
The Athlete's Heart: Decoding the ECG
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About this listen
This podcast explores the often complex world of electrocardiograms (ECGs) in athletes.
The podcast will guide listeners through the intricacies of ECG interpretation, focusing on the distinction between normal, training-related adaptations and abnormal findings that may indicate underlying heart conditions.
The podcast uses the 2018 international consensus recommendations for ECG interpretation in athletes to discuss:
●How to identify normal physiological changes in athletes' ECGs, such as:○Increased QRS voltage.3○Incomplete right bundle branch block.4○Early repolarisation.5○Repolarisation findings in black athletes.6○The "juvenile" electrocardiogram pattern in athletes aged 12–16 years.78○Physiological arrhythmias.
●Borderline ECG findings in athletes that require further investigation if two or more are present.
●Abnormal ECG findings in athletes, such as T-wave inversion, pathological Q waves, left bundle branch block, and prolonged QT interval, and the evaluation required for each abnormality.
●The limitations of ECGs as a diagnostic tool.
●The importance of serial ECG evaluation for athletes with abnormal ECG findings.
This podcast aims to:
●Empower athletes, coaches, and medical professionals with the knowledge to understand ECGs in athletes.
●Promote early detection and intervention for potential cardiac issues.
●Ultimately, contribute to the safety and well-being of athletes at all levels.
This podcast draws on the latest scientific evidence and expert consensus to provide a comprehensive overview of ECG interpretation in athletes.
The information presented will be relevant for anyone involved in the care of athletes, from amateur to elite levels.