International Recommendations for Electrocardiographic Interpretation in Athletes.

Autor:	Sharma S; Cardiology Clinical and Academic Group, St George's University of London, United Kingdom. Electronic address: sasharma@sgul.ac.uk., Drezner JA; Department of Family Medicine, University of Washington, Seattle, Washington., Baggish A; Division of Cardiology, Massachusetts General Hospital, Boston, Massachusetts., Papadakis M; Cardiology Clinical and Academic Group, St George's University of London, United Kingdom., Wilson MG; Department of Sports Medicine, ASPETAR, Qatar Orthopaedic and Sports Medicine Hospital, Qatar., Prutkin JM; Division of Cardiology, University of Washington, Seattle, Washington., La Gerche A; Department of Cardiology, Baker IDI Heart and Diabetes Institute, Melbourne, Australia., Ackerman MJ; Department of Cardiovascular Diseases, Pediatric and Adolescent Medicine, and Molecular Pharmacology and Experimental Therapeutics, Mayo Clinic, Rochester, Minnesota., Borjesson M; Department of Neuroscience and Physiology, Sahlgrenska University Hospital/Ostra Sahlgrenska Academy, Goteborg, Sweden., Salerno JC; Department of Pediatrics, University of Washington, Seattle, Washington., Asif IM; Department of Family Medicine, University of South Carolina, Greenville, South Carolina., Owens DS; Division of Cardiology, University of Washington, Seattle, Washington., Chung EH; Division of Cardiology, University of North Carolina School of Medicine, Chapel Hill, North Carolina., Emery MS; Center of Cardiovascular Care in Athletics, Indiana University School of Medicine, Indianapolis, Indiana., Froelicher VF; Department of Medicine, Stanford University, Stanford, California., Heidbuchel H; Department of Cardiology, Arrhythmology Hasselt University, Belgium; Department of Cardiology, Antwerp, Belgium., Adamuz C; Department of Sports Medicine, ASPETAR, Qatar Orthopaedic and Sports Medicine Hospital, Qatar., Asplund CA; Georgia Southern University, Statesboro, Georgia., Cohen G; Division of Pediatric Cardiothoracic Surgery, University of California San Francisco School of Medicine, San Francisco, California., Harmon KG; Department of Family Medicine, University of Washington, Seattle, Washington., Marek JC; Advocate Heart Institute, Normal, Illinois., Molossi S; Division of Pediatric Cardiology, Baylor College of Medicine, Houston, Texas., Niebauer J; University Institute of Sports Medicine, Paracelsus Medical University, Austria., Pelto HF; Department of Family Medicine, University of Washington, Seattle, Washington., Perez MV; Center for Inherited Cardiovascular Disease, Stanford University, Stanford, California., Riding NR; Department of Sports Medicine, ASPETAR, Qatar Orthopaedic and Sports Medicine Hospital, Qatar., Saarel T; Pediatric Cardiology, Cleveland Clinic, Cleveland, Ohio., Schmied CM; University of Herzzentrum, Zurich, Switzerland., Shipon DM; Heart Center of Philadelphia, Jefferson University Hospitals, Philadelphia, Pennsylvania., Stein R; Department of Cardiology, Hospital de Clinicas de Porte Allegre, Brazil., Vetter VL; The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania., Pelliccia A; Institute of Sports Medicine and Science, Rome, Italy., Corrado D; Department of Cardiac, Thoracic and Vascular Sciences, University of Padua Medical School, Italy.
Jazyk:	angličtina
Zdroj:	Journal of the American College of Cardiology [J Am Coll Cardiol] 2017 Feb 28; Vol. 69 (8), pp. 1057-1075.
DOI:	10.1016/j.jacc.2017.01.015
Abstrakt:	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. (Copyright © 2017 The Authors. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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