The athlete’s electrocardiogram

Electrocardiogram (ECG) is being increasingly used as part of cardiovascular preparticipation screening of young competitive athletes (under 35 years of age) since it significantly increases the sensitivity of such screening compared to history and clinical examination alone. It has become part of a...

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Main Authors: Katja Ažman Juvan, Petra Zupet
Format: Article
Language:English
Published: Slovenian Medical Association 2010-09-01
Series:Zdravniški Vestnik
Online Access:http://vestnik.szd.si/index.php/ZdravVest/article/view/289
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author Katja Ažman Juvan
Petra Zupet
author_facet Katja Ažman Juvan
Petra Zupet
author_sort Katja Ažman Juvan
collection DOAJ
description Electrocardiogram (ECG) is being increasingly used as part of cardiovascular preparticipation screening of young competitive athletes (under 35 years of age) since it significantly increases the sensitivity of such screening compared to history and clinical examination alone. It has become part of a common European protocol for cardiovascular preparticipation screening of young competitive athletes. For a proper interpretation of ECG changes, it is crucial to be familiar with ECG abnormalities in cardiovascular diseases causing sudden cardiac death, and with normal variants of athlete’s ECG, originating from their adaptations to intense athletic training. Structural adaptations (increased heart chamber size and mass) often result in isolated voltage criterion for left ventricular hypertrophy and incomplete right bundle branch block, while functional adaptations (mainly heightened parasympathetic tone) result in rhythm disorders (sinus bradycardia, pauses and arrhythmia, wandering atrial pacemaker), conduction abnormalities (atrioventricular block grade I and grade II Mobitz 1) and repolarization abnormalities (early repolarization, T wave changes). The article gives a detailed description of ECG changes in the athlete’s heart and in cardiovascular diseases responsible for most sudden cardiac deaths in young athletes.
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spelling doaj.art-ad7cc8150f8347e6805154abcc5bc1cc2022-12-22T01:14:43ZengSlovenian Medical AssociationZdravniški Vestnik1318-03471581-02242010-09-01799181The athlete’s electrocardiogramKatja Ažman JuvanPetra ZupetElectrocardiogram (ECG) is being increasingly used as part of cardiovascular preparticipation screening of young competitive athletes (under 35 years of age) since it significantly increases the sensitivity of such screening compared to history and clinical examination alone. It has become part of a common European protocol for cardiovascular preparticipation screening of young competitive athletes. For a proper interpretation of ECG changes, it is crucial to be familiar with ECG abnormalities in cardiovascular diseases causing sudden cardiac death, and with normal variants of athlete’s ECG, originating from their adaptations to intense athletic training. Structural adaptations (increased heart chamber size and mass) often result in isolated voltage criterion for left ventricular hypertrophy and incomplete right bundle branch block, while functional adaptations (mainly heightened parasympathetic tone) result in rhythm disorders (sinus bradycardia, pauses and arrhythmia, wandering atrial pacemaker), conduction abnormalities (atrioventricular block grade I and grade II Mobitz 1) and repolarization abnormalities (early repolarization, T wave changes). The article gives a detailed description of ECG changes in the athlete’s heart and in cardiovascular diseases responsible for most sudden cardiac deaths in young athletes.http://vestnik.szd.si/index.php/ZdravVest/article/view/289
spellingShingle Katja Ažman Juvan
Petra Zupet
The athlete’s electrocardiogram
Zdravniški Vestnik
title The athlete’s electrocardiogram
title_full The athlete’s electrocardiogram
title_fullStr The athlete’s electrocardiogram
title_full_unstemmed The athlete’s electrocardiogram
title_short The athlete’s electrocardiogram
title_sort athlete s electrocardiogram
url http://vestnik.szd.si/index.php/ZdravVest/article/view/289
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