RT Journal Article
SR Electronic
T1 International criteria for electrocardiographic interpretation in athletes
JF British Journal of Sports Medicine
JO Br J Sports Med
FD BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine
SP bjsports-2016-097331
DO 10.1136/bjsports-2016-097331
A1 Jonathan A Drezner
A1 Sanjay Sharma
A1 Aaron Baggish
A1 Michael Papadakis
A1 Mathew G Wilson
A1 Jordan M Prutkin
A1 Andre La Gerche
A1 Michael J Ackerman
A1 Mats Borjesson
A1 Jack C Salerno
A1 Irfan M Asif
A1 David S Owens
A1 Eugene H Chung
A1 Michael S Emery
A1 Victor F Froelicher
A1 Hein Heidbuchel
A1 Carmen Adamuz
A1 Chad A Asplund
A1 Gordon Cohen
A1 Kimberly G Harmon
A1 Joseph C Marek
A1 Silvana Molossi
A1 Josef Niebauer
A1 Hank F Pelto
A1 Marco V Perez
A1 Nathan R Riding
A1 Tess Saarel
A1 Christian M Schmied
A1 David M Shipon
A1 Ricardo Stein
A1 Victoria L Vetter
A1 Antonio Pelliccia
A1 Domenico Corrado
YR 2017
UL http://bjsm.bmj.com/content/early/2017/03/03/bjsports-2016-097331.abstract
AB 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, advanced by a growing body of scientific data and investigations that both examine proposed criteria sets and establish 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 (USA), 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.