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Procedure: Electrocardiogram
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Should Electrocardiograms Be Part of the Preparticipation Physical Examination?
One of the greatest tragedies that can occur in sport is sudden cardiac death (SCD). There are multiple potential causes for SCD, some of which may be detected with an electrocardiogram (ECG) [1]. Because identifying potential life-threatening medical conditions and thus preventing catastrophic injuries is one of the primary objectives of the preparticipation physical examination (PPE), it has been suggested that ECGs should be incorporated into the PPE [2]. Some sports federations (eg, Federation Internationale de Football Association) or governing bodies (eg, International Olympic Committee) currently recommend ECGs as ...
Source: PM and R - March 1, 2016 Category: Rehabilitation Authors: Kimberly G. Harmon, Jonathan A. Drezner, Francis G. O'Connor, Chad Asplund, Jonathan T. Finnoff Tags: Advanced Sports Medicine Concepts and Controversies Source Type: research
Cardiovascular Screening in Young Athletes: Evidence for the Electrocardiogram
The objective of this study is to review the evidence for cardiovascular screening inclusive of an electrocardiogram (ECG) in young athletes. Sudden cardiac death (SCD) in athletes is the leading cause of death during exercise and occurs at a rate that is substantially higher than initially recognized. There is widespread agreement that cardiovascular screening should be performed prior to athletic competition. The primary purpose of preparticipation cardiovascular screening is to identify athletes with conditions that predispose them to SCD. Unfortunately, the traditional model in the United States of a medical history an...
Source: Current Sports Medicine Reports - March 1, 2016 Category: Sports Medicine Tags: Chest and Abdominal Conditions: Section Articles Source Type: research
Left Ventricular Non-Compaction in Athletes: To Play or Not to Play
Abstract
Isolated left ventricular non-compaction (LVNC) has usually been viewed as a rare cardiomyopathy in athletes. However, with advances in diagnostic imaging techniques and increased use of pre-participation screening electrocardiograms (ECGs), apparent LVNC is being recognized in an increasing number of athletes. Given the lack of a true gold standard for diagnosis, significant debate continues regarding optimal diagnostic criteria. There are increasing data to support the possibility of over-diagnosing this cardiomyopathy in an athletic population due to the physiologic adaptation to the extreme preload an...
Source: Sports Medicine - March 21, 2016 Category: Sports Medicine Source Type: research
Ecg of indian athletes-esc vs seattle criteria
Conclusions
Using Seattle criteria for the athletes of Indian origin, the false positive ECG has been reduced from 17.5% to 3.3% but still the same athlete with cardiac abnormality can be identified.
Source: British Journal of Sports Medicine - January 31, 2017 Category: Sports Medicine Authors: Dande, J., Mallick, A. Tags: Monaco abstracts Source Type: research
Brugada Syndrome and Exercise Practice: Current Knowledge, Shortcomings and Open Questions
Int J Sports Med DOI: 10.1055/s-0043-107240Since its recognition as a clinical entity in 1992, the Brugada Syndrome (BrS), a hereditary disease characterized by a typical electrocardiogram (ECG) pattern potentially predisposing to sudden cardiac death (SCD), has attracted the attention of many physicians for its circadian pattern of ventricular arrhythmias (VA), mostly occurring at rest. Exercise may potentially worsen the ECG abnormalities in BrS patients, resulting in higher peak J-point amplitudes during the vasovagal reaction of the recovery period, possibly leading to an increased risk of cardiac events. Moreover, the...
Source: International Journal of Sports Medicine - June 18, 2017 Category: Sports Medicine Authors: Mascia, Giuseppe Arbelo, Elena Ojeda, Jaime Hern ández Solimene, Francesco Brugada, Ramon Brugada, Josep Tags: Review Source Type: research
QTc Interval in Adolescents and Young Athletes: Influence of Correction Formulas
Int J Sports Med DOI: 10.1055/s-0043-108997A QTc interval at the upper limits in young athletes can be challenging. Regardless of factors able to influence it (age, electrolytes, etc.), several authors underlined that rate correction formulas can often underestimate/overestimate it. Our objective was to identify the most reliable formula and relative upper normal limit of QTc for this population. The rest ECG of 701 healthy elite male athletes was analyzed. QTc was calculated with 4 formulas (Bazett, Fridericia, Framingham, Hodges). Correlation/regression analysis of QTc vs. heart rate and upper limits were calculated and ...
Source: International Journal of Sports Medicine - August 3, 2017 Category: Sports Medicine Authors: Gervasi, Salvatore Francesco Bianco, Massimiliano Palmieri, Vincenzo Cuccaro, Francesco Zeppilli, Paolo Tags: Clinical Sciences Source Type: research
Resting Autonomic Function in Active and Insufficiently Active People Living with HIV
In conclusion, PLWHA who regularly exercised demonstrated enhanced autonomic function compared with insufficiently active PLWHA. These results suggest that exercise is associated with enhanced autonomic function, and may improve cardiovascular risk. [...] © Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text
Source: International Journal of Sports Medicine - November 21, 2017 Category: Sports Medicine Authors: Quiles, Norberto Garber, Carol Ciccolo, Joseph Tags: Immunology Source Type: research
Effect of Physical Exercise on Platelet Reactivity in Patients with Dual Antiplatelet Therapy
Int J Sports Med DOI: 10.1055/a-0631-3302It is known that physical exercise may increase platelet activity. However, the effect of exercise on platelet reactivity in patients on dual antiplatelet therapy has not been investigated yet. In our study, 21 patients with coronary artery disease on dual antiplatelet therapy and 10 controls were enrolled. We performed an exercise test using a cycle ergometer and determined the adenosine diphosphate-induced platelet reactivity before and immediately after exercise testing. Additionally, we analysed maximal exercise capacity and an electrocardiogram. Further, we assessed chromograni...
Source: International Journal of Sports Medicine - June 14, 2018 Category: Sports Medicine Authors: Brunner, Stefan Rizas, Konstantinos Hamm, Wolfgang Mehr, Michael Lackermair, Korbinian Tags: Clinical Sciences Source Type: research
Athlete ’s Heart: Diagnostic Challenges and Future Perspectives
AbstractDistinguishing between adaptive and maladaptive cardiovascular response to exercise is crucial to prevent the unnecessary termination of an athlete ’s career and to minimize the risk of sudden death. This is a challenging task essentially due to the substantial phenotypic overlap between electrical and structural changes seen in the physiological athletic heart remodeling and pathological changes seen in inherited or acquired cardiomyopathies . Stress testing is an ideal tool to discriminate normal from abnormal cardiovascular response by unmasking subtle pathologic responses otherwise undetectable at rest. Tread...
Source: Sports Medicine - October 10, 2018 Category: Sports Medicine Source Type: research
A Clinical Method for Estimation of VO2max Using Seismocardiography
Int J Sports Med DOI: 10.1055/a-1144-3369The purpose of this study was to investigate the correlation between the seismocardiogram and cardiorespiratory fitness. Cardiorespiratory fitness can be estimated as VO2max using non-exercise algorithms, but the results can be inaccurate. Healthy subjects were recruited for this study. Seismocardiogram and electrocardiogram were recorded at rest. VO2max was measured during a maximal effort cycle ergometer test. Amplitudes and timing intervals were extracted from the seismocardiogram and used in combination with demographic data in a non-exercise prediction model for VO2max. 26 subj...
Source: International Journal of Sports Medicine - May 25, 2020 Category: Sports Medicine Authors: S ørensen, Kasper Poulsen, Mathias Krogh Karbing, Dan Stieper S øgaard, Peter Struijk, Johannes Jan Schmidt, Samuel Emil Tags: Training & Testing Source Type: research
Second Ventilatory Threshold Assessed by Heart Rate Variability in a
Multiple Shuttle Run Test
This study suggests that, high frequency product and
ECG-derived respiration are indeed reliable heart rate variability indices
determining VT2 in a field shuttle run test [...] © Georg Thieme Verlag KG Stuttgart · New YorkArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text
Source: International Journal of Sports Medicine - August 6, 2020 Category: Sports Medicine Authors: Stergiopoulos, Dimitrios C. Kounalakis, Stylianos N. Miliotis, Panagiotis G. Geladas, Nikolaos D Tags: Physiology & Biochemistry Source Type: research
Electrocardiographic Changes in Male and Female Amateur Marathon Runners: A Comparison Study
Int J Sports Med DOI: 10.1055/a-1323-3215Physical training is gaining popularity among amateurs. Males and females exhibit different cardiac adaptation to exercise. The aim of the study was to compare the incidence of electrocardiographic abnormalities before and after the marathon between sexes. 12-lead electrocardiogram was performed in 40 male (39±8 years) and 27 female (40±7 years) amateur runners: 2–3 weeks before (Stage 1) and immediately after (Stage 2) the marathon. Abnormalities in the resting (Stage 1) and exercise (Stage 2) electrocardiograms were compared between sexes. At rest left atrial enlargement was m...
Source: International Journal of Sports Medicine - February 23, 2021 Category: Sports Medicine Authors: Lasocka, Zofia D Ä…browska-Kugacka, Alicja Kaleta, Anna Maria Lewicka-Potocka, Zuzanna Faran, Anna Szo Å‚kiewicz, Ewa Przyby Å‚owski, Krystian Szo Å‚kiewicz, Alicja Daniluk, Paulina Raczak, Grzegorz Lewicka, Ewa Tags: Clinical Sciences Source Type: research
Accuracy and Reliability of Pulse O2 Saturation Measured by a Wrist-worn Oximeter
This study aims to evaluate the accuracy of the Garmin Forerunner 245 heart rate (HR) and pulse O2 saturation (SpO2) sensors compared with electrocardiogram and medical oximeter, from sea level to high altitude. Ten healthy subjects underwent five tests in normoxia and hypoxia (simulated altitudes from 3000 to 5500 m), consisting in a 5-min rest phase, followed by 5-min of mild exercise. Absolute error (±10 bpm for HR and ±3% for SpO2, around criterion) and intraclass correlations (ICC) were calculated. Error rates for HR remained under 10%, except at 3000 m, and ICCs evidenced a good reliability between Garmin and...
Source: International Journal of Sports Medicine - May 17, 2021 Category: Sports Medicine Authors: Hermand, Eric Coll, Clemence Richalet, Jean-Paul Lhuissier, Francois J. Tags: Training & Testing Source Type: research
Assessment of a Novel, 22-lead Mobile Electrocardiogram in Elite, Adolescent Footballers
In this study, the differences in parameter accuracy between CardioSecur’s 22-lead electrocardiogram and the gold standard 12-lead electrocardiogram were assessed in elite adolescent footballers (n=31) using Bland-Altman and paired t-tests/Wilcoxon analysis. Agreement between the two devices was clinically acceptable for heart rate (bias=− 0.633 bpm), PR Interval (bias=− 1.73 ms), Bazzett’s corrected QTc interval (bias=2.03 ms), T-wave axis (bias=6.55°), P-wave duration (bias=− 0.941 ms), Q-wave amplitude (bias=0.0195 mV), Q-wave duration (bias=1.98 ms), rhythm (bias=0.0333), ST-segment (bias=â...
Source: International Journal of Sports Medicine - August 13, 2021 Category: Sports Medicine Authors: Johnson, Harvey Duarte, Nuno Ryding, Diane Perry, Dave McNally, Steve Stuart, A. Graham Williams, Craig Anthony Pieles, Guido Tags: Training & Testing Source Type: research
Potential role of an athlete-focused echocardiogram in sports eligibility
World J Cardiol. 2021 Aug 26;13(8):271-297. doi: 10.4330/wjc.v13.i8.271.ABSTRACTSudden cardiac death (SCD) of an athlete is a rare but tragic event and sport activity might play a trigger role in athletes with underlying structural or electrical heart diseases. Preparticipation screenings (PPs) have been conceived for the potential to prevent SCD in young athletes by early identification of cardiac diseases. The European Society of Cardiology protocol for PPs includes history collection, physical examination and baseline electrocardiogram, while further examinations are reserved to individuals with abnormalities at first-l...
Source: World Journal of Cardiology - September 30, 2021 Category: Cardiology Authors: Stefano Palermi Alessandro Serio Marco Vecchiato Felice Sirico Francesco Gambardella Fabrizio Ricci Franco Iodice Juri Radmilovic Vincenzo Russo Antonello D'Andrea Source Type: research
