PDF(Pubmed)
Abstract：
Sudden cardiac arrest or death (SCA/SCD) in athletes has a low event rate. Pre-participation or eligibility screening is a widely accepted method of primary prevention of SCA/SCD in athletes. Most European countries and international sports governing bodies perform ECG-inclusive screening. However, implementation of a resting 12-lead ECG in pre-participation or eligibility cardiac screening is still a topic of debate. Recently, the \'International recommendations for electrocardiographic interpretation in athletes\' was published in three leading international medical journals. These international ECG criteria are based on studies with detailed information on resting 12-lead ECG of Caucasian and Afro-Caribbean athletes or on consensus in case evidence was lacking. Normal, borderline and abnormal ECG findings in young athletes (age 12-35 years) are clearly described and illustrated to assist the screening physician in interpreting ECGs of athletes correctly.In this \'point of view paper\' we will discuss whether these new ECG criteria actually help prevent SCA/SCD in athletes.
摘要：
运动员的心脏骤停或死亡（SCA/SCD）事件发生率较低。参与前或资格筛选是广泛接受的运动员SCA/SCD一级预防方法。大多数欧洲国家和国际体育管理机构都进行包含ECG的筛查。然而,在参与前或符合资格的心脏筛查中实施静息12导联心电图仍然是一个有争议的话题.最近,"运动员心电图判读的国际建议"发表在3种领先的国际医学期刊上.这些国际心电图标准是基于对高加索和非洲加勒比运动员静息12导联心电图的详细信息的研究，或在缺乏证据的情况下达成共识。正常,对年轻运动员(12-35岁)的心电图边缘和异常结果进行了清楚的描述和说明,以帮助筛查医生正确解释运动员的心电图。在这篇“观点论文”中，我们将讨论这些新的ECG标准是否真的有助于预防运动员的SCA/SCD。
