Key result
ESC screening criteria detect potentially pathological group 2 ECG abnormalities in ~8% of healthy aircrew.
Why the study?
The ESC updated recommendations distinguish ECG changes related to training from those indicating possible cardiac pathology, but application to military aircrew was needed.
Population
868 consecutively evaluated healthy military aircrew, average age 39.6 years, 95.4% male
Comparison
ESC group 1 (training-related) vs group 2 (training-unrelated) ECG abnormalities
Design
Prospective observational study
Authors
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Application of ESC criteria in athletes identifies group 2 changes; leaves open whether it improves SCD risk stratification in screening programs.
Observational (n=868)
Applying ESC athlete ECG screening criteria to military aircrew reveals that the vast majority of ECG abnormalities are benign physiological changes, with only 7.6% requiring further investigation for potential underlying pathology.
Boos et al. (2012) conducted an observational in Healthy military aircrew (n=868). 12-lead ECG screening using ESC criteria was evaluated on Presence of ESC-defined group 1 and 2 ECG abnormalities. Application of ESC screening criteria to 868 healthy military aircrew identified training-unrelated (group 2) ECG abnormalities suggestive of genuine cardiac pathology in 7.6% of individuals.
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