Journal article

The Seattle Criteria increase the specificity of preparticipation ECG screening among elite athletes

Maria Brosnan, Andre La Gerche, Jon Kalman, Wilson Lo, Kieran Fallon, Andrew MacIsaac, David Prior

British Journal of Sports Medicine | BMJ PUBLISHING GROUP | Published : 2014


BACKGROUND: In 2010, the European Society of Cardiology (ESC) released recommendations for the interpretation of the 12-lead ECG in athletes, dividing changes into group 1 (training related) and group 2 (training unrelated). Recently, the 'Seattle Criteria', a series of revisions to these recommendations, was published, with the aim of improving the specificity of ECG screening in athletes. OBJECTIVES: First, to assess the prevalence of ECG abnormalities in a cohort of elite Australian athletes using the 2010 ESC recommendations and determine how often group 2 ECG changes correlate with the evidence of significant cardiac pathology on further investigation. Second, to assess the impact of th..

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Funding Acknowledgements

The authors would like to thank staff and athletes from the various sporting organisations including, but not limited to, the Australian Football League (AFL), Australian Institute of Sport (AIS), South Australian Institute of Sport (SASI), Northern Territory Institute of Sport (NTIS) and Australian Rugby Union (ARU) for their participation in this study. Special thanks to Don Mooney for assistance with the collection of echocardiographic data. MB and ALG are supported by post-graduate and post-doctoral scholarships from the National Health and Medical Research Council (NHMRC) of Australia.