Victor Froelicher, Mustafa Husaini, Jason V Tso, Samuel Montalvo, Jeffrey Christle, Marco V Perez, David Hadley, Matthew Wheeler, Ricardo Stein, Victoria Vetter, Jeffrey J Hsu, Irfan M Asif, Kristofer Hedman, Anna Carlén, Kegan Moneghetti, Euan Ashley
{"title":"Proposed enhanced recommendations for interpretation of electrocardiographic screening of athletes.","authors":"Victor Froelicher, Mustafa Husaini, Jason V Tso, Samuel Montalvo, Jeffrey Christle, Marco V Perez, David Hadley, Matthew Wheeler, Ricardo Stein, Victoria Vetter, Jeffrey J Hsu, Irfan M Asif, Kristofer Hedman, Anna Carlén, Kegan Moneghetti, Euan Ashley","doi":"10.1016/j.pcad.2025.03.003","DOIUrl":null,"url":null,"abstract":"<p><p>While there is ongoing debate about the role of the 12‑lead Electrocardiogram (ECG) in the routine screening of young athletes during pre-participation evaluations, studies continue to support the use of ECG within properly organized settings. This paper aims to offer considerations for enhancing the International ECG recommendations for the interpretation of the ECGs of young athletes through an emphasis on 1) percentile outliers, 2) computerized ECG technology and 3) clarification of terminology. We specifically highlight criteria for early repolarization, left atrial abnormality, right bundle branch block, ST shifts, and high and low voltage QRS.</p>","PeriodicalId":94178,"journal":{"name":"Progress in cardiovascular diseases","volume":" ","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Progress in cardiovascular diseases","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1016/j.pcad.2025.03.003","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
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Abstract
While there is ongoing debate about the role of the 12‑lead Electrocardiogram (ECG) in the routine screening of young athletes during pre-participation evaluations, studies continue to support the use of ECG within properly organized settings. This paper aims to offer considerations for enhancing the International ECG recommendations for the interpretation of the ECGs of young athletes through an emphasis on 1) percentile outliers, 2) computerized ECG technology and 3) clarification of terminology. We specifically highlight criteria for early repolarization, left atrial abnormality, right bundle branch block, ST shifts, and high and low voltage QRS.
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