Key result
The International Consensus Criteria for ECG Interpretation in Athletes improves specificity while maintaining sensitivity for detecting pathologies associated with sudden cardiac arrest.
This review provides an overview of normal, borderline, and abnormal ECG findings in young athletes based on the International Consensus Criteria to improve specificity while maintaining sensitivity for sudden cardiac arrest risk.
Facilitates consistent ECG classification in athletes; leaves open prospective validation of screening outcomes.
Many sporting organisations recommend a pre-participation ECG to screen for disorders which predispose to sudden cardiac arrest (SCA). The ability of the ECG to perform accurately is dependent on the ECG criteria used and the experience of the operator. There have been several ECG criteria over the last decade, though these were recently superseded with the publication of the 'International Consensus Criteria for ECG Interpretation in Athletes'. These criteria use the latest evidence to improve specificity while maintaining sensitivity for ECG-detectable pathologies associated with SCA. Accordingly, this review describes the normal, borderline and abnormal ECG findings in an asymptomatic athlete aged 12-35 years.
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Prutkin et al. (2018) conducted a review in Sudden cardiac arrest risk in athletes. Pre-participation ECG screening was evaluated. The International Consensus Criteria for ECG Interpretation in Athletes improves specificity while maintaining sensitivity for detecting pathologies associated with sudden cardiac arrest.
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