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Proposed enhanced recommendations for interpretation of electrocardiographic screening of athletes
Victor Froelicher1, Mustafa Husaini2, Jason V Tso3
1Division of Cardiovascular Medicine, Stanford University School of Medicine, Palo Alto, CA, Department of Medicine, 453 Quarry Rd MC 5687, Stanford, CA 94304, United States of America; Cardiac Insight Inc, Bellevue, Seattle, United States of America.
Abstract:
While there is ongoing debate about the role of the 12‑lead Electrocardiogram (ECG) in the routine screening of young athletes during pre-participation evaluations, studies continue to support the use of ECG within properly organized settings. This paper aims to offer considerations for enhancing the International ECG recommendations for the interpretation of the ECGs of young athletes through an emphasis on 1) percentile outliers, 2) computerized ECG technology and 3) clarification of terminology. We specifically highlight criteria for early repolarization, left atrial abnormality, right bundle branch block, ST shifts, and high and low voltage QRS.
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