Abstract：
UNASSIGNED: Sudden cardiac death in athletes is a rare occurrence, the most common cause being hypertrophic cardiomyopathy, which increases the risk of sustained ventricular tachycardia or ventricular fibrillation. Most of these young athletes are asymptomatic prior to the cardiac arrest. Several electrocardiogram criteria such as the European Society of Cardiology group 2 Criteria changes, Seattle Criteria, Refined Criteria, and most recently the 2017 International Criteria, have sought to improve the accuracy of identifying these at-risk athletes during pre-participation screening while minimising unnecessary investigations for the majority of athletes at low risk.We aimed to compare the above four criteria in our Singapore athlete population to identify which criterion performed the best in detecting cardiac abnormalities on echocardiography.
UNASSIGNED: Out of 1,515 athletes included in Changi General Hospital, Singapore registry between June 2007 and June 2014, the electrocardiograms of 270 athletes with further cardiac investigations were analysed. We compared the above four electrocardiographic criteria to evaluate which performed best for detecting cardiac abnormalities on echocardiography in our Southeast Asian athlete population.
UNASSIGNED: The European Society of Cardiology, Seattle, Refined and 2017 International Criteria had a sensitivity of 20%, 0%, 20% and 5%, respectively; a specificity of 64%, 93%, 84% and 97%, respectively; a positive predictive value of 4%, 0%, 9% and 11%, respectively; and a negative predictive value of 91%, 92%, 93% and 93%, respectively for detecting abnormalities on echocardiography.
UNASSIGNED: The latest 2017 International Criteria performed the best as it had the highest specificity and positive predictive value, joint highest negative predictive value, and lowest false positive rate.
UNASSIGNED: Out of 1,515 athletes included in Changi General Hospital, Singapore registry between June 2007 and June 2014, the electrocardiograms of 270 athletes with further cardiac investigations were analysed. We compared the above four electrocardiographic criteria to evaluate which performed best for detecting cardiac abnormalities on echocardiography in our Southeast Asian athlete population.
UNASSIGNED: The European Society of Cardiology, Seattle, Refined and 2017 International Criteria had a sensitivity of 20%, 0%, 20% and 5%, respectively; a specificity of 64%, 93%, 84% and 97%, respectively; a positive predictive value of 4%, 0%, 9% and 11%, respectively; and a negative predictive value of 91%, 92%, 93% and 93%, respectively for detecting abnormalities on echocardiography.
UNASSIGNED: The latest 2017 International Criteria performed the best as it had the highest specificity and positive predictive value, joint highest negative predictive value, and lowest false positive rate.
摘要：
■运动员心脏猝死是罕见的，最常见的原因是肥厚型心肌病，这增加了持续性室性心动过速或心室纤颤的风险。这些年轻运动员中的大多数在心脏骤停之前是无症状的。几个心电图标准，如欧洲心脏病学会第2组标准的变化，西雅图标准,精炼标准,以及最近的2017年国际标准，他们试图在参与前筛查期间提高识别这些高危运动员的准确性，同时最大限度地减少对大多数低风险运动员的不必要调查。我们旨在比较新加坡运动员人群中的上述四个标准，以确定哪个标准在超声心动图上检测心脏异常方面表现最佳。
■在樟宜综合医院的1515名运动员中，在2007年6月至2014年6月期间，新加坡注册，分析了270名接受进一步心脏检查的运动员的心电图。我们比较了上述四个心电图标准，以评估在东南亚运动员人群中，哪种超声心动图检查心脏异常效果最佳。
■欧洲心脏病学会，西雅图,精炼和2017年国际标准的敏感度为20%，0%,20%和5%，分别为64%的特异性，93%,84%和97%，分别为4%的阳性预测值，0%,9%和11%，分别为91%的阴性预测值，92%,93%和93%，分别用于检测超声心动图的异常。
■最新的2017年国际标准表现最好，因为它具有最高的特异性和阳性预测值，联合最高阴性预测值，假阳性率最低。
■在樟宜综合医院的1515名运动员中，在2007年6月至2014年6月期间，新加坡注册，分析了270名接受进一步心脏检查的运动员的心电图。我们比较了上述四个心电图标准，以评估在东南亚运动员人群中，哪种超声心动图检查心脏异常效果最佳。
■欧洲心脏病学会，西雅图,精炼和2017年国际标准的敏感度为20%，0%,20%和5%，分别为64%的特异性，93%,84%和97%，分别为4%的阳性预测值，0%,9%和11%，分别为91%的阴性预测值，92%,93%和93%，分别用于检测超声心动图的异常。
■最新的2017年国际标准表现最好，因为它具有最高的特异性和阳性预测值，联合最高阴性预测值，假阳性率最低。
