Electrocardiographic abnormalities in elite high school athletes: Comparison to adolescent hypertrophic cardiomyopathy

Alex J. Thompson, Bryan C. Cannon, Philip L. Wackel, Justin M. Horner, Michael John Ackerman, Patrick W. O'Leary, Benjamin W. Eidem, Jonathan N. Johnson

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background: In athletes, ECG changes from physiological cardiac remodelling are common but can overlap with findings from a pathological disorder. We compared ECG findings in a group of elite high school athletes to a cohort of adolescents with hypertrophic cardiomyopathy (HCM). Methods/results: We prospectively performed 15-lead ECGs and echocardiograms in 147 elite high school athletes. Student-athlete ECGs were compared in blinded fashion to ECGs of 148 adolescents with HCM of similar age and ethnicity. Standard ECG hypertrophy criteria and established expert opinion guidelines (European Society of Cardiology, ESC and Seattle criteria) were analysed. All student-athletes had normal echocardiograms. Overall, 77/147 (52%) of student-athletes met standard ECG criteria for ventricular hypertrophy compared to 126/148 (85%) adolescents with HCM (p10% for the HCM cohort. The Seattle criteria demonstrated a significantly lower false-positive rate (1%) than the ESC criteria (24%).

Original languageEnglish (US)
Pages (from-to)105-110
Number of pages6
JournalBritish Journal of Sports Medicine
Volume50
Issue number2
DOIs
StatePublished - Jan 1 2016

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Hypertrophic Cardiomyopathy
Athletes
Electrocardiography
Students
Hypertrophy
Expert Testimony
Guidelines

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

Electrocardiographic abnormalities in elite high school athletes : Comparison to adolescent hypertrophic cardiomyopathy. / Thompson, Alex J.; Cannon, Bryan C.; Wackel, Philip L.; Horner, Justin M.; Ackerman, Michael John; O'Leary, Patrick W.; Eidem, Benjamin W.; Johnson, Jonathan N.

In: British Journal of Sports Medicine, Vol. 50, No. 2, 01.01.2016, p. 105-110.

Research output: Contribution to journalArticle

Thompson, Alex J. ; Cannon, Bryan C. ; Wackel, Philip L. ; Horner, Justin M. ; Ackerman, Michael John ; O'Leary, Patrick W. ; Eidem, Benjamin W. ; Johnson, Jonathan N. / Electrocardiographic abnormalities in elite high school athletes : Comparison to adolescent hypertrophic cardiomyopathy. In: British Journal of Sports Medicine. 2016 ; Vol. 50, No. 2. pp. 105-110.
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