Normal electrocardiographic findings: Recognising physiological adaptations in athletes

Jonathan A. Drezner; Peter Fischbach; Victor Froelicher; Joseph Marek; Antonio Pelliccia; Jordan M. Prutkin; Christian M. Schmied; Sanjay Sharma; Mathew G. Wilson; Michael John Ackerman; Jeffrey Anderson; Euan Ashley; Chad A. Asplund; Aaron L. Baggish; Mats Börjesson; Bryan C. Cannon; Domenico Corrado; John P. DiFiori; Kimberly G. Harmon; Hein Heidbuchel; David S. Owens; Stephen Paul; Jack C. Salerno; Ricardo Stein; Victoria L. Vetter

doi:10.1136/bjsports-2012-092068

Normal electrocardiographic findings: Recognising physiological adaptations in athletes

Jonathan A. Drezner, Peter Fischbach, Victor Froelicher, Joseph Marek, Antonio Pelliccia, Jordan M. Prutkin, Christian M. Schmied, Sanjay Sharma, Mathew G. Wilson, Michael John Ackerman, Jeffrey Anderson, Euan Ashley, Chad A. Asplund, Aaron L. Baggish, Mats Börjesson, Bryan C. Cannon, Domenico Corrado, John P. DiFiori, Kimberly G. Harmon, Hein HeidbuchelDavid S. Owens, Stephen Paul, Jack C. Salerno, Ricardo Stein, Victoria L. Vetter

Cardiovascular Medicine

Research output: Contribution to journal › Article › peer-review

128 Scopus citations

Abstract

Electrocardiographic changes in athletes are common and usually reflect benign structural and electrical remodelling of the heart as a physiological adaptation to regular and sustained physical training (athlete's heart). The ability to identify an abnormality on the 12-lead ECG, suggestive of underlying cardiac disease associated with sudden cardiac death (SCD), is based on a sound working knowledge of the normal ECG characteristics within the athletic population. This document will assist physicians in identifying normal ECG patterns commonly found in athletes. The ECG findings presented as normal in athletes were established by an international consensus panel of experts in sports cardiology and sports medicine.

Original language	English (US)
Pages (from-to)	125-136
Number of pages	12
Journal	British journal of sports medicine
Volume	47
Issue number	3
DOIs	https://doi.org/10.1136/bjsports-2012-092068
State	Published - Feb 2013

ASJC Scopus subject areas

Physical Therapy, Sports Therapy and Rehabilitation
Orthopedics and Sports Medicine

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10.1136/bjsports-2012-092068

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Drezner, J. A., Fischbach, P., Froelicher, V., Marek, J., Pelliccia, A., Prutkin, J. M., Schmied, C. M., Sharma, S., Wilson, M. G., Ackerman, M. J., Anderson, J., Ashley, E., Asplund, C. A., Baggish, A. L., Börjesson, M., Cannon, B. C., Corrado, D., DiFiori, J. P., Harmon, K. G., ... Vetter, V. L. (2013). Normal electrocardiographic findings: Recognising physiological adaptations in athletes. British journal of sports medicine, 47(3), 125-136. https://doi.org/10.1136/bjsports-2012-092068

Drezner, JA, Fischbach, P, Froelicher, V, Marek, J, Pelliccia, A, Prutkin, JM, Schmied, CM, Sharma, S, Wilson, MG, Ackerman, MJ, Anderson, J, Ashley, E, Asplund, CA, Baggish, AL, Börjesson, M, Cannon, BC, Corrado, D, DiFiori, JP, Harmon, KG, Heidbuchel, H, Owens, DS, Paul, S, Salerno, JC, Stein, R & Vetter, VL 2013, 'Normal electrocardiographic findings: Recognising physiological adaptations in athletes', British journal of sports medicine, vol. 47, no. 3, pp. 125-136. https://doi.org/10.1136/bjsports-2012-092068

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abstract = "Electrocardiographic changes in athletes are common and usually reflect benign structural and electrical remodelling of the heart as a physiological adaptation to regular and sustained physical training (athlete's heart). The ability to identify an abnormality on the 12-lead ECG, suggestive of underlying cardiac disease associated with sudden cardiac death (SCD), is based on a sound working knowledge of the normal ECG characteristics within the athletic population. This document will assist physicians in identifying normal ECG patterns commonly found in athletes. The ECG findings presented as normal in athletes were established by an international consensus panel of experts in sports cardiology and sports medicine.",

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Normal electrocardiographic findings: Recognising physiological adaptations in athletes

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