ECG criteria for the detection of high-risk cardiovascular conditions in master athletes

N.M. Panhuyzen-Goedkoop*, H.J. Wellens, A.L.M. Verbeek, H.T. Jorstad, J.R.L.M. Smeets, R.J.G. Peters

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

11 Citations (Web of Science)

Abstract

Objective Structured electrocardiography (ECG) analysis is used to screen athletes for high-risk cardiovascular conditions (HRCC) to prevent sudden cardiac death. ECG criteria have been specified and recommended for use in young athletes <= 35 years. However, it is unclear whether these ECG criteria can also be applied to master athletes >35 yearsAim The purpose of this study was to test whether the existing ECG criteria for detecting HRCC in young athletes can be applied to master athletes.Methods We conducted a cross-sectional study among athletes >35 years screened for HRCC between 2006 and 2010. We performed a blinded retrospective analysis of master athletes' ECGs, separately applying European Society of Cardiology (ESC)-2005, Seattle, and International criteria. HRCC were defined using recommendations from the international cardiac societies American Heart Association and American College of Cardiology, and ESC, based on ECG screening and cardiovascular evaluation (CVE).Results We included 2578 master athletes in the study, of whom 494 had initial screening abnormalities mandating CVE. Atrial enlargement (109, 4.1%) and left ventricular hypertrophy (98, 3.8%) were the most common ECG abnormalities found using the ESC-2005 or Seattle criteria. Applying the International criteria, ST-segment deviation (66, 2.6%), and T-wave inversion (58, 2.2%) were most frequent. The ESC-2005 criteria detected more HRCC (46, 1.8%) compared with the Seattle (36, 1.4%) and International criteria (33, 1.3%). The most frequently detected HRCC was coronary artery disease (24, 0.9%).Conclusion ECG criteria recommended for use in young athletes can be applied to master athletes' ECGs to detect HRCC. The ESC-2005 criteria had the highest sensitivity for detecting HRCC among master athletes.
Original languageEnglish
Article number2047487319901060
Pages (from-to)1529-1538
Number of pages10
JournalEuropean Journal of Preventive Cardiology
Volume27
Issue number14
DOIs
Publication statusPublished - 1 Sep 2020

Keywords

  • ECG
  • prevention
  • screening
  • sudden cardiac death
  • athlete
  • ABNORMAL ELECTROCARDIOGRAPHIC FINDINGS
  • AMERICAN-HEART-ASSOCIATION
  • DISQUALIFICATION RECOMMENDATIONS
  • CORONARY ATHEROSCLEROSIS
  • CARDIAC REHABILITATION
  • SCIENTIFIC STATEMENT
  • PERICARDIAL DISEASES
  • EXERCISE PHYSIOLOGY
  • EUROPEAN-SOCIETY
  • WORKING GROUP

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