Title: Recommendations for interpretation of 12-lead electrocardiogram in the athlete
Authors: Corrado, Domenico
Pelliccia, Antonio
Heidbuchel, Hein
Sharma, Sanjay
Link, Mark
Basso, Cristina
Biffi, Alessandro
Buja, Gianfranco
Delise, Pietro
Gussac, Ihor
Anastasakis, Aris
Borjesson, Mats
Bjørnstad, Hans Halvor
Carrè, François
Deligiannis, Asterios
Dugmore, Dorian
Fagard, Robert
Hoogsteen, Jan
Mellwig, Klaus P
Panhuyzen-Goedkoop, Nicole
Solberg, Erik
Vanhees, Luc
Drezner, Jonathan
Estes, N A Mark
Iliceto, Sabino
Maron, Barry J
Peidro, Roberto
Schwartz, Peter J
Stein, Ricardo
Thiene, Gaetano
Zeppilli, Paolo
McKenna, William J #
Issue Date: Jan-2010
Publisher: Oxford University Press
Series Title: European Heart Journal vol:31 issue:2 pages:243-259
Abstract: Cardiovascular remodelling in the conditioned athlete is frequently associated with physiological ECG changes. Abnormalities, however, may be detected which represent expression of an underlying heart disease that puts the athlete at risk of arrhythmic cardiac arrest during sports. It is mandatory that ECG changes resulting from intensive physical training are distinguished from abnormalities which reflect a potential cardiac pathology. The present article represents the consensus statement of an international panel of cardiologists and sports medical physicians with expertise in the fields of electrocardiography, imaging, inherited cardiovascular disease, cardiovascular pathology, and management of young competitive athletes. The document 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. When the ECG of an athlete is examined, the main objective is to distinguish between physiological patterns that should cause no alarm and those that require action and/or additional testing to exclude (or confirm) the suspicion of an underlying cardiovascular condition carrying the risk of sudden death during sports. The aim of the present position paper is to provide a framework for this distinction. For every ECG abnormality, the document focuses on the ensuing clinical work-up required for differential diagnosis and clinical assessment. When appropriate the referral options for risk stratification and cardiovascular management of the athlete are briefly addressed.
ISSN: 0195-668X
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Research Group for Cardiovascular and Respiratory Rehabilitation
Hypertension and Cardiovascular Epidemiology
# (joint) last author

Files in This Item:

There are no files associated with this item.

Request a copy


All items in Lirias are protected by copyright, with all rights reserved.

© Web of science