Journal article

Electrocardiographic Features Differentiating Arrhythmogenic Right Ventricular Cardiomyopathy From an Athlete's Heart

Maria J Brosnan, Anneline SJM te Riele, Laurens P Bosman, Edgar T Hoorntje, Maarten P van den Berg, Richard NW Hauer, Michael D Flannery, Jon M Kalman, David L Prior, Crystal Tichnell, Harikrishna Tandri, Brittney Murray, Hugh Calkins, Andre La Gerche, Cynthia A James

JACC Clinical Electrophysiology | ELSEVIER | Published : 2018

Abstract

OBJECTIVES: This study sought to compare electrocardiogram (ECG) variants in athletic and arrhythmogenic right ventricular cardiomyopathy (ARVC) cohorts matched for the confounders of age, sex, and ethnicity. BACKGROUND: Anterior T-wave inversion (TWIV1-V4) is a common electrocardiographic finding in both athletes and patients with ARVC, and is a frequent conundrum in the setting of pre-participation screening. J-point elevation (JPE) has been proposed as an accurate means of identifying athletes, whereas disease markers, including premature ventricular contractions (PVCs) and low-voltage signals, have been associated with ARVC. METHODS: This study examined 200 subjects with TWI V1-V4, inclu..

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