Electrocardiographic interpretation in athletes: the 'Seattle Criteria'

被引:389
作者
Drezner, Jonathan A. [1 ]
Ackerman, Michael John [2 ,3 ,4 ,5 ]
Anderson, Jeffrey [6 ]
Ashley, Euan [7 ]
Asplund, Chad A. [8 ]
Baggish, Aaron L. [9 ]
Borjesson, Mats [10 ]
Cannon, Bryan C. [11 ]
Corrado, Domenico [12 ]
DiFiori, John P. [13 ]
Fischbach, Peter [14 ]
Froelicher, Victor [7 ]
Harmon, Kimberly G. [1 ]
Heidbuchel, Hein [15 ]
Marek, Joseph [16 ]
Owens, David S. [17 ]
Paul, Stephen [18 ]
Pelliccia, Antonio [19 ]
Prutkin, Jordan M. [17 ]
Salerno, Jack C. [20 ]
Schmied, Christian M. [21 ]
Sharma, Sanjay [22 ]
Stein, Ricardo [23 ]
Vetter, Victoria L. [24 ]
Wilson, Mathew G. [25 ]
机构
[1] Univ Washington, Dept Family Med, Seattle, WA 98195 USA
[2] Mayo Clin, Dept Med, Div Cardiovasc Dis, Rochester, MN USA
[3] Mayo Clin, Dept Pediat, Div Cardiovasc Dis, Rochester, MN USA
[4] Mayo Clin, Dept Mol Pharmacol & Expt Therapeut, Div Cardiovasc Dis, Rochester, MN USA
[5] Mayo Clin, Div Pediat Cardiol, Rochester, MN USA
[6] Univ Connecticut, Dept Athlet, Storrs, CT USA
[7] Stanford Univ, Sch Med, Div Cardiovasc Med, Palo Alto, CA 94304 USA
[8] Eisenhower Army Med Ctr, Dept Family Med, Ft Gordon, GA USA
[9] Massachusetts Gen Hosp, Div Cardiol, Boston, MA 02114 USA
[10] Karolinska Univ Hosp, Swedish Sch Sports & Hlth Sci, Dept Cardiol, Stockholm, Sweden
[11] Mayo Clin, Div Cardiovasc Dis, Rochester, MN USA
[12] Univ Padua, Dept Cardiac Thorac & Vasc Sci, Padua, Italy
[13] Univ Calif Los Angeles, Dept Family Med, Div Sports Med, Los Angeles, CA USA
[14] Emory Univ, Sch Med, Dept Pediat, Childrens Healthcare Atlanta, Atlanta, GA USA
[15] Univ Louvain, Dept Cardiovasc Sci, Louvain, Belgium
[16] Midwest Heart Fdn, Oak Brook Terrace, IL USA
[17] Univ Washington, Div Cardiol, Seattle, WA 98195 USA
[18] Univ Arizona, Dept Family & Community Med, Tucson, AZ USA
[19] Inst Sport Med & Sci, Dept Med, Rome, Italy
[20] Seattle Childrens Hosp, Div Cardiol, Seattle, WA USA
[21] Univ Zurich Hosp, Ctr Cardiovasc, Div Cardiol, CH-8091 Zurich, Switzerland
[22] St Georges Univ London, Dept Cardivasc Sci, London, England
[23] Hosp Clin Porto Alegre, Dept Cardiol, Porto Alegre, RS, Brazil
[24] Childrens Hosp Philadelphia, Div Cardiol, Philadelphia, PA 19104 USA
[25] Qatar Orthoped & Sports Med Hosp, ASPETAR, Dept Sports Med, Doha, Qatar
关键词
ECG INTERPRETATION; ACCURACY;
D O I
10.1136/bjsports-2012-092067
中图分类号
G8 [体育];
学科分类号
04 ; 0403 ;
摘要
Sudden cardiac death (SCD) is the leading cause of death in athletes during sport. Whether obtained for screening or diagnostic purposes, an ECG increases the ability to detect underlying cardiovascular conditions that may increase the risk for SCD. In most countries, there is a shortage of physician expertise in the interpretation of an athlete's ECG. A critical need exists for physician education in modern ECG interpretation that distinguishes normal physiological adaptations in athletes from abnormal findings suggestive of pathology. On 13-14 February 2012, an international group of experts in sports cardiology and sports medicine convened in Seattle, Washington, to define contemporary standards for ECG interpretation in athletes. The objective of the meeting was to develop a comprehensive training resource to help physicians distinguish normal ECG alterations in athletes from abnormal ECG findings that require additional evaluation for conditions associated with SCD.
引用
收藏
页码:122 / 124
页数:3
相关论文
共 11 条
[1]   12-lead ECG in the athlete: physiological versus pathological abnormalities [J].
Corrado, D. ;
Biffi, A. ;
Basso, C. ;
Pelliccia, A. ;
Thiene, G. .
BRITISH JOURNAL OF SPORTS MEDICINE, 2009, 43 (09) :669-676
[2]   Recommendations for interpretation of 12-lead electrocardiogram in the athlete [J].
Corrado, Domenico ;
Pelliccia, Antonio ;
Heidbuchel, Hein ;
Sharma, Sanjay ;
Link, Mark ;
Basso, Cristina ;
Biffi, Alessandro ;
Buja, Gianfranco ;
Delise, Pietro ;
Gussac, Ihor ;
Anastasakis, Aris ;
Borjesson, Mats ;
Bjornstad, Hans Halvor ;
Carre, Francois ;
Deligiannis, Asterios ;
Dugmore, Dorian ;
Fagard, Robert ;
Hoogsteen, Jan ;
Mellwig, Klaus P. ;
Panhuyzen-Goedkoop, Nicole ;
Solberg, Erik ;
Vanhees, Luc ;
Drezner, Jonathan ;
Estes, N. A. Mark, III ;
Iliceto, Sabino ;
Maron, Barry J. ;
Peidro, Roberto ;
Schwartz, Peter J. ;
Stein, Ricardo ;
Thiene, Gaetano ;
Zeppilli, Paolo ;
McKenna, William J. .
EUROPEAN HEART JOURNAL, 2010, 31 (02) :243-259
[3]  
DREZNER JA, 2012, BRIT J SPORT MED, V46, P335, DOI [DOI 10.1136/bjsports-2012-090612, DOI 10.1136/BJSPORTS-2012-090612]
[4]  
Drezner JA, 2013, BR J SPORTS MED, V47
[5]   Standardised criteria for ECG interpretation in athletes: a practical tool [J].
Drezner, Jonathan A. .
BRITISH JOURNAL OF SPORTS MEDICINE, 2012, 46 :6-8
[6]   Incidence of Sudden Cardiac Death in National Collegiate Athletic Association Athletes [J].
Harmon, Kimberly G. ;
Asif, Irfan M. ;
Klossner, David ;
Drezner, Jonathan A. .
CIRCULATION, 2011, 123 (15) :1594-1600
[7]   Accuracy of Interpretation of Preparticipation Screening Electrocardiograms [J].
Hill, Allison C. ;
Miyake, Christina Y. ;
Grady, Stafford ;
Dubin, Anne M. .
JOURNAL OF PEDIATRICS, 2011, 159 (05) :783-788
[8]   Feasibility and findings of large-scale electrocardiographic screening in young adults: Data from 32,561 subjects [J].
Marek, Joseph ;
Bufalino, Vince ;
Davis, Johneen ;
Marek, Kathleen ;
Gami, Apoor ;
Stephan, William ;
Zimmerman, Frank .
HEART RHYTHM, 2011, 8 (10) :1555-1559
[9]   Sudden Deaths in Young Competitive Athletes Analysis of 1866 Deaths in the United States, 1980-2006 [J].
Maron, Barry J. ;
Doerer, Joseph J. ;
Haas, Tammy S. ;
Tierney, David M. ;
Mueller, Frederick O. .
CIRCULATION, 2009, 119 (08) :1085-1092
[10]   Interpretation of the Electrocardiogram of Young Athletes [J].
Uberoi, Abhimanyu ;
Stein, Ricardo ;
Perez, Marco V. ;
Freeman, James ;
Wheeler, Matthew ;
Dewey, Frederick ;
Peidro, Roberto ;
Hadley, David ;
Drezner, Jonathan ;
Sharma, Sanjay ;
Pelliccia, Antonio ;
Corrado, Domenico ;
Niebauer, Josef ;
Estes, Mark, III ;
Ashley, Euan ;
Froelicher, Victor .
CIRCULATION, 2011, 124 (06) :746-757