Normal electrocardiographic findings: recognising physiological adaptations in athletes

被引:110
作者
Drezner, Jonathan A. [1 ]
Fischbach, Peter [1 ,2 ]
Froelicher, Victor [3 ]
Marek, Joseph [4 ]
Pelliccia, Antonio [5 ]
Prutkin, Jordan M. [6 ]
Schmied, Christian M. [7 ]
Sharma, Sanjay [8 ]
Wilson, Mathew G. [9 ]
Ackerman, Michael John [10 ,11 ,12 ,13 ]
Anderson, Jeffrey [14 ]
Ashley, Euan [3 ]
Asplund, Chad A. [15 ]
Baggish, Aaron L. [16 ]
Borjesson, Mats [17 ]
Cannon, Bryan C. [18 ]
Corrado, Domenico [19 ]
DiFiori, John P. [20 ]
Harmon, Kimberly G. [1 ]
Heidbuchel, Hein [21 ]
Owens, David S. [6 ]
Paul, Stephen [22 ]
Salerno, Jack C. [23 ]
Stein, Ricardo [24 ]
Vetter, Victoria L. [25 ]
机构
[1] Univ Washington, Dept Family Med, Seattle, WA 98195 USA
[2] Emory Univ, Sch Med, Dept Pediat, Childrens Healthcare Atlanta, Atlanta, GA USA
[3] Stanford Univ, Sch Med, Div Cardiovasc Med, Palo Alto, CA 94304 USA
[4] Midwest Heart Fdn, Oak Brook Terrace, IL USA
[5] Inst Sport Med & Sci, Dept Med, Rome, Italy
[6] Univ Washington, Div Cardiol, Seattle, WA 98195 USA
[7] Univ Zurich Hosp, Div Cardiol, CH-8091 Zurich, Switzerland
[8] St Georges Univ London, Dept Cardivasc Sci, London, England
[9] Qatar Orthoped & Sports Med Hosp, ASPETAR, Dept Sports Med, Doha, Qatar
[10] Mayo Clin, Dept Med, Div Cardiovasc Dis, Rochester, MN USA
[11] Mayo Clin, Dept Med, Dept Pediat Cardiol, Rochester, MN USA
[12] Mayo Clin, Dept Pediat, Rochester, MN USA
[13] Mayo Clin, Dept Mol Pharmacol & Expt Therapeut, Rochester, MN USA
[14] Univ Connecticut, Dept Athlet, Storrs, CT USA
[15] Eisenhower Army Med Ctr, Dept Family Med, Ft Gordon, GA USA
[16] Massachusetts Gen Hosp, Div Cardiol, Boston, MA 02114 USA
[17] Karolinska Univ Hosp, Swedish Sch Sports & Hlth Sci, Dept Cardiol, Stockholm, Sweden
[18] Mayo Clin, Div Cardiovasc Dis, Rochester, MN USA
[19] Univ Padua, Dept Cardiac Thorac & Vasc Sci, Padua, Italy
[20] Univ Calif Los Angeles, Div Sports Med, Los Angeles, CA USA
[21] Univ Louvain, Dept Cardiovasc Sci, Louvain, Belgium
[22] Univ Arizona, Dept Family & Community Med, Tucson, AZ USA
[23] Seattle Childrens Hosp, Div Cardiol, Seattle, WA USA
[24] Hosp Clin Porto Alegre, Dept Cardiol, Porto Alegre, RS, Brazil
[25] Childrens Hosp Philadelphia, Div Cardiol, Philadelphia, PA 19104 USA
关键词
EARLY REPOLARIZATION PATTERN; ECG; PREVALENCE; CRITERIA; HEART; HYPERTROPHY; CONDUCTION; CARDIOLOGY; DIAGNOSIS; EXERCISE;
D O I
10.1136/bjsports-2012-092068
中图分类号
G8 [体育];
学科分类号
04 ; 0403 ;
摘要
Electrocardiographic changes in athletes are common and usually reflect benign structural and electrical remodelling of the heart as a physiological adaptation to regular and sustained physical training (athlete's heart). The ability to identify an abnormality on the 12-lead ECG, suggestive of underlying cardiac disease associated with sudden cardiac death (SCD), is based on a sound working knowledge of the normal ECG characteristics within the athletic population. This document will assist physicians in identifying normal ECG patterns commonly found in athletes. The ECG findings presented as normal in athletes were established by an international consensus panel of experts in sports cardiology and sports medicine.
引用
收藏
页码:125 / +
页数:13
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