International Recommendations for Electrocardiographic Interpretation in Athletes
International Recommendations for Electrocardiographic Interpretation in Athletes
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DOI：
10.1016/j.jacc.2017.01.015
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发表时间：
2017-02-28
影响因子：
24
通讯作者：
Corrado, Domenico
中科院分区：
文献类型：
--
作者：
Sharma, Sanjay;Drezner, Jonathan A.;Corrado, Domenico
心源性猝死（SCD）是运动员死亡的主要原因。在年轻运动员中，各种主要遗传性、结构性或心电图心脏疾病与SCD相关，其中大多数可以通过静息12导联心电图（ECG）上的异常来识别或提示。无论是用于诊断还是筛查目的，负责运动员心血管护理的医生都应具备运动员心电图解读方面的知识和能力。然而，在大多数国家，医生专业知识的短缺限制了ECG在运动员护理中的广泛应用。一个关键的需要存在于现代心电图解释，区分运动员的正常生理适应明显异常的结果提示潜在的病理医生教育。自2010年欧洲心脏病学会最初提出运动员心电图判读建议以来，心电图标准在过去十年中迅速发展;在越来越多的科学数据的推动下，这两项测试都提出了标准集，并建立了新的证据来指导改进。2015年2月26 - 27日，一个由运动心脏病学、遗传性心脏病和运动医学专家组成的国际小组在华盛顿的西雅图召开会议，更新运动员心电图判读的当代标准。会议的目的是根据新的和新兴的研究来定义和修订心电图解释标准，并制定一个明确的指南，以正确评估运动员的心电图异常。本声明代表了运动员ECG判读的国际共识，并提供了基于专家意见的建议，将特定ECG异常与SCD相关疾病的二次评价联系起来。(C)2017作者由爱思唯尔公司出版代表美国心脏病学会基金会。All rights reserved.
Sudden cardiac death (SCD) is the leading cause of mortality in athletes during sport. A variety of mostly hereditary, structural, or electrical cardiac disorders are associated with SCD in young athletes, the majority of which can be identified or suggested by abnormalities on a resting 12-lead electrocardiogram (ECG). Whether used for diagnostic or screening purposes, physicians responsible for the cardiovascular care of athletes should be knowledgeable and competent in ECG interpretation in athletes. However, in most countries a shortage of physician expertise limits wider application of the ECG in the care of the athlete. A critical need exists for physician education in modern ECG interpretation that distinguishes normal physiological adaptations in athletes from distinctly abnormal findings suggestive of underlying pathology. Since the original 2010 European Society of Cardiology recommendations for ECG interpretation in athletes, ECG standards have evolved quickly over the last decade; pushed by a growing body of scientific data that both tests proposed criteria sets and establishes new evidence to guide refinements. On February 26-27, 2015, an international group of experts in sports cardiology, inherited cardiac disease, and sports medicine convened in Seattle, Washington, to update contemporary standards for ECG interpretation in athletes. The objective of the meeting was to define and revise ECG interpretation standards based on new and emerging research and to develop a clear guide to the proper evaluation of ECG abnormalities in athletes. This statement represents an international consensus for ECG interpretation in athletes and provides expert opinion-based recommendations linking specific ECG abnormalities and the secondary evaluation for conditions associated with SCD. (C) 2017 The Authors. Published by Elsevier Inc. on behalf of American College of Cardiology Foundation. All rights reserved.