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International recommendations for electrocardiographic interpretation in athletes

Sharma, S; Drezner, JA; Baggish, A; Papadakis, M; Wilson, MG; Prutkin, JM; La Gerche, A; Ackerman, MJ; Borjesson, M; Salerno, JC; et al. Sharma, S; Drezner, JA; Baggish, A; Papadakis, M; Wilson, MG; Prutkin, JM; La Gerche, A; Ackerman, MJ; Borjesson, M; Salerno, JC; Asif, IM; Owens, DS; Chung, EH; Emery, MS; Froelicher, VF; Heidbuchel, H; Adamuz, C; Asplund, CA; Cohen, G; Harmon, KG; Marek, JC; Molossi, S; Niebauer, J; Pelto, HF; Perez, MV; Riding, NR; Saarel, T; Schmied, CM; Shipon, DM; Stein, R; Vetter, VL; Pelliccia, A; Corrado, D (2018) International recommendations for electrocardiographic interpretation in athletes. European Heart Journal, 39 (16). pp. 1466-1480. ISSN 0195-668X https://doi.org/10.1093/eurheartj/ehw631
SGUL Authors: Sharma, Sanjay

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Abstract

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 over the last decade; pushed by a growing body of scientific data that both tests proposed criteria sets and establishes 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, 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.

Item Type: Article
Additional Information: This is a pre-copyedited, author-produced version of an article accepted for publication in European Heart Journal following peer review. The version of record Sanjay Sharma, Jonathan A Drezner, Aaron Baggish, Michael Papadakis, Mathew G Wilson, Jordan M Prutkin, Andre La Gerche, Michael J Ackerman, Mats Borjesson, Jack C Salerno, Irfan M Asif, David S Owens, Eugene H Chung, Michael S Emery, Victor F Froelicher, Hein Heidbuchel, Carmen Adamuz, Chad A Asplund, Gordon Cohen, Kimberly G Harmon, Joseph C Marek, Silvana Molossi, Josef Niebauer, Hank F Pelto, Marco V Perez, Nathan R Riding, Tess Saarel, Christian M Schmied, David M Shipon, Ricardo Stein, Victoria L Vetter, Antonio Pelliccia, Domenico Corrado; International recommendations for electrocardiographic interpretation in athletes, European Heart Journal, Volume 39, Issue 16, 21 April 2018, Pages 1466–1480 is available online at: https://doi.org/10.1093/eurheartj/ehw631
Keywords: Cardiovascular System & Hematology, 1102 Cardiovascular Medicine And Haematology
SGUL Research Institute / Research Centre: Academic Structure > Molecular and Clinical Sciences Research Institute (MCS)
Academic Structure > Molecular and Clinical Sciences Research Institute (MCS) > Cardiac (INCCCA)
Journal or Publication Title: European Heart Journal
ISSN: 0195-668X
Dates:
DateEvent
21 April 2018Published
20 February 2017Published Online
8 December 2016Accepted
Publisher License: Publisher's own licence
Projects:
Project IDFunderFunder ID
UNSPECIFIEDAmerican Medical Society for Sports MedicineUNSPECIFIED
UNSPECIFIEDFIFA Medical Assessment and Research CenterUNSPECIFIED
UNSPECIFIEDNational Collegiate Athletic AssociationUNSPECIFIED
URI: https://openaccess.sgul.ac.uk/id/eprint/108515
Publisher's version: https://doi.org/10.1093/eurheartj/ehw631

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