The Impact of ST Elevation on Athletic Screening

Leo, Troy; Uberoi, Abhimanyu; Jain, Nikhil; Garza, Daniel; Chowdhury, Shilpy; Freeman, James V.; Pérez, Marco; Ashley, Euan A.; Froelicher, Victor

doi:10.1097/jsm.0b013e31822cf105

Cited by 14 publications

(9 citation statements)

References 14 publications

(16 reference statements)

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“…Early repolarisation is a common finding in trained athletes and considered a benign ECG pattern in apparently healthy, asymptomatic individuals 24 25. Depending on how it is defined, early repolarisation is reported in up to 35–91% of trained athletes and is more prevalent in young males and black/Africans 12 13 25 26.…”

Section: Normal Ecg Findings In Athletesmentioning

confidence: 99%

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Normal electrocardiographic findings: recognising physiological adaptations in athletes

et al. 2013

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Electrocardiographic changes in athletes are common and usually reflect benign structural and electrical remodelling of the heart as a physiological adaptation to regular and sustained physical training (athlete's heart). The ability to identify an abnormality on the 12-lead ECG, suggestive of underlying cardiac disease associated with sudden cardiac death (SCD), is based on a sound working knowledge of the normal ECG characteristics within the athletic population. This document will assist physicians in identifying normal ECG patterns commonly found in athletes. The ECG findings presented as normal in athletes were established by an international consensus panel of experts in sports cardiology and sports medicine.

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Section: Normal Ecg Findings In Athletesmentioning

confidence: 99%

“…Depending on how it is defined, early repolarisation is reported in up to 35–91% of trained athletes and is more prevalent in young males and black/Africans 12 13 25 26. Early repolarisation is most common in the precordial leads but can be present in any lead 27–29.…”

Section: Normal Ecg Findings In Athletesmentioning

confidence: 99%

Normal electrocardiographic findings: recognising physiological adaptations in athletes

et al. 2013

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“…Of the 51 papers included in analysis, 32 papers discussed Black athletes. Of the included papers, 26 found that there was a significant difference between Black athlete and Caucasian athlete ECGs [ 9 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 ], but six papers concluded there were no significant differences between athletes [ 38 , 39 , 40 , 41 , 42 , 43 ]. Of the 26 papers that reported differences, 19 identified specific differences between groups of athletes, while the other seven papers noted an overall rate of abnormal ECGs noted by various criteria.…”

Section: Resultsmentioning

confidence: 99%

“…Lateral T-wave inversion, leads V5, V6, and I, and aVL were found as more common in five papers, ranging from 0.9% to 6.1% in Black athletes and from 0% to 0.3% in Caucasian athletes [ 15 , 16 , 27 , 28 , 36 ]. ST elevation differences were identified in eight papers, commonly found in the anterior and lateral leads, ranging from 11% to 85% in Black athletes and from 1% to 61% in Caucasian athletes [ 15 , 16 , 17 , 23 , 28 , 30 , 32 , 37 ].…”

Section: Resultsmentioning

confidence: 99%

The Impact of Ethnicity on Athlete ECG Interpretation: A Systematic Review

Davis

Semsarian

Orchard

et al. 2022

JCDD

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Athlete ECG interpretation criteria have been developed and refined from research in athlete populations; however, current guidelines are based on available data primarily from Caucasian and Black athletes. This study aimed to assess the impact of ethnicity on ECG interpretation in athletes. A systematic review was conducted of the MEDLINE, EMBASE, Scopus, SPORTDiscus, and Web of Science databases, for papers that assessed athlete screening ECGs and compared findings on the basis of ethnicity. Fifty-one papers which compared ECGs from various ethnicities were included. Most studies assessed Black athletes against Caucasian athletes and found a greater prevalence of T-wave inversion (TWI) (2.6–22.8% vs. 0–5%) and anterior TWI (3.7–14.3% vs. 0.6–2%). Black athlete subgroups in Africa had TWI (20–40%) and anterior TWI (4.3–18.7%) at a higher prevalence than other Black athletes. Athletes who were defined as mixed-race, Asian, and Pacific Islander are potentially more like Black athletes than Caucasian athletes. Black ethnicity is known to have an impact on the accurate interpretation of athlete ECGs; however, there is nuance related to origin of both parents. Asian and Pacific Islander origin also may impact athlete ECG interpretation. Further research is required to assist in distinguishing abnormal and normal athlete ECGs in different ethnic populations.

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“…229,[232][233][234] The potential significance of this alteration in ECGs to population-based preparticipation screening is unresolved at present.…”

Section: Reliability Of Ecg Diagnostic Criteriamentioning

confidence: 99%

Assessment of the 12-Lead ECG as a Screening Test for Detection of Cardiovascular Disease in Healthy General Populations of Young People (12–25 Years of Age)

Maron¹,

Friedman²,

Kligfield³

et al. 2014

Circulation

245

152

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The Impact of ST Elevation on Athletic Screening

Abstract: Early repolarization is not associated with cardiac death and has patterns that help distinguish it from STE associated with cardiac conditions, such as myocardial ischemia or injury, pericarditis, and the Brugada syndrome.

Cited by 14 publications

References 14 publications

Normal electrocardiographic findings: recognising physiological adaptations in athletes

Normal electrocardiographic findings: recognising physiological adaptations in athletes

The Impact of Ethnicity on Athlete ECG Interpretation: A Systematic Review

Assessment of the 12-Lead ECG as a Screening Test for Detection of Cardiovascular Disease in Healthy General Populations of Young People (12–25 Years of Age)

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