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Electrocardiogram01:29

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An electrocardiogram (ECG or EKG) is a critical diagnostic tool that records the electrical signals produced by the heart during each heartbeat. This recording is achieved through electrodes placed strategically on the arms, legs, and chest. The electrocardiograph amplifies these signals and produces 12 distinct tracings, offering a comprehensive understanding of the heart's electrical activity.
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Arrhythmia is a condition characterized by an irregular heart rhythm, with ECG changes that differ based on its origin and nature. The types of arrhythmias discussed below include atrial, junctional, and ventricular arrhythmias.Atrial ArrhythmiasPremature Atrial Complexes (PACs): PACs are early atrial beats caused by stress, caffeine, alcohol, electrolyte imbalances, hypoxia, hyperthyroidism, or certain medications (e.g., bronchodilators and decongestants). The ECG shows early P waves with an...
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Arrhythmias are irregular heart rhythms occurring when the heart's electrical impulses become abnormal. These disturbances can lead to various symptoms, depending on their severity and the underlying cause. Some common factors contributing to arrhythmias include hypoxia, ischemia, electrolyte imbalances, excessive catecholamine exposure, drug toxicity, and muscle overstretching. Arrhythmias can be classified into two main types based on the rate and site of origin of abnormal heart rhythms.
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The normal cardiac rhythm is a synchronized electrical activity that facilitates the regular and coordinated contraction of the heart muscle. This process is essential for efficient blood circulation throughout the body. The fundamental elements involved in establishing and maintaining this rhythm include the unique electrical properties of cardiac muscle cells, the sinoatrial (SA) node's pacemaker function, the specialized conducting system, and the ionic mechanisms underlying each phase...
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Arrhythmia or dysrhythmia refers to an abnormal heart rhythm caused by a defect in the heart's conduction system. It can cause the heart to beat irregularly, too quickly, or too slowly, leading to symptoms like chest pain, shortness of breath, and fainting. Factors such as stress, caffeine, alcohol, nicotine, cocaine, certain drugs, congenital defects, diseases, and electrolyte abnormalities can trigger arrhythmias.
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Benign and pathological electrocardiographic changes in athletes.

Marino Machado1, Manuel Vaz Silva2

  • 1Faculdade de Medicina, Universidade do Porto, Porto, Portugal.

Revista Portuguesa De Cardiologia : Orgao Oficial Da Sociedade Portuguesa De Cardiologia = Portuguese Journal of Cardiology : an Official Journal of the Portuguese Society of Cardiology
|December 9, 2015
PubMed
Summary

Sudden cardiac death in athletes is a concern. This review differentiates normal athlete

Keywords:
AthletesAtletasCritérios de SeattleElectrocardiogramEletrocardiogramaMorte súbita cardíacaRastreioScreeningSeattle criteriaSudden cardiac death

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Area of Science:

  • Cardiology
  • Sports Medicine
  • Exercise Physiology

Background:

  • Sudden cardiac death (SCD) is the leading cause of death in athletes during sports.
  • Athlete's heart, a result of regular exercise, causes cardiac remodeling and electrocardiogram (ECG) changes.
  • Distinguishing physiological ECG changes from those indicating underlying cardiac disease is crucial for preventing SCD.

Purpose of the Study:

  • To review current data on benign and pathological ECG changes in athletes.
  • To critically analyze the Seattle criteria for ECG classification in athletes.
  • To compare the Seattle criteria with previous guidelines and recent studies.

Main Methods:

  • Literature review of recent studies on ECGs in athletes.
  • Analysis of the Seattle criteria and comparison with other guidelines.
  • Examination of pre-participation screening programs, including US and European approaches.

Main Results:

  • Discussion of the latest data on ECG patterns in athletes.
  • Comparison of the sensitivity, specificity, and cost-effectiveness of ECG screening.
  • Analysis of gender, ethnicity, and age differences in ECG findings.

Conclusions:

  • There is an urgent need for clear ECG criteria to guide sports participation.
  • The Seattle criteria represent a recent advancement in classifying athlete ECGs.
  • Further research is needed to optimize ECG screening protocols for athletes.