Normal electrocardiographic findings: Recognising physiological adaptations in athletes

Jonathan A. Drezner; Peter Fischbach; Victor F. Froelicher; Joseph C. Marek; Antonio Pelliccia; Jordan M. Prutkin; Christian M. Schmied; Sanjay Sharma; Mathew G. Wilson; Michael John Ackerman; Jeffrey Anderson; Euan Ashley; Chad A. Asplund; Aaron L. Baggish; Mats Börjesson; Bryan C. Cannon; Domenico Corrado; John P. DiFiori; Kimberly G. Harmon; Hein Heidbuchel; David S. Owens; Stephen Paul; Jack C. Salerno; Ricardo Stein; Victoria L. Vetter

doi:10.1136/bjsports-2012-092068

Normal electrocardiographic findings: Recognising physiological adaptations in athletes

Jonathan A. Drezner, Peter Fischbach, Victor F. Froelicher, Joseph C. Marek, Antonio Pelliccia, Jordan M. Prutkin, Christian M. Schmied, Sanjay Sharma, Mathew G. Wilson, Michael John Ackerman, Jeffrey Anderson, Euan Ashley, Chad A. Asplund, Aaron L. Baggish, Mats Börjesson, Bryan C. Cannon, Domenico Corrado, John P. DiFiori, Kimberly G. Harmon, Hein HeidbuchelDavid S. Owens, Stephen Paul, Jack C. Salerno, Ricardo Stein, Victoria L. Vetter

Research output: Contribution to journal › Article › peer-review

156 Citations (Scopus)

Abstract

Electrocardiographic changes in athletes are common and usually reflect benign structural and electrical remodelling of the heart as a physiological adaptation to regular and sustained physical training (athlete's heart). The ability to identify an abnormality on the 12-lead ECG, suggestive of underlying cardiac disease associated with sudden cardiac death (SCD), is based on a sound working knowledge of the normal ECG characteristics within the athletic population. This document will assist physicians in identifying normal ECG patterns commonly found in athletes. The ECG findings presented as normal in athletes were established by an international consensus panel of experts in sports cardiology and sports medicine.

Original language	English
Pages (from-to)	125-136
Number of pages	12
Journal	British Journal of Sports Medicine
Volume	47
Issue number	3
DOIs	https://doi.org/10.1136/bjsports-2012-092068
Publication status	Published - Feb 2013
Externally published	Yes

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Drezner, J. A., Fischbach, P., Froelicher, V. F., Marek, J. C., Pelliccia, A., Prutkin, J. M., Schmied, C. M., Sharma, S., Wilson, M. G., Ackerman, M. J., Anderson, J., Ashley, E., Asplund, C. A., Baggish, A. L., Börjesson, M., Cannon, B. C., Corrado, D., DiFiori, J. P., Harmon, K. G., ... Vetter, V. L. (2013). Normal electrocardiographic findings: Recognising physiological adaptations in athletes. British Journal of Sports Medicine, 47(3), 125-136. https://doi.org/10.1136/bjsports-2012-092068

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title = "Normal electrocardiographic findings: Recognising physiological adaptations in athletes",

abstract = "Electrocardiographic changes in athletes are common and usually reflect benign structural and electrical remodelling of the heart as a physiological adaptation to regular and sustained physical training (athlete's heart). The ability to identify an abnormality on the 12-lead ECG, suggestive of underlying cardiac disease associated with sudden cardiac death (SCD), is based on a sound working knowledge of the normal ECG characteristics within the athletic population. This document will assist physicians in identifying normal ECG patterns commonly found in athletes. The ECG findings presented as normal in athletes were established by an international consensus panel of experts in sports cardiology and sports medicine.",

author = "Drezner, {Jonathan A.} and Peter Fischbach and Froelicher, {Victor F.} and Marek, {Joseph C.} and Antonio Pelliccia and Prutkin, {Jordan M.} and Schmied, {Christian M.} and Sanjay Sharma and Wilson, {Mathew G.} and Ackerman, {Michael John} and Jeffrey Anderson and Euan Ashley and Asplund, {Chad A.} and Baggish, {Aaron L.} and Mats B{\"o}rjesson and Cannon, {Bryan C.} and Domenico Corrado and DiFiori, {John P.} and Harmon, {Kimberly G.} and Hein Heidbuchel and Owens, {David S.} and Stephen Paul and Salerno, {Jack C.} and Ricardo Stein and Vetter, {Victoria L.}",

year = "2013",

month = feb,

doi = "10.1136/bjsports-2012-092068",

language = "English",

volume = "47",

pages = "125--136",

journal = "British Journal of Sports Medicine",

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Drezner, JA, Fischbach, P, Froelicher, VF, Marek, JC, Pelliccia, A, Prutkin, JM, Schmied, CM, Sharma, S, Wilson, MG, Ackerman, MJ, Anderson, J, Ashley, E, Asplund, CA, Baggish, AL, Börjesson, M, Cannon, BC, Corrado, D, DiFiori, JP, Harmon, KG, Heidbuchel, H, Owens, DS, Paul, S, Salerno, JC, Stein, R & Vetter, VL 2013, 'Normal electrocardiographic findings: Recognising physiological adaptations in athletes', British Journal of Sports Medicine, vol. 47, no. 3, pp. 125-136. https://doi.org/10.1136/bjsports-2012-092068

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T2 - Recognising physiological adaptations in athletes

AU - Drezner, Jonathan A.

AU - Fischbach, Peter

AU - Froelicher, Victor F.

AU - Marek, Joseph C.

AU - Pelliccia, Antonio

AU - Prutkin, Jordan M.

AU - Schmied, Christian M.

AU - Sharma, Sanjay

AU - Wilson, Mathew G.

AU - Ackerman, Michael John

AU - Anderson, Jeffrey

AU - Ashley, Euan

AU - Asplund, Chad A.

AU - Baggish, Aaron L.

AU - Börjesson, Mats

AU - Cannon, Bryan C.

AU - Corrado, Domenico

AU - DiFiori, John P.

AU - Harmon, Kimberly G.

AU - Heidbuchel, Hein

AU - Owens, David S.

AU - Paul, Stephen

AU - Salerno, Jack C.

AU - Stein, Ricardo

AU - Vetter, Victoria L.

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AB - Electrocardiographic changes in athletes are common and usually reflect benign structural and electrical remodelling of the heart as a physiological adaptation to regular and sustained physical training (athlete's heart). The ability to identify an abnormality on the 12-lead ECG, suggestive of underlying cardiac disease associated with sudden cardiac death (SCD), is based on a sound working knowledge of the normal ECG characteristics within the athletic population. This document will assist physicians in identifying normal ECG patterns commonly found in athletes. The ECG findings presented as normal in athletes were established by an international consensus panel of experts in sports cardiology and sports medicine.

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Normal electrocardiographic findings: Recognising physiological adaptations in athletes

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