ArticleEuropean journal of preventive cardiology2020
ECG criteria for the detection of high-risk cardiovascular conditions in master athletes.
Article in European journal of preventive cardiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 27 citations in OpenAlex.
- Coronary Artery Disease in Male Athletes-Is Sport Healthy in the Long Run?Journal of clinical medicine · 2026Review
- Vademecum for the Physician Evaluating a Master Athlete.Current atherosclerosis reports · 2025Review
- Cardiovascular Remodeling and Potential Controversies in Master Endurance Athletes-A Narrative Review.Life (Basel, Switzerland) · 2025Review
- Comparative Electrocardiographic Analysis Between Physical Exercise Practitioners and Athletes: A Cross-Sectional Study.International journal of environmental research and public health · 2025Article
- The diagnostic accuracy of contemporary ECG interpretation criteria in risk stratification of master athletes.Frontiers in cardiovascular medicine · 2025Article
- The International Criteria for Electrocardiogram Interpretation in Athletes: Common Pitfalls and Future Directions.Cardiac electrophysiology clinics · 2024Review
- Electrocardiographic measurements in children with pre-dialysis chronic kidney disease and undergoing kidney replacement therapy.European journal of pediatrics · 2023Article
- The International Criteria for Electrocardiogram Interpretation in Athletes: Common Pitfalls and Future Directions.Cardiology clinics · 2023Review
- How to Unmask Hidden Cardiovascular Diseases through Preparticipation Screening in Master Athletes?Reviews in cardiovascular medicine · 2022Review
- Review
- Exercise-related major adverse cardiovascular events in asymptomatic recreational master athletes: a case series.European heart journal. Case reports · 2022Article
- A Powerful Paradigm for Cardiovascular Risk Stratification Using Multiclass, Multi-Label, and Ensemble-Based Machine Learning Paradigms: A Narrative Review.Diagnostics (Basel, Switzerland) · 2022Review
- Coronary Artery Dimensions in Endurance Athletes by Computed Tomography Angiography: A Quantitative Analysis.Journal of cardiovascular development and disease · 2021Article
- Current controversies in pre-participation cardiovascular screening for young competitive athletes.Expert review of cardiovascular therapy · 2020Review
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Authors and funding
6 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveStructured electrocardiography (ECG) analysis is used to screen athletes for high-risk cardiovascular conditions (HRCC) to prevent sudden cardiac death. ECG criteria have been specified and recommended for use in young athletes ≤ 35 years. However, it is unclear whether these ECG criteria can also be applied to master athletes >35 years.
aimThe purpose of this study was to test whether the existing ECG criteria for detecting HRCC in young athletes can be applied to master athletes.
methodsWe conducted a cross-sectional study among athletes >35 years screened for HRCC between 2006 and 2010. We performed a blinded retrospective analysis of master athletes' ECGs, separately applying European Society of Cardiology (ESC)-2005, Seattle, and International criteria. HRCC were defined using recommendations from the international cardiac societies American Heart Association and American College of Cardiology, and ESC, based on ECG screening and cardiovascular evaluation (CVE).
resultsWe included 2578 master athletes in the study, of whom 494 had initial screening abnormalities mandating CVE. Atrial enlargement (109, 4.1%) and left ventricular hypertrophy (98, 3.8%) were the most common ECG abnormalities found using the ESC-2005 or Seattle criteria. Applying the International criteria, ST-segment deviation (66, 2.6%), and T-wave inversion (58, 2.2%) were most frequent. The ESC-2005 criteria detected more HRCC (46, 1.8%) compared with the Seattle (36, 1.4%) and International criteria (33, 1.3%). The most frequently detected HRCC was coronary artery disease (24, 0.9%).
conclusionECG criteria recommended for use in young athletes can be applied to master athletes' ECGs to detect HRCC. The ESC-2005 criteria had the highest sensitivity for detecting HRCC among master athletes.
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