International criteria for electrocardiographic interpretation in athletes: consensus statement
International criteria for electrocardiographic interpretation in athletes: consensus statement
复制标题
DOI：
10.1136/bjsports-2016-097331
复制
发表时间：
2017-05-01
影响因子：
18.4
通讯作者：
Corrado, Domenico
中科院分区：
文献类型：
--
作者：
Drezner, Jonathan A.;Sharma, Sanjay;Corrado, Domenico
心源性猝死（SCD）是运动员在运动中死亡的主要原因。年轻运动员的SCD与多种遗传性、结构性或电性心脏疾病相关，其中大多数可以通过静息12导联心电图（ECG）异常来识别或提示。无论是用于诊断还是筛查，负责运动员心血管护理的医生都应该对运动员的心电图解释有一定的了解和能力。然而，在大多数国家，医生专业知识的短缺限制了心电图在运动员护理中的广泛应用。在现代心电图解释中，迫切需要对医生进行教育，以区分运动员正常的生理适应和暗示潜在病理的明显异常发现。自2010年欧洲心脏病学会（European Society of Cardiology）最初提出运动员心电图解释建议以来，心电图标准发展迅速，越来越多的科学数据和调查推动了心电图标准的发展，这些数据和调查都检查了拟议的标准集，并建立了新的证据来指导改进。2015年2月26日至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美国华盛顿州西雅图召开会议，以更新运动员心电图解释的当代标准。会议的目的是根据新的和新兴的研究来定义和修订ECG解释标准，并制定一个明确的指导，以正确评估运动员的ECG异常。该声明代表了运动员心电图解释的国际共识，并提供了基于专家意见的建议，将特定的ECG异常与SCD相关条件的二次评估联系起来。
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, advanced by a growing body of scientific data and investigations that both examine proposed criteria sets and establish new evidence to guide refinements. On 26-27 February 2015, an international group of experts in sports cardiology, inherited cardiac disease, and sports medicine convened in Seattle, Washington (USA), 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.