International criteria for electrocardiographic interpretation in athletes

Consensus statement

Jonathan A. Drezner, Sanjay Sharma, Aaron Baggish, Michael Papadakis, Mathew G. Wilson, Jordan M. Prutkin, Andre La Gerche, Michael J. Ackerman, Mats Borjesson, Jack C. Salerno, Irfan M. Asif, David S. Owens, Eugene H. Chung, Michael S. Emery, Victor F. Froelicher, Hein Heidbuchel, Carmen Adamuz, Chad A. Asplund, Gordon Cohen, Kimberly G. Harmon & 13 others Joseph C. Marek, Silvana Molossi, Josef Niebauer, Hank F. Pelto, Marco V. Perez, Nathan R. Riding, Tess Saarel, Christian M. Schmied, David M. Shipon, Ricardo Stein, Victoria L. Vetter, Antonio Pelliccia, Domenico Corrado

Research output: Contribution to journalArticle

61 Citations (Scopus)

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, advanced by a growing body of scientific data and investigations that both examine proposed criteria sets and establish 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 (USA), 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.

Original languageEnglish
Pages (from-to)704-731
Number of pages28
JournalBritish Journal of Sports Medicine
Volume51
Issue number9
DOIs
Publication statusPublished - May 2017
Externally publishedYes

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Athletes
Electrocardiography
Sudden Cardiac Death
Physicians
Sports
Physiological Adaptation
Sports Medicine
Expert Testimony
Cardiology
Heart Diseases
Pathology
Education
Mortality

Cite this

Drezner, J. A., Sharma, S., Baggish, A., Papadakis, M., Wilson, M. G., Prutkin, J. M., ... Corrado, D. (2017). International criteria for electrocardiographic interpretation in athletes: Consensus statement. British Journal of Sports Medicine, 51(9), 704-731. https://doi.org/10.1136/bjsports-2016-097331
Drezner, Jonathan A. ; Sharma, Sanjay ; 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. / International criteria for electrocardiographic interpretation in athletes : Consensus statement. In: British Journal of Sports Medicine. 2017 ; Vol. 51, No. 9. pp. 704-731.
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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, advanced by a growing body of scientific data and investigations that both examine proposed criteria sets and establish 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 (USA), 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.",
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Drezner, JA, Sharma, S, Baggish, A, Papadakis, M, Wilson, MG, Prutkin, JM, La Gerche, A, Ackerman, MJ, Borjesson, M, Salerno, JC, Asif, IM, Owens, DS, Chung, EH, Emery, MS, Froelicher, VF, Heidbuchel, H, Adamuz, C, Asplund, CA, Cohen, G, Harmon, KG, Marek, JC, Molossi, S, Niebauer, J, Pelto, HF, Perez, MV, Riding, NR, Saarel, T, Schmied, CM, Shipon, DM, Stein, R, Vetter, VL, Pelliccia, A & Corrado, D 2017, 'International criteria for electrocardiographic interpretation in athletes: Consensus statement', British Journal of Sports Medicine, vol. 51, no. 9, pp. 704-731. https://doi.org/10.1136/bjsports-2016-097331

International criteria for electrocardiographic interpretation in athletes : Consensus statement. / Drezner, Jonathan A.; Sharma, Sanjay; 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.

In: British Journal of Sports Medicine, Vol. 51, No. 9, 05.2017, p. 704-731.

Research output: Contribution to journalArticle

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T1 - International criteria for electrocardiographic interpretation in athletes

T2 - Consensus statement

AU - Drezner, Jonathan A.

AU - Sharma, Sanjay

AU - Baggish, Aaron

AU - Papadakis, Michael

AU - Wilson, Mathew G.

AU - Prutkin, Jordan M.

AU - La Gerche, Andre

AU - Ackerman, Michael J.

AU - Borjesson, Mats

AU - Salerno, Jack C.

AU - Asif, Irfan M.

AU - Owens, David S.

AU - Chung, Eugene H.

AU - Emery, Michael S.

AU - Froelicher, Victor F.

AU - Heidbuchel, Hein

AU - Adamuz, Carmen

AU - Asplund, Chad A.

AU - Cohen, Gordon

AU - Harmon, Kimberly G.

AU - Marek, Joseph C.

AU - Molossi, Silvana

AU - Niebauer, Josef

AU - Pelto, Hank F.

AU - Perez, Marco V.

AU - Riding, Nathan R.

AU - Saarel, Tess

AU - Schmied, Christian M.

AU - Shipon, David M.

AU - Stein, Ricardo

AU - Vetter, Victoria L.

AU - Pelliccia, Antonio

AU - Corrado, Domenico

PY - 2017/5

Y1 - 2017/5

N2 - 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, advanced by a growing body of scientific data and investigations that both examine proposed criteria sets and establish 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 (USA), 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.

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KW - Athlete

KW - Cardiovascular

KW - Sudden cardiac arrest

KW - Sudden cardiac death

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