Impact of early sports specialisation on paediatric ECG.
Details
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State: Public
Version: Final published version
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UNIL restricted access
State: Public
Version: Final published version
License: Not specified
Serval ID
serval:BIB_4BE752949A46
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Impact of early sports specialisation on paediatric ECG.
Journal
Scandinavian journal of medicine & science in sports
ISSN
1600-0838 (Electronic)
ISSN-L
0905-7188
Publication state
Published
Issued date
06/2021
Peer-reviewed
Oui
Volume
31
Number
6
Pages
1335-1341
Language
english
Notes
Publication types: Journal Article ; Multicenter Study ; Observational Study
Publication Status: ppublish
Publication Status: ppublish
Abstract
Athletes of pediatric age are growing in number. They are subject to a number of risks, among them sudden cardiac death (SCD). This study aimed to characterize the pediatric athlete population in Switzerland, to evaluate electrocardiographic findings based on the International Criteria for electrocardiography (ECG) Interpretation in Athletes, and to analyze the association between demographic data, sport type, and ECG changes. Retrospective, observational study of pediatric athletes (less than 18 years old) including medical history, physical examination, and a 12-lead resting ECG. The primary focus was on identification of normal, borderline, and abnormal ECG findings. The secondary observation was the relation between ECG and demographic, anthropometric, sport-related, and clinical data. The 891 athletes (mean 14.8 years, 35% girls) practiced 45 different sports on three different levels, representing all types of static and dynamic composition of the Classification of Sports by Mitchell. There were 75.4% of normal ECG findings, among them most commonly early repolarization, sinus bradycardia, and left ventricular hypertrophy; 4.3% had a borderline finding; 2.1% were abnormal and required further investigations, without SCD-related diagnosis. While the normal ECG findings were related to sex, age, and endurance sports, no such observation was found for borderline or abnormal criteria. Our results in an entirely pediatric population of athletes demonstrate that sex, age, and type of sports correlate with normal ECG findings. Abnormal ECG findings in pediatric athletes are rare. The International Criteria for ECG Interpretation in Athletes are appropriate for this age group.
Keywords
Adolescent, Age Factors, Athletes/statistics & numerical data, Bradycardia/diagnosis, Child, Cross-Sectional Studies, Death, Sudden, Cardiac, Electrocardiography/methods, Electrocardiography/statistics & numerical data, Female, Humans, Hypertrophy, Left Ventricular/diagnosis, Hypertrophy, Right Ventricular/diagnosis, Male, Physical Examination, Retrospective Studies, Sex Factors, Specialization, Sports/classification, Sports/statistics & numerical data, Sports Medicine, Switzerland, ECG, dynamic, pediatric athletes, screening, static
Pubmed
Web of science
Create date
01/03/2021 11:33
Last modification date
31/07/2024 6:02