Comparison of the Stanford ECG Left Atrial Criteria With the International ECG Criteria for Sports Screening.
Clin J Sport Med
; 31(4): 388-391, 2021 Jul 01.
Article
en En
| MEDLINE
| ID: mdl-31743221
ABSTRACT
OBJECTIVE:
Because the International left atrial enlargement electrocardiographic (ECG) screening criteria (ECG-LAE) for athletes are rarely fulfilled in young athletes, we compared it with evidence-based criteria from a recent clinical outcome study of ECG left atrial abnormality (ECG-LAA).DESIGN:
Retrospective analyses.SETTING:
Routine preparticipation ECG screening in California.PARTICIPANTS:
Four thousand four hundred thirty-eight young individuals (18.5 ± 5.4 years, 40% women). ASSESSMENT OF RISK FACTORS The International criteria for ECG-LAE were applied prolonged P wave duration of ≥120 ms in leads I or II AND negative portion of ≥1 mm in depth in lead V1. This was compared with Stanford criteria for ECG-LAA prolonged P wave duration of ≥140 ms odds ratio (OR) negative portion in V1 and V2 greater than 1 mm. MAIN OUTCOMEMEASURES:
Differences in the classification of abnormal ECGs between the 2 criteria applied to the same population of young athletes.RESULTS:
Only 33 (0.7%) of our subjects fulfilled the International criteria for ECG-LAE while 110 (2.5%) fulfilled the ECG-LAA criteria. Adding our new ECG-LAA criterion and considering it a major criterion raised the abnormal ECG prevalence and athletes referred for further evaluation from 2.9% to 4.4%.CONCLUSIONS:
The Stanford evidence-based criterion for ECG-LAA incorporating V2 and replacing "or" for "and" regarding P wave duration increased the yield of abnormal classification for P waves. Future follow-up studies are needed to confirm that this new criterion should be included in future ECG screening consensus documents.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Deportes
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Cardiomegalia
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Electrocardiografía
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Atrios Cardíacos
Tipo de estudio:
Diagnostic_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
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Screening_studies
Límite:
Adolescent
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Adult
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Female
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Humans
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Male
Idioma:
En
Revista:
Clin J Sport Med
Asunto de la revista:
MEDICINA ESPORTIVA
Año:
2021
Tipo del documento:
Article
País de afiliación:
Alemania