![]() ![]() Although currently considered a normal finding, further investigation of the anterior repolarization pattern in Black athletes may be warranted.Each iteration of the criteria for ECG interpretation in athletes (European Society of Cardiology 2010, Seattle 2013, Refined Seattle 2014, and the current International ECG 2017 criteria) has decreased the false-positive rates while maintaining high sensitivity.Given the complex and unclear mechanisms of injury, individualized risk assessment is required.Įlectrocardiography (ECG) Interpretation in Athletes Long-term, high-volume endurance exercise is correlated with increased incidence of atrial fibrillation, coronary artery calcification, insertion-point late gadolinium enhancement, and aortic dilatation.Troponin level elevation in this context is not a marker of myocardial involvement/injury. Running-induced injury to skeletal muscle is repaired by satellite cells, which release cardiac enzymes.1 Although exercise has health benefits, acute and long-term endurance exercise may cause detrimental cardiac events. Current guidelines for adults recommend 150-300 min/week of moderate-intensity exercise, 75-150 min/week of vigorous-intensity exercise, or an equivalent combination of moderate and vigorous physical activity. ![]() High-yield learning points are summarized from several conference sessions. Topics included controversies in preparticipation screening, common mistakes with imaging athletes' hearts, managing the master athlete, and advocacy within the sports cardiology community. The 2023 American College of Cardiology (ACC) Care of the Athletic Heart conference featured presentations and expert panel discussions from world-renowned leaders within the field of sports cardiology. The key sessions covered in the summary are controversies in electrocardiographic preparticipation screening, evaluation of the collapsed athlete, advocacy in the sports cardiology community, imaging the athlete's heart, managing cardiovascular disease in the master athlete, and arrhythmia management.Below is a summary of the high-yield learning points from the 2023 American College of Cardiology (ACC) Care of the Athletic Heart conference. ![]()
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