Abnormal electrocardiographic findings in athletes: recognising changes suggestive of cardiomyopathy

被引：82

作者：

Drezner, Jonathan A. ^{[1
]}

Ashley, Euan ^{[2
]}

Baggish, Aaron L. ^{[3
]}

Borjesson, Mats ^{[4
]}

Corrado, Domenico ^{[5
]}

Owens, David S. ^{[6
]}

Patel, Akash ^{[7
]}

Pelliccia, Antonio ^{[8
]}

Vetter, Victoria L. ^{[7
]}

Ackerman, Michael J. ^{[9
,10
,11
,12
,13
]}

Anderson, Jeff ^{[14
]}

Asplund, Chad A. ^{[15
]}

Cannon, Bryan C. ^{[12
]}

DiFiori, John ^{[16
]}

Fischbach, Peter ^{[17
]}

Froelicher, Victor ^{[2
]}

Harmon, Kimberly G. ^{[1
]}

Heidbuchel, Hein ^{[18
]}

Marek, Joseph ^{[19
]}

Paul, Stephen ^{[20
]}

Prutkin, Jordan M. ^{[6
]}

Salerno, Jack C. ^{[21
]}

Schmied, Christian M. ^{[22
]}

Sharma, Sanjay ^{[23
]}

Stein, Ricardo ^{[24
]}

Wilson, Mathew ^{[25
]}

机构：

[1] Univ Washington, Dept Family Med, Seattle, WA 98195 USA

[2] Stanford Univ, Sch Med, Div Cardiovasc Med, Palo Alto, CA 94304 USA

[3] Massachusetts Gen Hosp, Div Cardiol, Boston, MA 02114 USA

[4] Karolinska Univ Hosp, Swedish Sch Sports & Hlth Sci, Dept Cardiol, Stockholm, Sweden

[5] Univ Padua, Dept Cardiac Thorac & Vasc Sci, Padua, Italy

[6] Univ Washington, Div Cardiol, Seattle, WA 98195 USA

[7] Childrens Hosp Philadelphia, Div Cardiol, Philadelphia, PA 19104 USA

[8] Inst Sport Med & Sci, Dept Med, Rome, Italy

[9] Mayo Clin, Dept Med, Rochester, MN USA

[10] Mayo Clin, Dept Pediat, Rochester, MN USA

[11] Mayo Clin, Dept Mol Pharmacol & Expt Therapeut, Rochester, MN USA

[12] Mayo Clin, Div Cardiovasc Dis, Rochester, MN USA

[13] Mayo Clin, Div Pediat Cardiol, Rochester, MN USA

[14] Univ Connecticut, Dept Athlet, Storrs, CT USA

[15] Eisenhower Army Med Ctr, Dept Family Med, Ft Gordon, GA USA

[16] Univ Calif Los Angeles, Div Sports Med, Los Angeles, CA USA

[17] Emory Univ, Sch Med, Dept Pediat, Childrens Healthcare Atlanta, Atlanta, GA USA

[18] Univ Louvain, Dept Cardiovasc Sci, Louvain, Belgium

[19] Midwest Heart Fdn, Oak Brook Terrace, IL USA

[20] Univ Arizona, Dept Family & Community Med, Tucson, AZ USA

[21] Seattle Childrens Hosp, Div Cardiol, Seattle, WA USA

[22] Univ Zurich Hosp, Div Cardiol, CH-8091 Zurich, Switzerland

[23] St Georges Univ London, Dept Cardiovasc Sci, London, England

[24] Hosp Clin Porto Alegre, Dept Cardiol, Porto Alegre, RS, Brazil

[25] Qatar Orthoped & Sports Med Hosp, ASPETAR, Dept Sports Med, Doha, Qatar

来源：

BRITISH JOURNAL OF SPORTS MEDICINE | 2013年 / 47卷 / 03期

关键词：

VENTRICULAR SYSTOLIC DYSFUNCTION; BUNDLE-BRANCH BLOCK; DISTINGUISHING HYPERTROPHIC CARDIOMYOPATHY; PRIMARY PULMONARY-HYPERTENSION; ST-SEGMENT ELEVATION; SUDDEN-DEATH; DILATED CARDIOMYOPATHY; CLINICAL-SIGNIFICANCE; NON-COMPACTION; YOUNG-ADULTS;

D O I：

10.1136/bjsports-2012-092069

中图分类号：

G8 [体育];

学科分类号：

04 ; 0403 ;

摘要：

Cardiomyopathies are a heterogeneous group of heart muscle diseases and collectively are the leading cause of sudden cardiac death (SCD) in young athletes. The 12-lead ECG is utilised as both a screening and diagnostic tool for detecting conditions associated with SCD. Fundamental to the appropriate evaluation of athletes undergoing ECG is an understanding of the ECG findings that may indicate the presence of an underlying pathological cardiac disorder. This article describes ECG findings present in cardiomyopathies afflicting young athletes and outlines appropriate steps for further evaluation of these ECG abnormalities. The ECG findings defined as abnormal in athletes were established by an international consensus panel of experts in sports cardiology and sports medicine.

引用

页码：137 / +

页数：18

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