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Title: International recommendations for electrocardiographic interpretation in athletes
Authors: Sharma, Sanjay
Drezner, Jonathan A.
Baggish, Aaron
Papadakis, Michael
Wilson, Mathew G.
Prutkin, Jordan M.
La Gerche, Andre
Ackerman, Michael J.
Borjesson, Mats
Salerno, Jack C.
Asif, Irfan M.
Owens, David S.
Chung, Eugene H.
Emery, Michael S.
Froelicher, Victor F.
Adamuz, Carmen
Asplund, Chad A.
Cohen, Gordon
Harmon, Kimberly G.
Marek, Joseph C.
Molossi, Silvana
Niebauer, Josef
Pelto, Hank F.
Perez, Marco V.
Riding, Nathan R.
Saarel, Tess
Schmied, Christian M.
Shipon, David M.
Stein, Ricardo
Vetter, Victoria L.
Pelliccia, Antonio
Corrado, Domenico
Issue Date: 2018
Source: EUROPEAN HEART JOURNAL, 39(16), p. 1466-1480
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.
Notes: Sharma, S (reprint author), St Georges Univ London, Cardiol Clin Acad Grp, London, England.
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ISSN: 0195-668X
e-ISSN: 1522-9645
DOI: 10.1093/eurheartj/ehw631
ISI #: 000430725600022
Category: A1
Type: Journal Contribution
Validations: ecoom 2019
Appears in Collections:Research publications

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