Recommendations for interpretation of 12-lead electrocardiogram in the athlete

European Heart Journal
Domenico CorradoSection of Sports Cardiology, European Association of Cardiovascular Prevention and Rehabilitation

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 carry...Continue Reading

References

Jan 1, 1976·Cardiology·N Hanne-PaparoJ J Kellermann
Mar 1, 1978·Chest·B M ParkerJ P Dubiel
Jan 1, 1977·Annals of the New York Academy of Sciences·L W GibbonsM L Pollock
Nov 15, 1979·The New England Journal of Medicine·G J KleinJ J Gallagher
Oct 1, 1975·American Heart Journal·I MeytesH N Neufeld
Apr 1, 1989·American Heart Journal·B E KregerW B Kannel
Feb 1, 1989·British Heart Journal·R J NorthcoteD Ballantyne
Sep 1, 1988·American Heart Journal·P S DouglasN Reichek
Oct 1, 1987·European Heart Journal·T HardarsonN Sigfússon
Jan 31, 1985·The New England Journal of Medicine·N B Atkin, M C Baker
Feb 1, 1969·Japanese Circulation Journal·K Nakamoto
May 1, 1984·The American Journal of Cardiology·G J BaladyT J Ryan
Feb 1, 1980·British Heart Journal·S W RabkinR B Tate
Aug 1, 1981·Chest·G A Lillington
Oct 1, 1995·The American Journal of Cardiology·M P RyanC M Oakley
Jan 1, 1995·Journal of Electrocardiology·I GussakB R Chaitman
Aug 1, 1993·Circulation·P J SchwartzR S Crampton
Apr 29, 1998·Sports Medicine·R G HollyE A Amsterdam
Aug 6, 1998·The New England Journal of Medicine·D CorradoG Thiene
May 25, 1999·The Journal of Emergency Medicine·W J Brady, T C Chan
Aug 10, 1999·Journal of the American College of Cardiology·J KarjalainenK Kontula
Oct 16, 1999·British Journal of Sports Medicine·S SharmaW J McKenna
Dec 1, 2000·Journal of Electrocardiology·I Gussak, C Antzelevitch
Mar 10, 2001·European Heart Journal·M BiancoP Zeppilli
Jun 16, 2001·The New England Journal of Medicine·M H GollobA S Hassan
Mar 19, 2002·Journal of the American College of Cardiology·Ricardo SteinJorge P Ribeiro
Nov 27, 2002·European Heart Journal·A A M WildeUNKNOWN Study Group on the Molecular Basis of Arrhythmias of the European Society of Cardiology

❮ Previous
Next ❯

Citations

Jun 19, 2013·Journal of Sports Sciences·Philipp BohmTim Meyer
Feb 1, 2011·European Heart Journal·Domenico CorradoGaetano Thiene
May 16, 2012·European Heart Journal·Thomas F LüscherWilliam Wijns
Mar 20, 2013·European Heart Journal·Peter J Schwartz, Michael J Ackerman
Aug 7, 2013·European Heart Journal·Eloi MarijonXavier Jouven
Nov 2, 2013·European Heart Journal·Domenico CorradoFederico Migliore
Dec 9, 2010·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Jonas Bille NielsenJesper Hastrup Svendsen
Apr 14, 2011·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Choon Ta NgHean Yee Ong
Aug 19, 2011·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Philippe MauryVincent Probst
Feb 7, 2012·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Choon Ta NgChi Keong Ching
May 21, 2011·British Journal of Sports Medicine·M G WilsonH Chalabi
Sep 15, 2012·British Journal of Sports Medicine·Dagmar I KellerJiri Dvorak
Mar 29, 2013·British Journal of Sports Medicine·Christian SchmiedAntonio Pelliccia
Apr 5, 2011·Biomedical Engineering Online·Luigi Y Di Marco, Lorenzo Chiari
Aug 28, 2012·International Journal of General Medicine·Mehrnoush ToufanMajid Khalili
Jul 13, 2012·Clinical Medicine : Journal of the Royal College of Physicians of London·Vimal Patel, Perry Elliott
Dec 19, 2013·Future Cardiology·Josef Niebauer, Reed Humphrey
Feb 25, 2014·British Journal of Sports Medicine·H M BergeK Gjesdal
Aug 31, 2014·Revista Española De Cardiología·Gonzalo GrazioliMarta Sitges
Jan 23, 2014·Cardiovascular Toxicology·Lubna Ibrahim Al-AsoomMohammad Nabil El-Bahai
Jul 11, 2012·Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation·T LuijkxB K Velthuis
Apr 10, 2014·European Heart Journal·Hein Heidbuchel, Francois Carré
Mar 8, 2014·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Guillem SerraPedro Brugada
Nov 12, 2013·Netherlands Heart Journal : Monthly Journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation·J K JongmanS Sharma
May 19, 2012·BMJ Case Reports·Saqib Ghani, Sanjay Sharma
Jun 27, 2013·Herzschrittmachertherapie & Elektrophysiologie·Lars EckardtGerold Mönnig
Mar 30, 2012·Cell and Tissue Research·Gaetano ThieneCristina Basso
Oct 18, 2015·The International Journal of Cardiovascular Imaging·Flavio D'AscenziMichael Henein
Jun 11, 2015·Drug Testing and Analysis·Nicholas SculthorpeFergal M Grace
Feb 11, 2016·The Canadian Journal of Cardiology·Keerthi Prakash, Sanjay Sharma
Aug 21, 2015·Pediatric Cardiology·Laure LégerYvan Mivelaz
Nov 26, 2013·Pediatric Clinics of North America·Harinder R Singh

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiology Journals

Discover the latest cardiology research in this collection of the top cardiology journals.

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.