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JOURNAL CLUB: ECG AND PREPARTICIPATION EXAMINATION

Journal Club Episode 1

Presenter:  Dr. Adam Manis – UofT Primary Care Sports Medicine Fellow
Date:  September 16, 2014

Podcast:
Part 1:  SportMedJournalEpisode1Part1.mp3

Part 2:  SportMedJournalEpisode1part2.mp3

Articles Reviewed:

1)  Menafoglio A, Di Valentino M, Segatto JM, Siragusa P, Pezzoli R, Maggi M, Romano GA, Moschovitis G, Wilhelm M, Gallino A.  Costs and yield of a 15-month preparticipation cardiovascular examination with ECG in 1070 young athletes in Switzerland: implications for routine ECG screening.   Br J Sports Med. 2014 Aug;48(15):1157-61. doi: 10.1136/bjsports-2013-092929. Epub 2014 Feb 6.

2)  Price DE, McWilliams A, Asif IM, Martin A, Elliott SD, Dulin M, Drezner JA. Electrocardiography-inclusive screening strategies for detection of cardiovascular abnormalities in high school athletes.Heart Rhythm. 2014 Mar;11(3):442-9. doi: 10.1016/j.hrthm.2013.12.002. Epub 2013 Dec 4.

 

Related Content:

This includes Corrado’s Italian Veneto Study, Dr. Drezner’s Seattle Criteria and ECG-learning resources.

Corrado D et al. Trends in sudden cardiovascular death in young competitive athletes after implementation of a preparticipation screening program. JAMA 2006 Oct 4; 296:1593-601.
http://jama.jamanetwork.com/article.aspx?articleid=203513

Drezner JA, Fischbach P, Froelicher V, Marek J, Pelliccia A, Prutkin JM, Schmied CM, Sharma S, Wilson MG, Ackerman MJ, Anderson J, Ashley E, Asplund CA, Baggish AL, Börjesson M, Cannon BC, Corrado D, DiFiori JP, Harmon KG, Heidbuchel H, Owens DS, Paul S, Salerno JC, Stein R, Vetter VL.  Normal electrocardiographic findings: recognising physiological adaptations in athletes.  Br J Sports Med. 2013 Feb;47(3):125-36. doi: 10.1136/bjsports-2012-092068.

http://bjsm.bmj.com/content/47/3/125.full

Drezner JA, Ackerman MJ, Anderson J, Ashley E, Asplund CA, Baggish AL, Börjesson M, Cannon BC, Corrado D, DiFiori JP, Fischbach P, Froelicher V, Harmon KG, Heidbuchel H, Marek J, Owens DS, Paul S, Pelliccia A, Prutkin JM, Salerno JC, Schmied CM, Sharma S, Stein R, Vetter VL, Wilson MG. Electrocardiographic interpretation in athletes: the ‘Seattle criteria’. Br J Sports Med. 2013 Feb;47(3):122-4. doi: 10.1136/bjsports-2012-092067.

Drezner JA, Ackerman MJ, Cannon BC, Corrado D, Heidbuchel H, Prutkin JM, Salerno JC, Anderson J, Ashley E, Asplund CA, Baggish AL, Börjesson M, DiFiori JP, Fischbach P, Froelicher V, Harmon KG, Marek J, Owens DS, Paul S, Pelliccia A, Schmied CM, Sharma S, Stein R, Vetter VL, Wilson MG. Abnormal electrocardiographic findings in athletes: recognising changes suggestive of primary electrical disease. Br J Sports Med. 2013 Feb;47(3):153-67. doi: 10.1136/bjsports-2012-092070. Review.

Drezner JA, Ashley E, Baggish AL, Börjesson M, Corrado D, Owens DS, Patel A, Pelliccia A, Vetter VL, Ackerman MJ, Anderson J, Asplund CA, Cannon BC, DiFiori J, Fischbach P, Froelicher V, Harmon KG, Heidbuchel H, Marek J, Paul S, Prutkin JM, Salerno JC, Schmied CM, Sharma S, Stein R, Wilson M. Abnormal electrocardiographic findings in athletes: recognising changes suggestive of cardiomyopathy. Br J Sports Med. 2013 Feb;47(3):137-52. doi: 10.1136/bjsports-2012-092069. Review.

Harmon KG, Asif IM, Klossner D, Drezner JA.  Incidence of sudden cardiac death in National Collegiate Athletic Association athletes.  Circulation. 2011 Apr 19;123(15):1594-600. doi: 10.1161/CIRCULATIONAHA.110.004622. Epub 2011 Apr 4.

http://circ.ahajournals.org/content/123/15/1594.full

Left Ventricular Hypertrophy:  Sokolow-Lyon Criteria:heart left ventricular hypertrophy short axis view

  • S-wave in V1 and R wave in V5 or V6 ( ≥ 35 mm)
  • R wave in aVL ≥ 11 mm

ECG-Learning Websites:
http://www.ecgmadesimple.com/  (Free to register)
http://ecg.utah.edu/