Using the 12-Lead Electrocardiogram in the Care of Athletic Patients.
This article summarizes the role of the 12-lead electrocardiogram (ECG) for the clinical care of athletes, with particular reference to the influence of age, gender, ethnicity, and type of sport on the appearance of the ECG, and its role in differentiating physiologic exercise-related changes from pathologic conditions implicated in sudden cardiac death (SCD). The article also explores the potential role of the ECG in detecting athletes at risk of SCD. In addition, the article reviews the evolution of ECG interpretation criteria and emphasizes the limitations of the ECG as well as the potential for future research.
Cardiac Department, National University Heart Centre, 1E Kent Ridge Road, Singapore 678267, Singapore.
Tee Joo
TJ
Yeo
Cardiovascular & Cell Sciences Research Institute, St George's University of London, St George's University NHS Foundation Trust, Cranmer Terrace, London SW17 0RE, UK. Electronic address: ssharma21@hotmail.com.
Sanjay
S
Sharma
D056352:Athletes; D002318:Cardiovascular Diseases / Q000175:diagnosis* / Q000453:epidemiology; D016757:Death, Sudden, Cardiac; D004562:Electrocardiography / Q000379:methods*; D014943:Global Health; D006801:Humans; D015994:Incidence; D008403:Mass Screening / Q000379:methods*; D018570:Risk Assessment; D012307:Risk Factors
Electrocardiogram interpretation; Inherited cardiac disease; Preparticipation screening; Sports cardiology; Sudden cardiac death