PhD Scientific Days 2024

Poster Session N - Cardiovascular Medicine and Research 2.

Interpretation of athlete's ECG in a pediatric population using the International Criteria

Előadó neve

Dr. Graziano, Francesca

Neptun code

GX1LK8

Előadó munkahelye

Heart and Vascular Centre, Semmelweis University, Budapest, Hungary.

Előadó telefonszáma

+393801822808

Előadó e-mail címe

e.francescagraziano@gmail.com

Az előadás címe

Interpretation of athlete's ECG in a pediatric population using the International Criteria

Szerző(k) neve és munkahelye

Francesca Graziano¹, Dorottya Balla², Laura Manfrin¹, Laura Brusamolin³, Franco Giada⁴, Domenico Corrado¹, Alessandro Zorzi¹, Hajnalka Vago²

1: University of Padova, Department of Cardiac, Thoracic and Vascular Sciences and Public Health, Padova, Italy
2: Heart and Vascular Centre, Semmelweis University, Budapest, Hungary.
3: AULSS6 Euganea, Sports Medicine Unit, Padua, Italy
4: Noale Hospital, Sports Medicine and Cardiovascular Rehabilitation Unit, Cardiovascular Department, AULSS3, Noale, Italy

Bemutatás módja

Poszter

Szekció

Poster Session N - Cardiovascular Medicine and Research 2.

Language of the presentation

English

Preferred session

Cardiovascular Medicine and Research

Összefoglaló szövege

Introduction: Current International Criteria for ECG interpretation in athletes are recommended for subjects between 12 and 35 years of age, but sometimes pre-participation screening (PPS) includes individuals younger than 12 years.
Aims: To define the prevalence of ECG alterations (normal, borderline, abnormal) in the ≤12 years population compared to older athletes, and to define which of these are training-related. To assess the applicability of the 2017 International Criteria to a population ≤12 year-old.
Methods: Athletes of both sexes, aged 7-18 years, undergoing PPS in the period 2019-2022, regardless of the sport discipline, were retrospectively enrolled. The ECG was interpreted according to the recommendations of the 2017 International Criteria.
Results: The final population was composed by 2140 athletes (mean age 12.5 ±2.61 years, 60% ≤12 years). No statistically significant differences were found in the percentage of normal (98% vs 97%, p=0.4), borderline (1.8% vs 1.5%, p=0.5) and abnormal (0.5% vs 1.2%, p=0.06) alterations in the group ≤12 years compared to >12 years. The most frequently observed ECG abnormalities were incomplete right bundle branch block (iRBBB, 22.8%), early repolarisation (14.8%) and left ventricular hypertrophy (13.8%). When comparing the two age groups, a statistically significant difference was found in the prevalence of sinus bradycardia (SB, 0.6% vs 8.2%, p<0.001), 1st degree atrio-ventricular block (AVB, 0.2% vs 1.6% p<0.001) and T-wave inversion in V1-V3 (7.3% vs 2.3%, p<0.001). Furthermore, in the younger age group, there was no correlation between the prevalence of these ECG changes and the level of training.
Conclusions: SB and 1st degree AVB are extremely rare in athletes ≤12 year-old and do not appear to be training-related, and therefore should be considered as abnormal findings in this population. Furthermore, in both groups, complete RBBB, 2nd degree Mobitz 1 AVB and the presence of one premature ventricular beat on ECG should also be classified as abnormal. The results highlight the limitations of using International Criteria for the interpretation of the athlete's ECG in young people under 18 years, and particularly under 12.
Funding: TKP2021-NKTA-46; K135076.

University

Semmelweis University

Other university, not listed above

University of Padova, Italy

Supervisor

Hajnalka Vago

Publication of my abstract

I give consent to the publication of my abstract on the website of the congress.

Kind

Szabad

Status

elfogadva

Accepted presentation method

poszter

Előadás fájl jóváhagyás

nem rendelkezett róla

Előadó

8060

Start

16:30

End

16:33