Interpretation of the Electrocardiogram of Young Athletes
| Autor: | Domenico Corrado, N.A. Mark Estes, Euan A. Ashley, Frederick E. Dewey, Matthew T. Wheeler, Roberto Peidro, Sanjay Sharma, Josef Niebauer, Antonio Pelliccia, David Hadley, Victor F. Froelicher, James V. Freeman, Jonathan A. Drezner, Marco V Perez, Abhimanyu Uberoi, Ricardo Stein |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
Male Pathology medicine.medical_specialty Basketball Adolescent Cost effectiveness Heart Ventricles Applied psychology Population Cardiology Psychological intervention Football Diagnosis Differential Electrocardiography Young Adult Reference Values Physiology (medical) medicine Humans Mass Screening Child education Exercise Societies Medical Mass screening Brugada Syndrome education.field_of_study Hypertrophy Right Ventricular biology business.industry Athletes Confounding Factors Epidemiologic Organ Size Middle Aged biology.organism_classification Test (assessment) Europe Long QT Syndrome Death Sudden Cardiac Practice Guidelines as Topic Female Hypertrophy Left Ventricular Cardiology and Cardiovascular Medicine business |
| Zdroj: | Circulation. 124:746-757 |
| ISSN: | 1524-4539 0009-7322 |
| DOI: | 10.1161/circulationaha.110.013078 |
| Popis: | Sudden cardiac death in a young athlete is a tragic and high-profile event. The best way to prevent such deaths is, however, highly debated. The Italian experience informed the European recommendation for the inclusion of a 12-lead ECG in screening tests for all athletes.1,2 Although American authors have acknowledged the possible benefits of such an approach, many have expressed concern over the portability of such a model to the US healthcare system. Concern has focused in particular on the idea of mandatory testing, cost effectiveness, the availability of practitioners qualified to interpret ECGs, and the burden of false-positive results. With professional sports organizations such as the International Olympic Committee, the National Basketball Association, the National Football League, and the Union of European Football Associations endorsing or implementing screening programs for their athletes, with a recent analysis suggesting a degree of cost effectiveness in line with other accepted medical interventions,3 and with the American Heart Association offering a cautious endorsement to the idea of local programs,4 volunteer-led testing programs across the US have begun to emerge. Thus, although no detailed guidance for the interpretation of the athlete's ECG exists, many physicians will be called on to interpret an athlete's ECG. Editorial see p 669 A principal obstacle to such interpretation is the difficulty in distinguishing abnormal patterns from physiological effects of training. Many clinical and ECG findings that may be a cause of concern in the general population are normal for athletes. In addition, the test characteristics of the ECG for different findings vary according to age, sex, ethnicity, sport, and level of training. In particular, different challenges exist for younger athletes because of the evolution of the ECG with age. This is further complicated by historical … |
| Databáze: | OpenAIRE |
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