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Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/24112

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.
Heidbuchel, Hein
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: 2017
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 February 26-27, 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. (C) 2017 The Authors. Published by Elsevier Inc. on behalf of American College of Cardiology Foundation. All rights reserved.
Notes: [Sharma, Sanjay; Papadakis, Michael] St Georges Univ London, Cardiol Clin & Acad Grp, London, England. [Drezner, Jonathan A.; Harmon, Kimberly G.; Pelto, Hank F.] Univ Washington, Dept Family Med, Seattle, WA 98195 USA. [Baggish, Aaron] Massachusetts Gen Hosp, Div Cardiol, Boston, MA 02114 USA. [Wilson, Mathew G.; Adamuz, Carmen; Riding, Nathan R.] Qatar Orthopaed & Sports Med Hosp, Dept Sports Med, ASPETAR, Doha, Qatar. [Prutkin, Jordan M.; Owens, David S.] Univ Washington, Div Cardiol, Seattle, WA 98195 USA. [La Gerche, Andre] Baker IDI Heart & Diabet Inst, Dept Cardiol, Melbourne, Vic, Australia. [Ackerman, Michael J.] Mayo Clin, Dept Cardiovasc Dis Pediat & Adolescent Med & Mol, Rochester, MN USA. [Borjesson, Mats] Sahlgrens Univ Hosp, Ostra Sahlgrenska Acad, Dept Neurosci & Physiol, Gothenburg, Sweden. [Salerno, Jack C.] Univ Washington, Dept Pediat, Seattle, WA 98195 USA. [Asif, Irfan M.] Univ South Carolina, Dept Family Med, Greenville, SC USA. [Chung, Eugene H.] Univ N Carolina, Sch Med, Div Cardiol, Chapel Hill, NC USA. [Emery, Michael S.] Indiana Univ Sch Med, Ctr Cardiovasc Care Athlet, Indianapolis, IN 46202 USA. [Froelicher, Victor F.] Stanford Univ, Dept Med, Stanford, CA 94305 USA. [Heidbuchel, Hein] Arrhythmol Hasselt Univ, Dept Cardiol, Hasselt, Belgium. [Heidbuchel, Hein] Dept Cardiol, Antwerp, Belgium. [Asplund, Chad A.] Georgia Southern Univ, Statesboro, GA USA. [Cohen, Gordon] Univ Calif San Francisco, Sch Med, Div Pediat Cardiothorac Surg, San Francisco, CA USA. [Marek, Joseph C.] Advocate Heart Inst, Normal, IL USA. [Molossi, Silvana] Baylor Coll Med, Div Pediat Cardiol, Houston, TX 77030 USA. [Niebauer, Josef] Paracelsus Med Univ, Univ Inst Sports Med, Salzburg, Austria. [Perez, Marco V.] Stanford Univ, Ctr Inherited Cardiovasc Dis, Stanford, CA 94305 USA. [Saarel, Tess] Cleveland Clin, Pediat Cardiol, Cleveland, OH 44106 USA. [Schmied, Christian M.] Univ Herzzentrum, Zurich, Switzerland. [Shipon, David M.] Jefferson Univ Hosp, Heart Ctr Philadelphia, Philadelphia, PA USA. [Stein, Ricardo] Hosp Clin Porte Allegre, Dept Cardiol, Porto Alegre, RS, Brazil. [Vetter, Victoria L.] Childrens Hosp Philadelphia, Philadelphia, PA 19104 USA. [Pelliccia, Antonio] Inst Sports Med & Sci, Rome, Italy. [Corrado, Domenico] Univ Padua, Sch Med, Dept Cardiac Thorac & Vasc Sci, I-35100 Padua, Italy.
URI: http://hdl.handle.net/1942/24112
DOI: 10.1016/j.jacc.2017.01.015
ISI #: 000396356700012
ISSN: 0735-1097
Category: A1
Type: Journal Contribution
Appears in Collections: Research publications

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