Owens, D S ^a   Drezner, J A ^a   Prutkin, J M ^a  

^a UNIVERSITY OF WASHINGTON MEDICAL CENTER   (United States)

Author keywords

Athletes; Cardiomyopathy; Electrocardiography; Preparticipation screening; Sudden cardiac death

Indexed keywords

ARTICLE; ATHLETE; ATRIOVENTRICULAR BLOCK; BRUGADA SYNDROME; ELECTROCARDIOGRAM; ELECTROCARDIOGRAPHY MONITORING; ENDURANCE TRAINING; ETHNICITY; HEART MUSCLE CONDUCTION DISTURBANCE; HEART PREEXCITATION; HEART RIGHT VENTRICLE DYSPLASIA; HEART RIGHT VENTRICLE HYPERTROPHY; HUMAN; Q WAVE; QT INTERVAL; ST SEGMENT DEPRESSION; SUDDEN DEATH; SUPRAVENTRICULAR TACHYCARDIA; T WAVE INVERSION; WOLFF PARKINSON WHITE SYNDROME;

ARRHYTHMIAS, CARDIAC; ATHLETES; ELECTROCARDIOGRAPHY; FEMALE; HUMANS; MALE; MASS SCREENING; SPORTS; SPORTS MEDICINE;

EID: 84865362682     PISSN: 09387412     EISSN: 14351544     Source Type: Journal    
DOI: 10.1007/s00399-012-0179-9     Document Type: Article

References (36)

1. Basavarajaiah S, Boraita A, Whyte G et al (2008) Ethnic differences in left ventricular remodeling in highly-trained athletes relevance to differentiating physiologic left ventricular hypertrophy from hypertrophic cardiomyopathy. J Am Coll Cardiol 51:2256-2262 (Pubitemid 351754996)
2. Basso C, Bauce B, Corrado D, Thiene G (2011) Pathophysiology of arrhythmogenic cardiomyopathy. Nat Rev Cardiol 9:223-233
3. Cohen MI, Triedman JK, Cannon BC et al (2012) PACES/HRS expert consensus statement on the management of the asymptomatic young patient with a Wolff-Parkinson-White (WPW, Ventricular Preexcitation) Electrocardiographic Pattern: developed in partnership between the Pediatric and Congenital Electrophysiology Society (PACES) and the Heart Rhythm Society (HRS). Endorsed by the governing bodies of PACES, HRS, the American College of Cardiology Foundation (ACCF), the American Heart Association (AHA), the American Academy of Pediatrics (AAP), and the Canadian Heart Rhythm Society (CHRS). Heart Rhythm 9:1006-1024
4. Corrado D, Basso C, Rizzoli G et al (2003) Does sports activity enhance the risk of sudden death in adolescents and young adults? J Am Coll Cardiol 42:1959-1963 (Pubitemid 37485572)
5. Corrado D, Basso C, Thiene G (2012) Sudden cardiac death in athletes: what is the role of screening? Curr Opin Cardiol 27:41-48
6. Corrado D, Pelliccia A, Bjornstad HH et al (2005) 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 26:516-524 (Pubitemid 40326204)
7. Corrado D, Pelliccia A, Heidbuchel H et al (2010) Recommendations for interpretation of 12-lead electrocardiogram in the athlete. Eur Heart J 31:243-259
8. Di Paolo FM, Schmied C, Zerguini YA et al (2012) The athlete's heart in adolescent Africans: an electrocardiographic and echocardiographic study. J Am Coll Cardiol 59:1029-1036
9. Drezner JA, Asif IM, Owens DS et al (2012) Accuracy of ECG interpretation in competitive athletes: the impact of using standised ECG criteria. Br J Sports Med 46:335-340
10. Drezner JA, Courson RW, Roberts WO et al (2007) Inter-association task force recommendations on emergency preparedness and management of sudden cardiac arrest in high school and college athletic programs: a consensus statement. Heart Rhythm 4:549-565 (Pubitemid 46613782)
11. Drezner JA, Rao AL, Heistand J et al (2009) Effectiveness of emergency response planning for sudden cardiac arrest in United States high schools with automated external defibrillators. Circulation 120:518-525
12. Ghosh S, Cooper DH, Vijayakumar R et al (2010) Early repolarization associated with sudden death: insights from noninvasive electrocardiographic imaging. Heart Rhythm 7:534-537
13. Haissaguerre M, Derval N, Sacher F et al (2008) Sudden cardiac arrest associated with early repolarization. N Engl J Med 358:2016-2023 (Pubitemid 351681636)
14. Harmon KG, Asif IM, Klossner D, Drezner JA (2011) Incidence of sudden cardiac death in national collegiate athletic association athletes. Circulation 123:1594-1600
15. Kim JH, Noseworthy PA, McCarty D et al (2011) Significance of electrocardiographic right bundle branch block in trained athletes. Am J Cardiol 107:1083-1089
16. Lakdawala NK, Thune JJ, Maron BJ et al (2011) Electrocardiographic features of sarcomere mutation carriers with and without clinically overt hypertrophic cardiomyopathy. Am J Cardiol 108:1606-1613
17. Le VV, Wheeler MT, Mandic S et al (2010) Addition of the electrocardiogram to the preparticipation examination of college athletes. Clin J Sport Med 20:98-105
18. Magalski A, Maron BJ, Main ML et al (2008) Relation of race to electrocardiographic patterns in elite American football players. J Am Coll Cardiol 51:2250-2255 (Pubitemid 351754997)
19. Marcus FI, McKenna WJ, Sherrill D et al (2010) Diagnosis of arrhythmogenic right ventricular cardiomyopathy/dysplasia: proposed modification of the task force criteria. Circulation 121:1533-1541
20. Marek J, Bufalino V, Davis J et al (2011) Feasibility and findings of large-scale electrocardiographic screening in young adults: data from 32,561 subjects. Heart Rhythm 8:1555-1559
21. Maron BJ (2003) Sudden death in young athletes. N Engl J Med 349:1064-1075 (Pubitemid 37098275)
22. Maron BJ, Doerer JJ, Haas TS et al (2009) Sudden deaths in young competitive athletes: analysis of 1866 deaths in the United States, 1980-2006. Circulation 119:1085-1092
23. Maron BJ, Haas TS, Doerer JJ et al (2009) Comparison of U.S. and Italian experiences with sudden cardiac deaths in young competitive athletes and implications for preparticipation screening strategies. Am J Cardiol 104:276-280
24. Maron BJ, Pelliccia A (2006) The heart of trained athletes: cardiac remodeling and the risks of sports, including sudden death. Circulation 114:1633-1644 (Pubitemid 44547434)
25. Maron BJ, Thompson PD, Ackerman MJ et al (2007) 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 115:1643-1455
26. Migliore F, Zorzi A, Michieli P et al (2012) Prevalence of cardiomyopathy in Italian asymptomatic children with electrocardiographic T-wave inversion at preparticipation screening. Circulation 125:529-538
27. Papadakis M, Carre F, Kervio G et al (2011) The prevalence, distribution, and clinical outcomes of electrocardiographic repolarization patterns in male athletes of African/Afro-Caribbean origin. Eur Heart J 32:2304-2313
28. Pelliccia A, Di Paolo FM, Quattrini FM et al (2008) Outcomes in athletes with marked ECG repolarization abnormalities. N Engl J Med 358:152-161
29. Pelliccia A, Maron BJ, Culasso F et al (2000) Clinical significance of abnormal electrocardiographic patterns in trained athletes. Circulation 102:278-284 (Pubitemid 30457576)
30. Sharma S, Whyte G, Elliott P et al (1999) Electrocardiographic changes in 1000 highly trained junior elite athletes. Br J Sports Med 33:319-324 (Pubitemid 29460605)
31. Sheikh N, Papadakis M, Ghani S et al (2012) Do we need ethnicity specific guidelines for pre-participation screening of athletes? J Am Coll Cardiol 59(suppl 13):A473
32. Steinvil A, Chundadze T, Zeltser D et al (2011) Mandatory electrocardiographic screening of athletes to reduce their risk for sudden death proven fact or wishful thinking? J Am Coll Cardiol 57:1291-1296
33. Triedman JK (2009) Brugada and short QT syndromes. Pacing Clin Electrophysiol 32(Suppl 2):58-62
34. Uberoi A, Stein R, Perez MV et al (2011) Interpretation of the electrocardiogram of young athletes. Circulation 124:746-757
35. Wilson MG, Basavarajaiah S, Whyte GP et al (2008) Efficacy of personal symptom and family history questionnaires when screening for inherited cardiac pathologies: the role of electrocardiography. Br J Sports Med 42:207-211 (Pubitemid 351449144)
36. Wilson MG, Chatard JC, Carre F et al (2012) Prevalence of electrocardiographic abnormalities in West-Asian and African male athletes. Br J Sports Med 46:341-347