Journal ArticleDOI
Electrocardiographic interpretation in athletes: the ‘Seattle Criteria’
Jonathan A. Drezner,Michael J. Ackerman,Jeffrey B. Anderson,Euan A. Ashley,Chad A. Asplund,Aaron L. Baggish,Mats Börjesson,Bryan C. Cannon,Domenico Corrado,John P. DiFiori,Peter S. Fischbach,Victor F. Froelicher,Kimberly G. Harmon,Hein Heidbuchel,Joseph C. Marek,David S. Owens,Stephen Paul,Antonio Pelliccia,Jordan M. Prutkin,Jack C. Salerno,Christian Schmied,Sanjay Sharma,Ricardo Stein,Victoria L. Vetter,Mathew G Wilson +24 more
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TLDR
In this paper, the authors developed a comprehensive training resource to help physicians distinguish normal ECG alterations in athletes from abnormal ECG findings that require additional evaluation for conditions associated with sudden cardiac death.Abstract:
Sudden cardiac death (SCD) is the leading cause of death in athletes during sport. Whether obtained for screening or diagnostic purposes, an ECG increases the ability to detect underlying cardiovascular conditions that may increase the risk for SCD. In most countries, there is a shortage of physician expertise in the interpretation of an athlete’s ECG. A critical need exists for physician education in modern ECG interpretation that distinguishes normal physiological adaptations in athletes from abnormal findings suggestive of pathology. On 13–14 February 2012, an international group of experts in sports cardiology and sports medicine convened in Seattle, Washington, to define contemporary standards for ECG interpretation in athletes. The objective of the meeting was to develop a comprehensive training resource to help physicians distinguish normal ECG alterations in athletes from abnormal ECG findings that require additional evaluation for conditions associated with SCD.read more
Citations
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Journal ArticleDOI
International recommendations for electrocardiographic interpretation in athletes
Sanjay Sharma,Jonathan A. Drezner,Aaron L. Baggish,Michael Papadakis,Mathew G Wilson,Jordan M. Prutkin,Andre La Gerche,Michael J. Ackerman,Mats Börjesson,Jack C. Salerno,Irfan M. Asif,David S. Owens,Eugene Ho-Joon 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 Schmied,David Shipon,Ricardo Stein,Victoria L. Vetter,Antonio Pelliccia,Domenico Corrado +32 more
TL;DR: 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.
Journal ArticleDOI
Assessment of the 12-lead electrocardiogram as a screening test for detection of cardiovascular disease in healthy general populations of young people (12-25 years of age): a scientific statement from the American Heart Association and the American College of Cardiology.
Barry J. Maron,Richard A. Friedman,Paul Kligfield,Benjamin D. Levine,Sami Viskin,Bernard R. Chaitman,Peter M. Okin,J. Philip Saul,Lisa Salberg,George F. Van Hare,Elsayed Z. Soliman,Jersey Chen,G. Paul Matherne,Steven F. Bolling,Matthew J. Mitten,Arthur L. Caplan,Gary J. Balady,Paul D. Thompson +17 more
TL;DR: A debate has emerged regarding whether the conditions responsible for these tragic events can be detected effectively in populations of various sizes by the available testing and examination techniques, and specifically, there is debate concerning which strategies are potentially the most reliable to separate those individuals with disease from those who are probably unaffected.
Journal ArticleDOI
International criteria for electrocardiographic interpretation in athletes: Consensus statement
Jonathan A. Drezner,Sanjay Sharma,Aaron L. Baggish,Michael Papadakis,Mathew G Wilson,Jordan M. Prutkin,Andre La Gerche,Michael J. Ackerman,Mats Börjesson,Mats Börjesson,Jack C. Salerno,Irfan M. Asif,David S. Owens,Eugene H. Chung,Michael S. Emery,Victor F. Froelicher,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 Schmied,David Shipon,Ricardo Stein,Victoria L. Vetter,Antonio Pelliccia,Domenico Corrado +34 more
TL;DR: 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.
Journal ArticleDOI
Comparison of Electrocardiographic Criteria for the Detection of Cardiac Abnormalities in Elite Black and White Athletes
Nabeel Sheikh,Michael Papadakis,Saqib Ghani,Abbas Zaidi,Sabiha Gati,Paolo Emilio Adami,François Carré,Frédéric Schnell,Mathew G Wilson,Paloma Avila,William J. McKenna,Sanjay Sharma +11 more
TL;DR: Refinement of current ECG screening criteria has the potential to significantly reduce the burden of false-positive ECGs in athletes, particularly BAs.
Journal ArticleDOI
Pre-participation cardiovascular evaluation for athletic participants to prevent sudden death: Position paper from the EHRA and the EACPR, branches of the ESC. Endorsed by APHRS, HRS, and SOLAECE.
Lluís Mont,Antonio Pelliccia,Sanjay Sharma,Alessandro Biffi,Mats Börjesson,Josep Brugada Terradellas,François Carré,Eduard Guasch,Hein Heidbuchel,Andre La Gerche,Rachel Lampert,William J. McKenna,Michail Papadakis,Silvia G. Priori,Mauricio Scanavacca,Paul D. Thompson,Christian Sticherling,Sami Viskin,Mathew G Wilson,Domenico Corrado,Gregory Y.H. Lip,Bulent Gorenek,Carina Blomström Lundqvist,Béla Merkely,Gerhard Hindricks,Antonio Hernández-Madrid,Deirdre A. Lane,G Boriani,Calambur Narasimhan,Manlio F. Márquez,David E. Haines,Judith Mackall,Pedro Marques-Vidal,Ugo Corrà,Martin Halle,Monica Tiberi,Josef Niebauer,Massimo F Piepoli +37 more
TL;DR: The role of pre-participation evaluation (PPE) in athletes as a feasible and efficient strategy to identify individuals at risk has remained controversial.
References
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Journal ArticleDOI
Sudden deaths in young competitive athletes: analysis of 1866 deaths in the United States, 1980-2006.
TL;DR: In this national registry, the absolute number of cardiovascular sudden deaths in young US athletes was somewhat higher than previous estimates but relatively low nevertheless, with a rate of <100 per year.
Journal ArticleDOI
Recommendations for interpretation of 12-lead electrocardiogram in the athlete
Domenico Corrado,Antonio Pelliccia,Hein Heidbuchel,Sanjay Sharma,Mark S. Link,Cristina Basso,Alessandro Biffi,Gianfranco Buja,Pietro Delise,Ihor Gussac,Aris Anastasakis,Mats Börjesson,Hans Bjornstad,François Carré,Asterios Deligiannis,Dorian Dugmore,Robert Fagard,Jan Hoogsteen,Klaus Peter Mellwig,Nicole Panhuyzen-Goedkoop,Erik Ekker Solberg,Luc Vanhees,Jonathan A. Drezner,N.A. Mark Estes,Sabino Iliceto,Barry J. Maron,Roberto Peidro,Peter J. Schwartz,Ricardo Stein,Gaetano Thiene,Paolo Zeppilli,William J. McKenna +31 more
TL;DR: The present position paper provides cardiologists and sports medical physicians with a modern approach to correct interpretation of 12-lead ECG in the athlete and emerging understanding of incomplete penetrance of inherited cardiovascular disease.
Journal ArticleDOI
Incidence of Sudden Cardiac Death in National Collegiate Athletic Association Athletes
TL;DR: The purpose of this study was to more precisely estimate the incidence of SCD in National Collegiate Athletic Association student-athletes and assess the accuracy of traditional methods for collecting data on SCD.
Journal ArticleDOI
Interpretation of the Electrocardiogram of Young Athletes
Abhimanyu Uberoi,Ricardo Stein,Marco V Perez,James V. Freeman,Matthew T. Wheeler,Frederick E. Dewey,Roberto Peidro,David Hadley,Jonathan A. Drezner,Sanjay Sharma,Antonio Pelliccia,Domenico Corrado,Josef Niebauer,N.A. Mark Estes,Euan A. Ashley,Victor F. Froelicher +15 more
TL;DR: Although no detailed guidance for the interpretation of the athlete's ECG exists, many physicians will be called on to interpret an athletes' ECG and a principal obstacle to such interpretation is the difficulty in distinguishing abnormal patterns from physiological effects of training.
Journal ArticleDOI
Normal electrocardiographic findings: recognising physiological adaptations in athletes
Jonathan A. Drezner,Peter S. Fischbach,Peter S. Fischbach,Victor F. Froelicher,Joseph C. Marek,Antonio Pelliccia,Jordan M. Prutkin,Christian Schmied,Sanjay Sharma,Mathew G Wilson,Michael J. Ackerman,Jeffrey B. Anderson,Euan A. Ashley,Chad A. Asplund,Aaron L. Baggish,Mats Börjesson,Bryan C. Cannon,Domenico Corrado,John P. DiFiori,Kimberly G. Harmon,Hein Heidbuchel,David S. Owens,Stephen Paul,Jack C. Salerno,Ricardo Stein,Victoria L. Vetter +25 more
TL;DR: This document will assist physicians in identifying normal ECG patterns commonly found in athletes, established by an international consensus panel of experts in sports cardiology and sports medicine.
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Recommendations for interpretation of 12-lead electrocardiogram in the athlete
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