Our aim was to find electrocardiographic ecg markers of myocardial fibrosis among scd victims. The 122,043 individuals comprising the study are all male. Correlation between electrocardiographic changes and coronary findings in patients with acute myocardial infarction and singlevessel disease background. Thirtythree patients satisfied the previously specified. Up to half of male athletes will exhibit sokolowlyon voltage criteria for. Current understanding of the electrocardiographic manifestations of. Feasibility and findings of largescale electrocardiographic. There are several features in the following case which make it of sufficient interest to be put on record.
Pdf electrocardiography and echocardiography findings in. Electrocardiographic findings in children with severe asthma. Pelvic apophysis avulsion fractures in adolescent athletes are rare injuries and these fractures occur on. Electrocardiographic criteria have been derived from vectorcardiographic and angiographic correlation which allow division of patients with electrocardiographic poor rwave progression or reversed rwave progression into the following four etiologic groups. Resting 12lead electrocardiogram ecg has been employed in the evaluation of young asymptomatic subjects to detect preexisting heart diseases. Prevalence and prognosis of electrocardiographic findings in. Ambulatory electrocardiographic findings in young athletes.
Mehmet kayrak 1, kadir acar 2, enes elvin gul 1, turyan abdulhalikov 1, murat bagl. The aim of this study is to further evaluate the electrocardiographic changes during th. Differences in initial electrocardiographic findings between. Pdf objective to investigate the 12lead surface electrocardiographic ecg findings in young male patients with left primary spontaneous pneumothorax.
Electrocardiographic correlation with each of the post mortem findings was analyzed according to the following definitions. Abnormal electrocardiographic findings in athletes. The mdx mouse is a model of duchenne muscular dystrophy dmd. Ambulatory electrocardiographic recordings were obtained from 35 male athletes between 14 and 16 years old, and from 35 male nonathlete controls of the same ages, in order to determine the effects of regular physical training on cardiac electrical activity. Drezner ja, fischbach p, froelicher v, marek j, pelliccia a, prutkin jm et al.
Isolated stsegment depression was found only in one man. We have previously compared the electrocardiogram of 1,299 male and female students of physical education and sports with 151 age and sex. Electrocardiographic and echocardiographic findings in elite. The response to a standardized angina and infarction questionnaire, the occurrence of coded resting and postexercise ecg findings suggestive of coronary heart disease chd, and blood pressure were studied among 417 male japanese and 237 finnish workers exposed occupationally to carbon disulfide cs2 and their controls, 391 japanese and 233 finnish men without such exposure.
Ex hypothesi, high testosterone values in either parent are associated with the subsequent production of sons and. Electrocardiographic findings according to sex in athletes and. These electrodes detect the small electrical changes that are a consequence of cardiac muscle depolarization followed by repolarization during each cardiac cycle heartbeat. A screening examination including an electrocardiogram limb leads only coded by the minnesota code, using rigorous quality control was done on 18 403 male civil servants aged 40 to 64. The purpose of this crosssectional longitudinal study was to establish a quantitative electrocardiographic profile in highly trained football players. Low limb voltage was found in 68% of patients while 72% met low sokolow precordial voltage criteria. Four athletes and three controls satisfied voltage criteria for left ventricular hypertrophy. Twentythree percent of the players had abnormal ecgs. The pr interval was longer in the athletes and they had longer mean sd treadmill exercise times 19 4 v 16 2 min than the. In previous reports, st segment and t wave changes on the resting ecg were described as independent risk factors for development of coronary heart disease. Cardiac amyloidosis electrocardiographic findings michael bernreiter, m. The challenge in studying er is the lack of agreement on definition. Palatini p, maraglino g, sperti g, calzavara a, libardoni m, pessina ac, dal palu c. Brugadalike electrocardiography pattern induced by severe.
T1 correlation of electrocardiographic and pathologic findings in healed myocardial infarction. Table 1shows that ischemic ecg findings are mainly negative twaves code v either occurring alone or in conjunction with stsegment depressions code iv. Correlation of stsegment elevation on the 12lead electrocardiogram ecg with the expected affected coronary territory is established in patients with stelevation myocardial infarction stemi. Number of athletes with abnormal ecgs and echo findings. Electrocardiograms on 122,043 apparently healthy male subjects aged 16 years to over 50 years have been studied. Differences in initial electrocardiographic findings. Electrocardiographic ecg findings are frequently different in welltrained athletes than agematched nonathletes.
This study describes the electrocardiographic findings in a large cohort of patients with cardiac amyloidosis. To analyze the athletes heart of adult and adolescent elite male soccer players by electrocardiography ecg and echocardiography echo and to describe typical ecg and echo findings in this cohort west african elite soccer players design. Methods infection, pathologic and morphometric studies seventy nine male new zealand white rabbits were inoculated intravenously via the marginal ear vein or intramuscularl. Prognostic value of admission electrocardiographic. This is a pdf file of an unedited manuscript that has.
Echocardiographic and electrocardiographic characteristics of. The more common abnormalities were expressed in terms of rate per thousand subjects for each 5year age group. Cardiac channelopathies are potentially lethal inherited arrhythmia syndromes and an important cause of sudden cardiac death scd in young athletes. The electrocardiography of cardiac amyloidosis 159 table 1. Electrocardiographic changes in athletes are common and usually reflect benign structural and electrical remodelling of the heart as a physiological adaptation to regular and sustained physical training athletes heart. The 12lead ecg is utilised as both a screening and a diagnostic tool for detecting conditions associated with scd. Kansas city, missouri the object of this report is to direct atten tion to cardiac amyloidosis as a cause of heart failure and to describe the clinical and electrocardiographic findings in six cases repre. One hundred fiftynine players playing for the national male soccer teams preparing for tournaments in 2016 and 2017. Electrocardiographic findings the resting ecg was entirely normal in 18 patients 14 men, four women. Precompetition medical assessment using ecgs and echos.
Correlation of electrocardiographic and pathologic. Angina pectoris, electrocardiographic findings and blood. Electrocardiographic findings in apparently healthy adolescents in the niger delta region of nigeria, west africa. Largescale electrocardiographic ecg screening of young athletes has been shown to reduce the incidence of sudden cardiac death in italy. Electrocardiographic findings suggestive of cardiomyopathy. Google scholar palatini p, maraglino g, sperti g, calzavara a, libardoni m, pessina ac, dal palu c. However, the incidence and prognostic value of these ecg changes are uncertain given the smallscale studies that have been carried out to date. The pr interval was longer in the athletes and they had longer mean sd treadmill exercise times 19 4 v 16 2 min than the controls.
Prevalence and possible mechanisms of ventricular arrhythmias in athletes. The association between admission ecg findings and long. Minor nonspecific t wave abnormalities in the inferior or lateral leads ranging from slight flattening of the t waves to t wave inversion without st depression were present in five men and 11 women. Objective a major challenge in reducing the incidence of sudden cardiac death scd is the identification of patients at risk. Ecg in stemi definition of stemi new st elevation at the j point in two contiguous leads of 0.
Electrocardiographic findings predict shortterm cardiac. The aim of this study was to evaluate the association between bmi and electrocardiographic parameters. International recommendations for electrocardiographic interpretation february 28, 2017. Electrocardiographic findings in male veteran endurance. Electrocardiographic definition of electrocardiographic by. The abnormal electrocardiographic findings in the study are shown in table 2.
Differences in initial electrocardiographic findings between stelevation myocardial infarction due to left main trunk and left anterior descending artery lesions. Browne we studied electrocardiographic ecg characteristics of highlytrained american football players. Prognostic value of ischemic electrocardiographic findings. The ability to identify an abnormality on the 12lead ecg, suggestive of underlying cardiac disease associated with sudden cardiac death scd, is based on a sound working.
Multiple findings such as twave inversion, stsegment depression, and pathologic q waves are present in patients with cardiomyopathy. Other cardiac rhythm and conduction disturbances also may indicate the presence of an underlying cardiac disorder. Electrocardiography is the process of producing an electrocardiogram ecg or ekg. The association of the findings with coronary heart disease has been tested in relation to age trends, symptomatic history, and coronary heart disease mortality rates in the ensuing five years. These differences therefore should be considered when interpreting conduction abnormalities that may be sequelae of cardiomyopathy. Acs patients who received early invasive management.
Electrocardiographic findings based on the sc, approximately 80% of the overall population n2731 had alterations in the 12lead ecg. Transient ischemic attacks tias are common and entail a substantial shortterm risk for stroke and other adverse events. The characteristic electrocardiographic ecg findings of brugada syndrome, 1 specifically the down sloping coved elevation of the stsegment ending in an inverted twave in the right precordial leads, have been linked to reduced inward sodium current due to dysfunctional sodium channels. Voltage was lower in al as compared to attr for both measurement indices. Electrocardiographic and echocardiographic findings in. The findings of electrocardiography in patients with. Cardiovascular adaptations to prolonged physical effort. Electrocardiographic findings in male veteran endurance athletes. Electrocardiographic abnormalities were found in 480 25% participants. The aim of this study was to investigate the independent prognostic value of ischemic electrocardiographic ecg findings for cardiovascular mortality and to evaluate a possible sexdifferential in this regard. Thirtynine patients were studied 31% male, 69% female. Debate exists regarding the feasibility and benefits of such a program in the united states. Myocardial fibrosis has a substantial association with scd risk but is difficult to identify among general populations. Poor rwave progression in an ecg was defined as an r wave pdf differences in initial electrocardiographic findings.
Mueller et al found that std and twi were still important predictors for long. Pdf electrocardiographic characteristics in young male. Ecg findings in athletes suggestive of underlying cardiac disease. The underlying biological mechanisms and pathogenesis of erp and ers have been areas of substantial focus over the past 2 decades, and many elegant studies have contributed to our current understanding. A crosssectional study of ecgs and echos conducted as part of precompetition medical assessment for national male soccer teams preparing. Mortality rates differ significantly between males and females. Consequently, athletespecific ecg interpretation criteria have been developed that appear to improve specificity. Electrocardiographic findings of carbon monoxide intoxication.
Electrocardiographic findings in national basketball. Body mass index related electrocardiographic findings in. Electrocardiographic findings among the total adult. Electrocardiographic findings in 122043 individuals aha journals.
Although the ecg findings described above can be accounted. Ambulatory electrocardiographic findings in young athletes between 14 and 16 years of age. We applied a recently developed method for noninvasively recording electrocardiograms ecgs to study male mdx mice n 15 and control mice n 15. To analyse the association between electrocardiographic findings and clinical characteristics, as well as the association between electrocardiographic findings and gender. Electrocardiographic early repolarization circulation. Electrocardiographic associations with myocardial fibrosis. A, the prevalence of abnormal findings in the highest and lowest age tertiles differed significantly under international electrocardiographic interpretation criteria p in the supplement. Fundamental to the appropriate evaluation of athletes undergoing ecg is an understanding of the ecg findings that may indicate. During therapeutic hypothermia th, electrocardiographic ecg abnormalities such as osborn waves andor stsegment elevation have been described. Unlimited viewing of the articlechapter pdf and any associated supplements and figures. Pdf electrocardiographic findings of carbon monoxide.
The more common abnormalities were expressed in terms of. Historically, the term er was first used to describe stsegment elevation in the absence of chest pain 1 3 to differentiate these findings from acute myocardial infarction or pericarditis. The correlation between certain of the electrocardiographic findings and the clinical manifestations. Electrocardiographic findings in chronic hemodialysis patients. Electrocardiographic interpretation in athletes sanjay sharma. Electrocardiographic findings variables all n 276 ca n 189 control n 87 p value rhythm. Relation of race to electrocardiographic patterns in elite american football players anthony magalski, barry j. Twenty male veteran endurance runners and 20 controls underwent resting, exercise, and ambulatory electrocardiography. Pdf electrocardiographic changes in athletes are common and usually reflect benign structural and.
Electrocardiographic findings in apparently healthy. The latter are found relatively more often in women, while borderline q wave patterns code i 3 and left bundle branch blocks code vii 1 are more often observed among men. Differences in initial electrocardiographic findings between stelevation myocardial. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. Cardiomyopathies are a heterogeneous group of heart muscle diseases and collectively are the leading cause of sudden cardiac death scd in young athletes. Electrocardiographic findings in patients with polycythemia vera. A cardiac phenotype of duchenne muscular dystrophy victor chu msc cardiovascular division, beth israel deaconess medical center, harvard medical school, 330 brookline avenue, boston, massachusetts 02215, usa.
Seventy type 2 normotensive diabetics 33 female, 37 male. Gender related differences in electrocardiographic parameters and. Relation of race to electrocardiographic patterns in elite. In addition, electrocardiographic parameters were consistent across age, but male monkeys had significantly longer pr intervals and significantly higher mean rwave amplitude than did female monkeys. Correlation between electrocardiographic changes and. Normal ecg findings in athletes adapted from sharma et al. It is a graph of voltage versus time of the electrical activity of the heart using electrodes placed on the skin.
Characterization of clinical and electrocardiographic findings in a youth population vilardell p. In conclusion, there are genderrelated differences in ecg presentation and prognostic. Based on estimates of stroke incidence, approximately 300 000 tias occur in the united states each year. The 12lead ecg is utilised as both a screening and diagnostic tool for detecting conditions associated with scd. In the absence of chest pain, these findings were considered benign. Department of cardiology, meram school of medicine, selcuk university, konya, turkey. Electrocardiographic changes in therapeutic hypothermia. The purpose of this study is to investigate differences in electrocardiographic findings between stemi due to lesions of lmt and those of left anterior descending artery lad. Electrocardiographic findings in 122,043 individuals. Recognising physiological adaptations in athletes article pdf available in british journal of sports medicine 473. Are classic predictors of voltage valid in cardiac.
827 371 493 1273 812 1163 1346 1554 743 1022 812 1339 1029 1209 1113 147 1025 891 948 1362 494 706 821 1427 575 1399 1142 1389 872 864 514 579