Recommendations for interpretation of 12-lead electrocardiogram in the athlete
Identifieur interne : 000439 ( Main/Exploration ); précédent : 000438; suivant : 000440Recommendations for interpretation of 12-lead electrocardiogram in the athlete
Auteurs : Domenico Corrado [Italie] ; Antonio Pelliccia ; Hein Heidbuchel ; Sanjay Sharma ; Mark Link ; Cristina Basso ; Alessandro Biffi ; Gianfranco Buja [Italie] ; Pietro Delise ; Ihor Gussac ; Aris Anastasakis ; Mats Borjesson ; Hans Halvor Bjrnstad ; Franois Carr ; Asterios Deligiannis ; Dorian Dugmore ; Robert Fagard ; Jan Hoogsteen ; Klaus P. Mellwig ; Nicole Panhuyzen-Goedkoop ; Erik Solberg ; Luc Vanhees ; Jonathan Drezner ; N. A. Mark Estes ; Sabino Iliceto [Italie] ; Barry J. Maron ; Roberto Peidro ; Peter J. Schwartz ; Ricardo Stein ; Gaetano Thiene ; Paolo Zeppilli ; William J. MckennaSource :
- European Heart Journal [ 0195-668X ] ; 2010-01.
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 cardiovascular management of the athlete are briefly addressed.
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DOI: 10.1093/eurheartj/ehp473
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Mellwig</name><affiliation><wicri:noCountry code="syntax">???</wicri:noCountry></affiliation></author><author><name sortKey="Panhuyzen Goedkoop, Nicole" sort="Panhuyzen Goedkoop, Nicole" uniqKey="Panhuyzen Goedkoop N" first="Nicole" last="Panhuyzen-Goedkoop">Nicole Panhuyzen-Goedkoop</name><affiliation><wicri:noCountry code="syntax">???</wicri:noCountry></affiliation></author><author><name sortKey="Solberg, Erik" sort="Solberg, Erik" uniqKey="Solberg E" first="Erik" last="Solberg">Erik Solberg</name><affiliation><wicri:noCountry code="syntax">???</wicri:noCountry></affiliation></author><author><name sortKey="Vanhees, Luc" sort="Vanhees, Luc" uniqKey="Vanhees L" first="Luc" last="Vanhees">Luc Vanhees</name><affiliation><wicri:noCountry code="syntax">???</wicri:noCountry></affiliation></author><author><name sortKey="Drezner, Jonathan" sort="Drezner, Jonathan" uniqKey="Drezner J" first="Jonathan" last="Drezner">Jonathan Drezner</name><affiliation><wicri:noCountry code="syntax">???</wicri:noCountry></affiliation></author><author><name sortKey="Estes, N A Mark" sort="Estes, N A Mark" uniqKey="Estes N" first="N. A. Mark" last="Estes">N. A. Mark Estes</name><affiliation><wicri:noCountry code="syntax">???</wicri:noCountry></affiliation></author><author><name sortKey="Iliceto, Sabino" sort="Iliceto, Sabino" uniqKey="Iliceto S" first="Sabino" last="Iliceto">Sabino Iliceto</name><affiliation wicri:level="1"><country xml:lang="fr">Italie</country><wicri:regionArea>21</wicri:regionArea></affiliation></author><author><name sortKey="Maron, Barry J" sort="Maron, Barry J" uniqKey="Maron B" first="Barry J." last="Maron">Barry J. Maron</name><affiliation><wicri:noCountry code="syntax">???</wicri:noCountry></affiliation></author><author><name sortKey="Peidro, Roberto" sort="Peidro, Roberto" uniqKey="Peidro R" first="Roberto" last="Peidro">Roberto Peidro</name><affiliation><wicri:noCountry code="syntax">???</wicri:noCountry></affiliation></author><author><name sortKey="Schwartz, Peter J" sort="Schwartz, Peter J" uniqKey="Schwartz P" first="Peter J." last="Schwartz">Peter J. Schwartz</name><affiliation><wicri:noCountry code="syntax">???</wicri:noCountry></affiliation></author><author><name sortKey="Stein, Ricardo" sort="Stein, Ricardo" uniqKey="Stein R" first="Ricardo" last="Stein">Ricardo Stein</name><affiliation><wicri:noCountry code="syntax">???</wicri:noCountry></affiliation></author><author><name sortKey="Thiene, Gaetano" sort="Thiene, Gaetano" uniqKey="Thiene G" first="Gaetano" last="Thiene">Gaetano Thiene</name><affiliation><wicri:noCountry code="syntax">???</wicri:noCountry></affiliation></author><author><name sortKey="Zeppilli, Paolo" sort="Zeppilli, Paolo" uniqKey="Zeppilli P" first="Paolo" last="Zeppilli">Paolo Zeppilli</name><affiliation><wicri:noCountry code="syntax">???</wicri:noCountry></affiliation></author><author><name sortKey="Mckenna, William J" sort="Mckenna, William J" uniqKey="Mckenna W" first="William J." last="Mckenna">William J. Mckenna</name><affiliation><wicri:noCountry code="syntax">???</wicri:noCountry></affiliation></author></analytic><monogr></monogr><series><title level="j">European Heart Journal</title><idno type="ISSN">0195-668X</idno><idno type="eISSN">1522-9645</idno><imprint><publisher>Oxford University Press</publisher><date type="published" when="2010-01">2010-01</date><biblScope unit="volume">31</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="243">243</biblScope><biblScope unit="page" to="259">259</biblScope></imprint><idno type="ISSN">0195-668X</idno></series><idno type="istex">2918856D719C27C56D8EF713C7F7CEA569F3B8E0</idno><idno type="DOI">10.1093/eurheartj/ehp473</idno><idno type="ArticleID">ehp473</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0195-668X</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="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 cardiovascular management of the athlete are briefly addressed.</div></front></TEI><affiliations><list><country><li>Italie</li></country></list><tree><noCountry><name sortKey="Anastasakis, Aris" sort="Anastasakis, Aris" uniqKey="Anastasakis A" first="Aris" last="Anastasakis">Aris Anastasakis</name><name sortKey="Basso, Cristina" sort="Basso, Cristina" uniqKey="Basso C" first="Cristina" last="Basso">Cristina Basso</name><name sortKey="Biffi, Alessandro" sort="Biffi, Alessandro" uniqKey="Biffi A" first="Alessandro" last="Biffi">Alessandro Biffi</name><name sortKey="Bjrnstad, Hans Halvor" sort="Bjrnstad, Hans Halvor" uniqKey="Bjrnstad H" first="Hans Halvor" last="Bjrnstad">Hans Halvor Bjrnstad</name><name sortKey="Borjesson, Mats" sort="Borjesson, Mats" uniqKey="Borjesson M" first="Mats" last="Borjesson">Mats Borjesson</name><name sortKey="Carr, Franois" sort="Carr, Franois" uniqKey="Carr F" first="Franois" last="Carr">Franois Carr</name><name sortKey="Deligiannis, Asterios" sort="Deligiannis, Asterios" uniqKey="Deligiannis A" first="Asterios" last="Deligiannis">Asterios Deligiannis</name><name sortKey="Delise, Pietro" sort="Delise, Pietro" uniqKey="Delise P" first="Pietro" last="Delise">Pietro Delise</name><name sortKey="Drezner, Jonathan" sort="Drezner, Jonathan" uniqKey="Drezner J" first="Jonathan" last="Drezner">Jonathan Drezner</name><name sortKey="Dugmore, Dorian" sort="Dugmore, Dorian" uniqKey="Dugmore D" first="Dorian" last="Dugmore">Dorian Dugmore</name><name sortKey="Estes, N A Mark" sort="Estes, N A Mark" uniqKey="Estes N" first="N. A. Mark" last="Estes">N. A. Mark Estes</name><name sortKey="Fagard, Robert" sort="Fagard, Robert" uniqKey="Fagard R" first="Robert" last="Fagard">Robert Fagard</name><name sortKey="Gussac, Ihor" sort="Gussac, Ihor" uniqKey="Gussac I" first="Ihor" last="Gussac">Ihor Gussac</name><name sortKey="Heidbuchel, Hein" sort="Heidbuchel, Hein" uniqKey="Heidbuchel H" first="Hein" last="Heidbuchel">Hein Heidbuchel</name><name sortKey="Hoogsteen, Jan" sort="Hoogsteen, Jan" uniqKey="Hoogsteen J" first="Jan" last="Hoogsteen">Jan Hoogsteen</name><name sortKey="Link, Mark" sort="Link, Mark" uniqKey="Link M" first="Mark" last="Link">Mark Link</name><name sortKey="Maron, Barry J" sort="Maron, Barry J" uniqKey="Maron B" first="Barry J." last="Maron">Barry J. Maron</name><name sortKey="Mckenna, William J" sort="Mckenna, William J" uniqKey="Mckenna W" first="William J." last="Mckenna">William J. Mckenna</name><name sortKey="Mellwig, Klaus P" sort="Mellwig, Klaus P" uniqKey="Mellwig K" first="Klaus P." last="Mellwig">Klaus P. Mellwig</name><name sortKey="Panhuyzen Goedkoop, Nicole" sort="Panhuyzen Goedkoop, Nicole" uniqKey="Panhuyzen Goedkoop N" first="Nicole" last="Panhuyzen-Goedkoop">Nicole Panhuyzen-Goedkoop</name><name sortKey="Peidro, Roberto" sort="Peidro, Roberto" uniqKey="Peidro R" first="Roberto" last="Peidro">Roberto Peidro</name><name sortKey="Pelliccia, Antonio" sort="Pelliccia, Antonio" uniqKey="Pelliccia A" first="Antonio" last="Pelliccia">Antonio Pelliccia</name><name sortKey="Schwartz, Peter J" sort="Schwartz, Peter J" uniqKey="Schwartz P" first="Peter J." last="Schwartz">Peter J. Schwartz</name><name sortKey="Sharma, Sanjay" sort="Sharma, Sanjay" uniqKey="Sharma S" first="Sanjay" last="Sharma">Sanjay Sharma</name><name sortKey="Solberg, Erik" sort="Solberg, Erik" uniqKey="Solberg E" first="Erik" last="Solberg">Erik Solberg</name><name sortKey="Stein, Ricardo" sort="Stein, Ricardo" uniqKey="Stein R" first="Ricardo" last="Stein">Ricardo Stein</name><name sortKey="Thiene, Gaetano" sort="Thiene, Gaetano" uniqKey="Thiene G" first="Gaetano" last="Thiene">Gaetano Thiene</name><name sortKey="Vanhees, Luc" sort="Vanhees, Luc" uniqKey="Vanhees L" first="Luc" last="Vanhees">Luc Vanhees</name><name sortKey="Zeppilli, Paolo" sort="Zeppilli, Paolo" uniqKey="Zeppilli P" first="Paolo" last="Zeppilli">Paolo Zeppilli</name></noCountry><country name="Italie"><noRegion><name sortKey="Corrado, Domenico" sort="Corrado, Domenico" uniqKey="Corrado D" first="Domenico" last="Corrado">Domenico Corrado</name></noRegion><name sortKey="Buja, Gianfranco" sort="Buja, Gianfranco" uniqKey="Buja G" first="Gianfranco" last="Buja">Gianfranco Buja</name><name sortKey="Corrado, Domenico" sort="Corrado, Domenico" uniqKey="Corrado D" first="Domenico" last="Corrado">Domenico Corrado</name><name sortKey="Iliceto, Sabino" sort="Iliceto, Sabino" uniqKey="Iliceto S" first="Sabino" last="Iliceto">Sabino Iliceto</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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