Electrocardiographic findings in elite professional cyclists: The 2017 international recommendations in practice.

Autor: Beale AL; Cardiology Service, Geneva University Hospitals, Switzerland; Monash University Central Clinical School, Australia. Electronic address: anna.beale@monash.edu., Julliard MV; Cardiology Service, Geneva University Hospitals, Switzerland., Maziarski P; Cardiology Service, Geneva University Hospitals, Switzerland., Ziltener JL; Centre for Sports Medicine and Exercise, Clinique la Colline, Switzerland., Burri H; Cardiology Service, Geneva University Hospitals, Switzerland., Meyer P; Cardiology Service, Geneva University Hospitals, Switzerland.
Jazyk: angličtina
Zdroj: Journal of science and medicine in sport [J Sci Med Sport] 2019 Apr; Vol. 22 (4), pp. 380-384. Date of Electronic Publication: 2018 Jul 05.
DOI: 10.1016/j.jsams.2018.06.017
Abstrakt: Objectives: To categorize ECG findings into normal, borderline or abnormal in a team of professional elite cyclists according to the 2017 international recommendations.
Design: A cross-sectional study was performed.
Methods: Twelve-lead ECGs collected between 2012 and 2015 as part of an annual routine examination for a team of professional elite cyclists were analysed, and findings classified as normal, borderline or abnormal according to the 2017 recommendations. Information on exercise capacity testing was also collected.
Results: A total of 43 professional cyclists, all Caucasian males ranging between 21 and 38years of age, were included. Given most were followed up for multiple years, a total of 103 ECGs were collected. Normal variations were found in 43 (100%) athletes; borderline findings in 4 (9.3%), and 2 (4.7%) athletes had abnormal findings. No pathology was identified on further investigation of the four cyclists with two concurrent borderline or any abnormal ECG findings, reflecting a false positive rate of 9.3%.
Conclusions: In this team of professional cyclists, the prevalence of abnormal ECG findings requiring further investigation, and the false positive rate were low, despite a very high prevalence of normal variations expected in athletes. This may be as a result of heightened specificity of the new international recommendations for ECG interpretation in athletes.
(Copyright © 2018 Sports Medicine Australia. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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