Impact of early sports specialisation on paediatric ECG

Albiński, Maciej; Saubade, Mathieu; Benaïm, Charles; Menafoglio, Andrea; Meyer, Philippe; Capelli, Bruno; Perrin, Tilman; Trachsel, Lukas; Hagemeyer, Daniel; Casagrande, Damien; Wilhelm, Matthias; Pirrello, Tony; Albrecht, Silvia; Schmied, Christian; Mivelaz, Yvan; Tercier, Stéphane; Baggish, Aaron L.; Gabus, Vincent

doi:10.1111/sms.13942

Cited by 2 publications

(1 citation statement)

References 36 publications

(76 reference statements)

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“…The link between training and ERp has not yet been clarified. Some studies showed a correlation between high load sports and ERp for pediatric populations, 33 while others showed no difference in the ERp prevalence in children before and after endurance training. 13 It is possible that this pattern in adolescent athletes is influenced more by age and sexual maturation than by training, as already seen in other repolarization abnormalities.…”

Section: Discussionmentioning

confidence: 99%

Early repolarization in adolescent athletes: A gender comparison of ECG and echocardiographic characteristics

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Baioccato

Adami

et al. 2022

Scandinavian Med Sci Sports

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Background The early repolarization pattern (ERp) is an electrocardiographic finding previously associated with arrhythmic risk in adults. The purpose of this study is to evaluate the prevalence and characteristics of ERp in a group of adolescent athletes according to gender. Furthermore, potential associations with clinical, electrocardiographic, and echocardiographic parameters are explored. Methods In this cross‐sectional study young athletes (age < 18 years) were consecutively enrolled during the annual pre‐participation evaluation, undergoing also transthoracic echocardiography assessment from January 2015 to March 2020. Results The prevalence of ERp was 27% in the whole population. Athletes with ERp were more frequently men practicing endurance sports. Women with ERp showed lower heart rate at rest, greater posterior, and relative ventricular wall thickness than those without ERp. Men with ERp presented higher systolic blood pressure at peak exercise, greater septal wall thickness, and indexed left ventricular mass than those without ERp. Both genders with ERp showed increased QRS voltage and narrower QRS duration. The ERp phenotype in men was more frequently notched with higher amplitude and ascending ST segment. Women's ERp presented more frequently a slurred morphology, especially in the inferior leads, and horizontal ST slope. No differences emerged in the occurrence of arrhythmias at rest and during maximal exercise test between groups, even considering higher risk phenotypes. Conclusions ERp is an ECG finding compatible with normal cardiac adaptations to training in young athletes. ERp demonstrated gender differences regarding phenotypes previously associated with increased cardiovascular risk, not showing any differences in arrhythmias during maximal exercise test.

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Section: Discussionmentioning

confidence: 99%

Early repolarization in adolescent athletes: A gender comparison of ECG and echocardiographic characteristics

Vecchiato

Baioccato

Adami

et al. 2022

Scandinavian Med Sci Sports

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Paediatric and adolescent athletes in Switzerland: age-adapted proposals for pre-participation cardiovascular evaluation

Albiński¹,

Balmer²,

Wilhelm³

et al. 2022

Swiss Med Wkly

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High-level sports competition is popular among Swiss youth. Even though preparticipation evaluation for competitive athletes is widespread, screening strategies for diseases responsible for sudden death during sport are highly variable. Hence, we sought to develop age-specific preparticipation cardiovascular evaluation (PPCE) proposals for Swiss paediatric and adolescent athletes (under 18 years of age). We recommend that all athletes practising in a squad with a training load of at least 6 hours per week should undergo PPCE based on medical history and physical examination from the age of 12 years on. Prior to 12 years, individual judgement of athletic performance is required. We suggest the inclusion of a standard 12-lead electrocardiogram (ECG) evaluation for all post-pubertal athletes (or older than 15 years) with analysis in accordance with the International Criteria for ECG Interpretation in Athletes. Echocardiography should not be a first-line screening tool but rather serve for the investigation of abnormalities detected by the above strategies. We recommend regular follow-up examinations, even for those having normal history, physical examination and ECG findings. Athletes with an abnormal history (including family history), physical examination and/or ECG should be further investigated and pathological findings discussed with a paediatric cardiologist. Importantly, the recommendations provided in this document are not intended for use among patients with congenital heart disease who require individualised care according to current guidelines.

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Impact of early sports specialisation on paediatric ECG

Cited by 2 publications

References 36 publications

Early repolarization in adolescent athletes: A gender comparison of ECG and echocardiographic characteristics

Early repolarization in adolescent athletes: A gender comparison of ECG and echocardiographic characteristics

Paediatric and adolescent athletes in Switzerland: age-adapted proposals for pre-participation cardiovascular evaluation

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