Variability in interpretation of the electrocardiogram in young athletes: An unrecognized obstacle for electrocardiogram-based screening protocols

Europace

Volumn 17, Issue 9, 2015, Pages 1435-1440

  Berte, Benjamin ^a   Duytschaever, Mattias ^a,b   Elices, Juliana ^a   Kataria, Vikas ^a   Timmers, Liesbeth ^b   Van Heuverswyn, Frcrossed ^b   Stroobandt, Roland ^b   De Neve, Jan ^a   Watteyne, Karel ^a   Vandensteen, Elke ^a   Vandekerckhove, Yves ^a   Tavernier, Rene ^a  

^a Bruges Sint Jan Hospital   (Belgium)

^b GHENT UNIVERSITY HOSPITAL   (Belgium)

Author keywords

Athletes; ECG; Screening

Indexed keywords

ADOLESCENT; ARTICLE; ATHLETE; ATRIOVENTRICULAR BLOCK; CARDIOLOGIST; ELECTROCARDIOGRAM; FEMALE; HEART VENTRICLE EXTRASYSTOLE; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL SOCIETY; PHYSICIAN; PRIORITY JOURNAL; Q WAVE; SCREENING; ST SEGMENT DEPRESSION; T WAVE INVERSION; ELECTROCARDIOGRAPHY; EUROPE; HEART DISEASES; MASS SCREENING; STATISTICAL ANALYSIS; STATISTICS AND NUMERICAL DATA;

ADOLESCENT; ATHLETES; DATA INTERPRETATION, STATISTICAL; ELECTROCARDIOGRAPHY; EUROPE; HEART DISEASES; HUMANS; MALE; MASS SCREENING; SOCIETIES, MEDICAL;

EID: 84943424970     PISSN: 10995129     EISSN: 15322092     Source Type: Journal    
DOI: 10.1093/europace/euu385     Document Type: Article

References (13)

1. Corrado D, Pelliccia A, Bjornstad HH, Vanhees L, Biffi A, Borjesson M et al. Cardiovascular pre-participation screening of young competitive athletes for prevention of sudden death: proposal for a common European protocol. Eur Heart J 2005;26:516-24.
2. Maron BJ, Haas TS, Ahluwalia A, Rutten-Ramos SC. Incidence of cardiovascular sudden deaths in Minnesota high school athletes. Heart Rhythm 2013;10:374-7.
3. Holst AG, Winkel BG, Theilade J, Kristensen IB, Thomsen JL, Ottesen GL et al. Incidence and etiology of sports-related sudden cardiac death in Denmark-implications for preparticipation screening. Heart Rhythm 2010;7:1365-71.
4. CorradoD, Pelliccia A, Heidbuchel H, Sharma S, Link M, BassoCet al. Recommendations for interpretation of 12-lead electrocardiogram in the athlete. Eur Heart J 2010; 31:243-59.
5. Uberoi A, Stein R, Perez MV, Freeman J, Wheeler M, Dewey F et al. Interpretation of the electrocardiogram of young athletes. Circulation 2011;124:746-57.
6. Marek J, Bufalino V, Davis J, Marek K, Gami A, StephanWet al. Feasibility and findings of large-scale electrocardiographic screening in young adults: data from 32,561 subjects. Heart Rhythm 2011;8:1555-9.
7. Drezner JA, Ackerman MJ, Anderson J, Ashley E, Asplund CA, Baggish AL et al. Electrocardiographic interpretation in athletes: the 'Seattle Criteria'. Br J Sports Med 2013;47:122-4.
8. Pelliccia A, Maron BJ, Culasso F, Di Paolo FM, Spataro A, Biffi A et al. Clinical significance of abnormal electrocardiographic patterns in trained athletes. Circulation 2000;102:278-84.
9. Berge HM, Gjesdal K, Andersen TE, Solberg EE, Steine K. Prevalence of abnormal ECGs in male soccer players decreases with the Seattle criteria, but is still high. Scand J Med Sci Sports 2014 Jun 24 [Epub ahead of print].
10. Sheikh N, Papadakis M, Ghani S, Zaidi A, Gati S, Adami PE et al. Comparison of electrocardiographic criteria for the detection of cardiac abnormalities in elite Black and White athletes. Circulation 2014;129:1637-49.
11. Drezner JA, Asif IM, Owens DS, Prutkin JM, Salerno JC, Fean R et al. Accuracy of ECG interpretation in competitive athletes: the impact of using standardised ECG criteria. Br J Sports Med 2012;46:335-40.
12. Hill AC, Miyake CY, Grady S, Dubin AM. Accuracy of interpretation of preparticipation screening electrocardiograms. J Pediatr 2011;159:783-8.
13. Harbison AL, HillAC, Motonaga KS, MiyakeCY, Dubin AM.Dopediatric electrophysiologists read pre-participation screening electrocardiograms more accurately than general pediatric cardiologists J Pediatr 2013;163:1775-7.