Recommendations for interpretation of 12-lead electrocardiogram in the athlete

Domenico Corrado, Antonio Pelliccia, Hein Heidbuchel, Sanjay Sharma, Mark Link, Cristina Basso, Alessandro Biffi, Gianfranco Buja, Pietro Delise, Ihor Gussac, Aris Anastasakis, Mats Borjesson, Hans Halvor Bjørnstad, François Carrè, Asterios Deligiannis, Dorian Dugmore, Robert Fagard, Jan Hoogsteen, Klaus P. Mellwig, Nicole Panhuyzen-Goedkoop & 12 others Erik Solberg, Luc Vanhees, Jonathan Drezner, N. A.Mark Estes, Sabino Iliceto, Barry J. Maron, Roberto Peidro, Peter J. Schwartz, Ricardo Stein, Gaetano Thiene, Paolo Zeppilli, William J. Mckenna

Research output: Contribution to journalComment/debate

Abstract

Cardiovascular remodelling in the conditioned athlete is frequently associated with physiological ECG changes. Abnormalities, however, may be detected which represent expression of an underlying heart disease that puts the athlete at risk of arrhythmic cardiac arrest during sports. It is mandatory that ECG changes resulting from intensive physical training are distinguished from abnormalities which reflect a potential cardiac pathology. The present article represents the consensus statement of an international panel of cardiologists and sports medical physicians with expertise in the fields of electrocardiography, imaging, inherited cardiovascular disease, cardiovascular pathology, and management of young competitive athletes. The document provides cardiologists and sports medical physicians with a modern approach to correct interpretation of 12-lead ECG in the athlete and emerging understanding of incomplete penetrance of inherited cardiovascular disease. When the ECG of an athlete is examined, the main objective is to distinguish between physiological patterns that should cause no alarm and those that require action and/or additional testing to exclude (or confirm) the suspicion of an underlying cardiovascular condition carrying the risk of sudden death during sports. The aim of the present position paper is to provide a framework for this distinction. For every ECG abnormality, the document focuses on the ensuing clinical work-up required for differential diagnosis and clinical assessment. When appropriate the referral options for risk stratification and ardiovascular management of the athlete are briefly addressed.

Original languageEnglish (US)
Pages (from-to)1505-1506
Number of pages2
JournalRevista Portuguesa de Cardiologia
Volume28
Issue number12
StatePublished - Dec 1 2009

Fingerprint

Athletes
Electrocardiography
Sports
Cardiovascular Diseases
Pathology
Physicians
Penetrance
Sudden Death
Heart Arrest
Lead
Heart Diseases
Differential Diagnosis
Referral and Consultation
Cardiologists

Keywords

  • Athlete's heart
  • Cardiomyopathy
  • Electrocardiogram
  • Ion-channel disease
  • Sudden death
  • Ventricular fibrillation
  • Ventricular tachycardia

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Corrado, D., Pelliccia, A., Heidbuchel, H., Sharma, S., Link, M., Basso, C., ... Mckenna, W. J. (2009). Recommendations for interpretation of 12-lead electrocardiogram in the athlete. Revista Portuguesa de Cardiologia, 28(12), 1505-1506.

Recommendations for interpretation of 12-lead electrocardiogram in the athlete. / Corrado, Domenico; Pelliccia, Antonio; Heidbuchel, Hein; Sharma, Sanjay; Link, Mark; Basso, Cristina; Biffi, Alessandro; Buja, Gianfranco; Delise, Pietro; Gussac, Ihor; Anastasakis, Aris; Borjesson, Mats; Bjørnstad, Hans Halvor; Carrè, François; Deligiannis, Asterios; Dugmore, Dorian; Fagard, Robert; Hoogsteen, Jan; Mellwig, Klaus P.; Panhuyzen-Goedkoop, Nicole; Solberg, Erik; Vanhees, Luc; Drezner, Jonathan; Estes, N. A.Mark; Iliceto, Sabino; Maron, Barry J.; Peidro, Roberto; Schwartz, Peter J.; Stein, Ricardo; Thiene, Gaetano; Zeppilli, Paolo; Mckenna, William J.

In: Revista Portuguesa de Cardiologia, Vol. 28, No. 12, 01.12.2009, p. 1505-1506.

Research output: Contribution to journalComment/debate

Corrado, D, Pelliccia, A, Heidbuchel, H, Sharma, S, Link, M, Basso, C, Biffi, A, Buja, G, Delise, P, Gussac, I, Anastasakis, A, Borjesson, M, Bjørnstad, HH, Carrè, F, Deligiannis, A, Dugmore, D, Fagard, R, Hoogsteen, J, Mellwig, KP, Panhuyzen-Goedkoop, N, Solberg, E, Vanhees, L, Drezner, J, Estes, NAM, Iliceto, S, Maron, BJ, Peidro, R, Schwartz, PJ, Stein, R, Thiene, G, Zeppilli, P & Mckenna, WJ 2009, 'Recommendations for interpretation of 12-lead electrocardiogram in the athlete', Revista Portuguesa de Cardiologia, vol. 28, no. 12, pp. 1505-1506.
Corrado D, Pelliccia A, Heidbuchel H, Sharma S, Link M, Basso C et al. Recommendations for interpretation of 12-lead electrocardiogram in the athlete. Revista Portuguesa de Cardiologia. 2009 Dec 1;28(12):1505-1506.
Corrado, Domenico ; Pelliccia, Antonio ; Heidbuchel, Hein ; Sharma, Sanjay ; Link, Mark ; Basso, Cristina ; Biffi, Alessandro ; Buja, Gianfranco ; Delise, Pietro ; Gussac, Ihor ; Anastasakis, Aris ; Borjesson, Mats ; Bjørnstad, Hans Halvor ; Carrè, François ; Deligiannis, Asterios ; Dugmore, Dorian ; Fagard, Robert ; Hoogsteen, Jan ; Mellwig, Klaus P. ; Panhuyzen-Goedkoop, Nicole ; Solberg, Erik ; Vanhees, Luc ; Drezner, Jonathan ; Estes, N. A.Mark ; Iliceto, Sabino ; Maron, Barry J. ; Peidro, Roberto ; Schwartz, Peter J. ; Stein, Ricardo ; Thiene, Gaetano ; Zeppilli, Paolo ; Mckenna, William J. / Recommendations for interpretation of 12-lead electrocardiogram in the athlete. In: Revista Portuguesa de Cardiologia. 2009 ; Vol. 28, No. 12. pp. 1505-1506.
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AU - Link, Mark

AU - Basso, Cristina

AU - Biffi, Alessandro

AU - Buja, Gianfranco

AU - Delise, Pietro

AU - Gussac, Ihor

AU - Anastasakis, Aris

AU - Borjesson, Mats

AU - Bjørnstad, Hans Halvor

AU - Carrè, François

AU - Deligiannis, Asterios

AU - Dugmore, Dorian

AU - Fagard, Robert

AU - Hoogsteen, Jan

AU - Mellwig, Klaus P.

AU - Panhuyzen-Goedkoop, Nicole

AU - Solberg, Erik

AU - Vanhees, Luc

AU - Drezner, Jonathan

AU - Estes, N. A.Mark

AU - Iliceto, Sabino

AU - Maron, Barry J.

AU - Peidro, Roberto

AU - Schwartz, Peter J.

AU - Stein, Ricardo

AU - Thiene, Gaetano

AU - Zeppilli, Paolo

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