May 13, 2015 - Author Guy Evans & Simon Laing
"Athletes in the ED, my ED, we hardly ever see them……..or so you might think. Actually the definition of an athlete means you come across them far more often than you may first have thought.Table 1: Normal ECG findings in athletes
- Sinus bradycardia (≥ 30 bpm)
- Sinus arrhythmia
- Ectopic atrial rhythm
- Junctional escape rhythm
- 1° AV block (PR interval > 200 ms)
- Mobitz Type I (Wenckebach) 2° AV block
- Incomplete RBBB
- Isolated QRS voltage criteria for LVH
- Except: QRS voltage criteria for LVH occurring with any non-voltage criteria for LVH such as left atrial enlargement, left axis deviation, ST segment depression, T-wave inversion or pathological Q waves
- Early repolarisation (ST elevation, J-point elevation, J-waves or terminal QRS slurring)
- Convex (‘domed’) ST segment elevation combined with T-wave inversion in leads V1–V4 in black/African athletes"
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