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Electrocardiography in athletes: normal and abnormal findings
Jordan M Prutkin1, Mathew G Wilson2,3
1Department of Medicine/Cardiology, University of Washington, Seattle, Washington, USA.
Heart (British Cardiac Society)
|August 20, 2018
Summary
Pre-participation electrocardiograms (ECGs) screen athletes for sudden cardiac arrest (SCA) risks. New international criteria improve ECG accuracy in identifying these conditions in young athletes.
Area of Science:
- Cardiology
- Sports Medicine
- Preventive Cardiology
Background:
- Sudden cardiac arrest (SCA) is a significant risk in athletes.
- Electrocardiograms (ECGs) are recommended for pre-participation screening.
- Accurate ECG interpretation relies on specific criteria and operator experience.
Purpose of the Study:
- To review normal, borderline, and abnormal ECG findings in asymptomatic athletes aged 12-35 years.
- To highlight the updated 'International Consensus Criteria for ECG Interpretation in Athletes'.
Main Methods:
- Literature review of ECG criteria for athletes.
- Focus on the 'International Consensus Criteria for ECG Interpretation in Athletes'.
Main Results:
- The 'International Consensus Criteria' enhance specificity and sensitivity for SCA-related pathologies.
- Provides a framework for interpreting ECGs in young, asymptomatic athletes.
Conclusions:
- Accurate ECG interpretation is crucial for athlete cardiac screening.
- The updated international criteria represent a significant advancement in detecting cardiac abnormalities in athletes.
- This review aids clinicians in applying these criteria for improved athlete safety.
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