Key result
The Seattle Criteria reduced the rate of abnormal ECG classifications in elite athletes from 17.3% to 4.5% (p<0.0001) compared to 2010 ESC recommendations, while identifying all true abnormalities.
Why the study?
Does the Seattle Criteria improve the specificity of preparticipation ECG screening in elite athletes compared to the 2010 ESC recommendations?
Population
1,078 elite Australian athletes aged 16-35 years undergoing cardiovascular screening
Comparison
ECG interpretation using the Seattle Criteria vs ECG interpretation using the 2010 European…
Design
Cross-sectional
Authors
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May reduce unnecessary evaluations in athlete screening; leaves open need for prospective outcome validation.
Cross-Sectional (n=1,078)
Does the Seattle Criteria improve the specificity of preparticipation ECG screening in elite athletes compared to the 2010 ESC recommendations?
Absolute Event Rate: 4.5% vs 17.3%
p-value: p=<0.0001
The Seattle Criteria significantly improve the specificity of preparticipation ECG screening in elite athletes by reducing false positives without missing true cardiac pathology.
Brosnan et al. (2013) conducted a cross-sectional in Preparticipation ECG screening (n=1,078). Seattle Criteria vs. 2010 ESC recommendations was evaluated on Abnormal ECG classification (p=<0.0001). The Seattle Criteria reduced the rate of abnormal ECG classifications in elite athletes from 17.3% to 4.5% (p<0.0001) compared to 2010 ESC recommendations, while identifying all true abnormalities.
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