International Recommendations for Electrocardiographic Interpretation in Athletes

Sanjay Sharma, Jonathan A. Drezner, 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 journalReview article

85 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 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.

Original languageEnglish
Pages (from-to)1057-1075
Number of pages19
JournalJournal of the American College of Cardiology
Volume69
Issue number8
DOIs
Publication statusPublished - 28 Feb 2017
Externally publishedYes

Fingerprint

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

Cite this

Sharma, S., Drezner, J. A., Baggish, A., Papadakis, M., Wilson, M. G., Prutkin, J. M., ... Corrado, D. (2017). International Recommendations for Electrocardiographic Interpretation in Athletes. Journal of the American College of Cardiology, 69(8), 1057-1075. https://doi.org/10.1016/j.jacc.2017.01.015
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. / International Recommendations for Electrocardiographic Interpretation in Athletes. In: Journal of the American College of Cardiology. 2017 ; Vol. 69, No. 8. pp. 1057-1075.
@article{08f6e3ae1bce40fbbcbc59ef1b2a1bd2,
title = "International Recommendations for Electrocardiographic Interpretation in Athletes",
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.",
keywords = "athlete, electrocardiogram",
author = "Sanjay Sharma and Drezner, {Jonathan A.} and Aaron Baggish and Michael Papadakis and Wilson, {Mathew G.} and Prutkin, {Jordan M.} and {La Gerche}, Andre and Ackerman, {Michael J.} and Mats Borjesson and Salerno, {Jack C.} and Asif, {Irfan M.} and Owens, {David S.} and Chung, {Eugene H.} and Emery, {Michael S.} and Froelicher, {Victor F.} and Hein Heidbuchel and Carmen Adamuz and Asplund, {Chad A.} and Gordon Cohen and Harmon, {Kimberly G.} and Marek, {Joseph C.} and Silvana Molossi and Josef Niebauer and Pelto, {Hank F.} and Perez, {Marco V.} and Riding, {Nathan R.} and Tess Saarel and Schmied, {Christian M.} and Shipon, {David M.} and Ricardo Stein and Vetter, {Victoria L.} and Antonio Pelliccia and Domenico Corrado",
year = "2017",
month = "2",
day = "28",
doi = "10.1016/j.jacc.2017.01.015",
language = "English",
volume = "69",
pages = "1057--1075",
journal = "Journal of the American College of Cardiology",
issn = "0735-1097",
publisher = "Elsevier USA",
number = "8",

}

Sharma, S, Drezner, JA, 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 Recommendations for Electrocardiographic Interpretation in Athletes', Journal of the American College of Cardiology, vol. 69, no. 8, pp. 1057-1075. https://doi.org/10.1016/j.jacc.2017.01.015

International Recommendations for Electrocardiographic Interpretation in Athletes. / 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.

In: Journal of the American College of Cardiology, Vol. 69, No. 8, 28.02.2017, p. 1057-1075.

Research output: Contribution to journalReview article

TY - JOUR

T1 - International Recommendations for Electrocardiographic Interpretation in Athletes

AU - Sharma, Sanjay

AU - Drezner, Jonathan A.

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 - 2017/2/28

Y1 - 2017/2/28

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 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.

AB - 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.

KW - athlete

KW - electrocardiogram

UR - http://www.scopus.com/inward/record.url?scp=85013301438&partnerID=8YFLogxK

U2 - 10.1016/j.jacc.2017.01.015

DO - 10.1016/j.jacc.2017.01.015

M3 - Review article

VL - 69

SP - 1057

EP - 1075

JO - Journal of the American College of Cardiology

JF - Journal of the American College of Cardiology

SN - 0735-1097

IS - 8

ER -