Visual or computer-based measurements: important for interpretation of athletes' ECG.

Abstract:

BACKGROUND:ECG is recommended for preparticipation health examination in athletes. Owing to a lack of consensus on how to read and interpret athletes' ECGs, different criteria for abnormality are used. AIMS:To compare the prevalence of abnormal ECGs and test the correlation between visual and computer-based measurements. METHODS:In a preparticipation cardiac screening examination of 595 male professional soccer players aged 18-38 years, ECGs were categorised according to the European Society of Cardiology's (ESC) recommendations and the Seattle criteria, respectively. Visual measurements were conducted with callipers on-screen on the averaged PQRST complex in each lead, calculated by the trimmed mean. Computer-based measurements were derived from the medium beat. Heart rhythm and conduction were scored visually by a cardiologist. Categorical variables were compared by κ statistics (K) and continuous variables by intraclass correlation. RESULTS:ECGs of good quality were available from 579 players. According to the ESC's recommendations and Seattle criteria, respectively, ECGs were categorised as abnormal in 171 (29.5%) vs 64 (11.1%) players after visual assessment, and in 293 (50.6%; K=0.395) vs 127 (21.9%; K=0.564) after computer-based measurements. Intraclass correlation was very good for measurements of R and S wave amplitudes and moderate to very good for intervals. K was very good for pathological Q wave amplitudes and moderate for T wave inversions. CONCLUSIONS:Abnormal ECGs were more than twice as common after computer-based than after visual measurements. Such a difference will markedly influence the number of athletes who need further examinations. Reference values may need adjustments dependent on measurement methods.

journal_name

Br J Sports Med

authors

Berge HM,Steine K,Andersen TE,Solberg EE,Gjesdal K

doi

10.1136/bjsports-2014-093412

subject

Has Abstract

pub_date

2014-05-01 00:00:00

pages

761-7

issue

9

eissn

0306-3674

issn

1473-0480

pii

bjsports-2014-093412

journal_volume

48

pub_type

杂志文章
  • Contact dermatitis in students practicing sports: incidence of rubber sensitisation.

    abstract:BACKGROUND:Over the last few years, changes in cutaneous homoeostasis resulting from sports activities have been reported. In particular, alterations in sweating mechanisms, the hydrolipid barrier, and surface bacterial flora, together with exposure to atmospheric conditions and the need to use medicaments, detergents,...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.35.2.100

    authors: Ventura MT,Dagnello M,Matino MG,Di Corato R,Giuliano G,Tursi A

    更新日期:2001-04-01 00:00:00

  • Prediction of peak oxygen uptake in chronic fatigue syndrome.

    abstract:OBJECTIVES:To establish a simple, valid, and acceptable method of predicting peak oxygen uptake (VO2peak) in patients with chronic fatigue syndrome (CFS), which could provide a basis for subsequent exercise prescription at an appropriate intensity as part of a clinical rehabilitation programme. METHODS:A total of 130 ...

    journal_title:British journal of sports medicine

    pub_type: 临床试验,杂志文章

    doi:10.1136/bjsm.33.5.352

    authors: Mullis R,Campbell IT,Wearden AJ,Morriss RK,Pearson DJ

    更新日期:1999-10-01 00:00:00

  • Which exercise prescriptions improve quality of life and physical function in patients with cancer during and following treatment? A systematic review and meta-analysis of randomised controlled trials.

    abstract:OBJECTIVE:Certain exercise prescriptions for patients with cancer may improve self-reported quality of life (QoL) and self-reported physical function (PF). We investigated the effects of exercise on QoL and PF in patients with cancer and studied differences in effects between different intervention-related and exercise...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1136/bjsports-2017-097891

    authors: Sweegers MG,Altenburg TM,Chinapaw MJ,Kalter J,Verdonck-de Leeuw IM,Courneya KS,Newton RU,Aaronson NK,Jacobsen PB,Brug J,Buffart LM

    更新日期:2018-04-01 00:00:00

  • Gait-related intrinsic risk factors for patellofemoral pain in novice recreational runners.

    abstract:OBJECTIVE:To determine prospectively gait-related intrinsic risk factors for patellofemoral pain (PFP) in a population of novice recreational runners. DESIGN:Prospective cohort study. PARTICIPANTS:102 novice recreational runners (89 women) with no history of knee or lower leg complaints. INTERVENTIONS:The standing f...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.2008.046649

    authors: Thijs Y,De Clercq D,Roosen P,Witvrouw E

    更新日期:2008-06-01 00:00:00

  • Lactic acid removal and heart rate frequencies during recovery after strenuous rowing exercise.

    abstract::Three tests were conducted to assess the effectiveness of three different intensities of exercise both in reducing blood lactic acid (LA) levels and in influencing subjects' heart rate (HR), following a 2000 m race in a rowing boat. In the first and second tests these variables were investigated during a 13 min recove...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.19.4.199

    authors: Koutedakis Y,Sharp NC

    更新日期:1985-12-01 00:00:00

  • Predictive validity of health-related fitness in youth: a systematic review.

    abstract::The objective of the present systematic review was to investigate whether physical fitness in childhood and adolescence is a predictor of cardiovascular disease (CVD) risk factors, events and syndromes, quality of life and low back pain later in life. Physical fitness-related components were: cardiorespiratory fitness...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章,评审

    doi:10.1136/bjsm.2008.056499

    authors: Ruiz JR,Castro-Piñero J,Artero EG,Ortega FB,Sjöström M,Suni J,Castillo MJ

    更新日期:2009-12-01 00:00:00

  • What interventions can improve quality of life or psychosocial factors of individuals with knee osteoarthritis? A systematic review with meta-analysis of primary outcomes from randomised controlled trials.

    abstract:OBJECTIVE:To systematically review evidence of primary outcomes from randomised controlled trials (RCTs) examining the effect of treatment strategies on quality of life (QoL) or psychosocial factors in individuals with knee osteoarthritis (OA). DESIGN:Systematic review with meta-analysis. DATA SOURCES:Medline, Embase...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1136/bjsports-2017-098099

    authors: Briani RV,Ferreira AS,Pazzinatto MF,Pappas E,De Oliveira Silva D,Azevedo FM

    更新日期:2018-08-01 00:00:00

  • Injury prediction in female gymnasts.

    abstract::In order to identify injury-proneness in female competitive gymnasts, 20 measures of flexibility, hypermobility, spinal posture and anthropometry were performed on 40 competitive gymnasts and injury scores were derived from the severity and extent of previous gymnastic injury and inherent hypermobility traits. Results...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.20.1.31

    authors: Steele VA,White JA

    更新日期:1986-03-01 00:00:00

  • A quantifiable approach in the comparison of isokinetic assessment data--new correlation equations for the Johnson antishear device and standard shin pad in the isokinetic assessment of the knee.

    abstract::The rehabilitation of the knee with a deficient anterior cruciate ligament (ACL) always presents a great challenge. Isokinetic assessment allows muscle performance to be quantified. The antishear device, introduced by Johnson, has the distinct advantage of minimizing the anterior translation force during isokinetic ex...

    journal_title:British journal of sports medicine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1136/bjsm.29.3.171

    authors: Li CK,Chan KM,Hsu YS,Chien P,Wong WN

    更新日期:1995-09-01 00:00:00

  • An intensive Alpine climbing expedition and its influence on some anthropometric measurements.

    abstract::The effects of an intensive 4 week Alpine climbing expedition on percentage body fat, absolute body fat and lean body mass was investigated in 14 adult male students. Anthropometric measures were taken on two occasions during the training period prior to the expedition, twice during the expedition and finally eight we...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.14.2-3.126

    authors: Baker SJ

    更新日期:1980-07-01 00:00:00

  • Low reproducibility of many lactate markers during incremental cycle exercise.

    abstract::Reports on reproducibility of lactate markers usually considered only two trials. The authors assessed reproducibility of power output at seven markers in 11 fit subjects over at least six trials under tightly controlled conditions. Subjects undertook incremental exercises (50 W start, +50 W every 3 min to exhaustion)...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.2010.076380

    authors: Morton RH,Stannard SR,Kay B

    更新日期:2012-01-01 00:00:00

  • Early mobilisation versus plaster immobilisation of simple elbow dislocations: results of the FuncSiE multicentre randomised clinical trial.

    abstract:BACKGROUND/AIM:To compare outcome of early mobilisation and plaster immobilisation in patients with a simple elbow dislocation. We hypothesised that early mobilisation would result in earlier functional recovery. METHODS:From August 2009 to September 2012, 100 adult patients with a simple elbow dislocation were enroll...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1136/bjsports-2015-094704

    authors: Iordens GI,Van Lieshout EM,Schep NW,De Haan J,Tuinebreijer WE,Eygendaal D,Van Beeck E,Patka P,Verhofstad MH,Den Hartog D,FuncSiE Trial Investigators.

    更新日期:2017-03-01 00:00:00

  • Snowblading injuries in Eastern Canada.

    abstract:OBJECTIVES:To evaluate injury patterns of snowbladers and compare them with those of skiers and snowboarders. To determine possible effects of helmet use in these sports on injury to the head and neck. METHODS:This prospective case series observational study was conducted by collecting the injury reports from the ski ...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.37.6.511

    authors: Bridges EJ,Rouah F,Johnston KM

    更新日期:2003-12-01 00:00:00

  • Microwave hyperthermia treatment increases heat shock proteins in human skeletal muscle.

    abstract:OBJECTIVE:To test the hypothesis that microwave hyperthermia treatment (MHT) increases heat shock proteins (HSPs) in the human vastus lateralis muscle. METHODS:Four untrained healthy male volunteers participated in this study. The lateral side of the thigh of one leg (heated leg) was heated with a microwave generator ...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.2006.032938

    authors: Ogura Y,Naito H,Tsurukawa T,Ichinoseki-Sekine N,Saga N,Sugiura T,Katamoto S

    更新日期:2007-07-01 00:00:00

  • A one season prospective cohort study of volleyball injuries.

    abstract:OBJECTIVE:To estimate the overall incidence of acute and overuse volleyball injuries, and to describe factors associated with ankle sprains. METHODS:486 players from the second and third Dutch national volleyball divisions participated in the study and were followed prospectively during a whole season. Three measureme...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.2003.005785

    authors: Verhagen EA,Van der Beek AJ,Bouter LM,Bahr RM,Van Mechelen W

    更新日期:2004-08-01 00:00:00

  • Stride frequency and ventilation at constant carbon dioxide output.

    abstract::To determine the consequences of two different stride frequencies on ventilation (VE) at similar levels of carbon dioxide production (VCO2), eleven male subjects performed two work tests on the treadmill. One test involved walking at a speed of 5 km/hr on a 15% grade while the other consisted of running on the treadmi...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.19.4.210

    authors: Berry MJ,Bacharach DW,Moritani T

    更新日期:1985-12-01 00:00:00

  • Anabolic steroid use among students at a British college of technology.

    abstract::To determine the rate of current or previous use of anabolic steroids by students at a UK college of technology, a questionnaire survey of 687 day students was conducted. The questionnaire began with a general section for all of the students, which ended with the question 'Have you ever used anabolic steroids?'. A fur...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.27.3.200

    authors: Williamson DJ

    更新日期:1993-09-01 00:00:00

  • Waterbike injuries.

    abstract::Jet skiing is a rapidly growing sport. The craft incorporate safety features and the manufacturers issue detailed safety instructions. Racing is conducted with adequate attention to clothing, safety and insurance. However, casual use is widespread and is sometimes irresponsible. Serious injuries to riders are uncommon...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.25.4.232

    authors: Jeffery RS,Caiach S

    更新日期:1991-12-01 00:00:00

  • An integrative 'omics' solution to the detection of recombinant human erythropoietin and blood doping.

    abstract::Administration of recombinant human erythropoietin (rHumanEPO) improves sporting performance and hence is frequently subject to abuse by athletes, although rHumanEPO is prohibited by the WADA. Approaches to detect rHumanEPO doping have improved significantly in recent years but remain imperfect. A new transcriptomic-b...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章,评审

    doi:10.1136/bjsports-2014-093529

    authors: Pitsiladis YP,Durussel J,Rabin O

    更新日期:2014-05-01 00:00:00

  • Higher fasting plasma glucose levels within the normoglycaemic range and rotator cuff tears.

    abstract:OBJECTIVE:To determine the plasma glucose levels in non-diabetic patients with rotator cuff tear. DESIGN:Frequency-matched case-control study. SETTING:University Teaching Hospital. PARTICIPANTS:The study included 194 subjects who were operated on at our institution. Group 1 included 97 consecutive patients (36 men a...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.2008.049320

    authors: Longo UG,Franceschi F,Ruzzini L,Spiezia F,Maffulli N,Denaro V

    更新日期:2009-04-01 00:00:00

  • Close encounters of the US kind: illness and injury among US athletes at the PyeongChang 2018 Winter Olympic Games.

    abstract:AIM:To describe injury and illness incidence during the 2018 Winter Olympic Games (WOG) by Team USA. METHODS:A descriptive observational study. We used registered Team USA Olympic athletes' electronic medical records to review preparticipation health histories and medical encounters immediately prior to and throughout...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsports-2018-100015

    authors: Nabhan D,Windt J,Taylor D,Moreau W

    更新日期:2020-08-01 00:00:00

  • Significance of deep T-wave inversions in asymptomatic athletes with normal cardiovascular examinations: practical solutions for managing the diagnostic conundrum.

    abstract::Preparticipation screening programmes for underlying cardiac pathologies are now commonplace for many international sporting organisations. However, providing medical clearance for an asymptomatic athlete without a family history of sudden cardiac death (SCD) is especially challenging when the athlete demonstrates par...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章,评审

    doi:10.1136/bjsports-2011-090838

    authors: Wilson MG,Sharma S,Carré F,Charron P,Richard P,O'Hanlon R,Prasad SK,Heidbuchel H,Brugada J,Salah O,Sheppard M,George KP,Whyte G,Hamilton B,Chalabi H

    更新日期:2012-11-01 00:00:00

  • Cognitive functional approach to manage low back pain in male adolescent rowers: a randomised controlled trial.

    abstract:BACKGROUND:Low back pain (LBP) is prevalent among adolescent rowers. This study evaluated the efficacy of a cognitive functional approach to reduce LBP in this population. METHODS:Thirty-six adolescent male rowers reporting LBP participated. Nineteen were randomly allocated to the intervention group to receive a cogni...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1136/bjsports-2014-093984

    authors: Ng L,Cañeiro JP,Campbell A,Smith A,Burnett A,O'Sullivan P

    更新日期:2015-09-01 00:00:00

  • Elite athletes travelling to international destinations >5 time zone differences from their home country have a 2-3-fold increased risk of illness.

    abstract:BACKGROUND:Illness accounts for a significant proportion of consultations with a team physician travelling with elite athletes. OBJECTIVE:To determine if international travel increases the incidence of illness in rugby union players participating in a 16-week tournament. SETTING:2010 Super 14 Rugby Union tournament. ...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsports-2012-091395

    authors: Schwellnus MP,Derman WE,Jordaan E,Page T,Lambert MI,Readhead C,Roberts C,Kohler R,Collins R,Kara S,Morris MI,Strauss O,Webb S

    更新日期:2012-09-01 00:00:00

  • Sedentary time in older men and women: an international consensus statement and research priorities.

    abstract::Sedentary time is a modifiable determinant of poor health, and in older adults, reducing sedentary time may be an important first step in adopting and maintaining a more active lifestyle. The primary purpose of this consensus statement is to provide an integrated perspective on current knowledge and expert opinion per...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsports-2016-097209

    authors: Dogra S,Ashe MC,Biddle SJH,Brown WJ,Buman MP,Chastin S,Gardiner PA,Inoue S,Jefferis BJ,Oka K,Owen N,Sardinha LB,Skelton DA,Sugiyama T,Copeland JL

    更新日期:2017-11-01 00:00:00

  • Comparison of the '11+ Kids' injury prevention programme and a regular warmup in children's football (soccer): a cost effectiveness analysis.

    abstract:OBJECTIVE:To evaluate a potential reduction in injury related healthcare costs when using the '11+ Kids' injury prevention programme compared with a usual warmup in children's football. METHODS:This cost effectiveness analysis was based on data collected in a cluster randomised controlled trial over one season from fo...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1136/bjsports-2018-099395

    authors: Rössler R,Verhagen E,Rommers N,Dvorak J,Junge A,Lichtenstein E,Donath L,Faude O

    更新日期:2019-03-01 00:00:00

  • Electrocardiographic screening in athletes: the time is now for universal screening.

    abstract::Regular physical exercise reduces cardiovascular morbidity and mortality. A small proportion of athletes, however, are at increased risk of exercise-related sudden cardiac death (SCD) as a result of quiescent cardiac anomalies. The preventable nature of such deaths has prompted the medical and sporting governing bodie...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章,评审

    doi:10.1136/bjsm.2008.054874

    authors: Papadakis M,Sharma S

    更新日期:2009-09-01 00:00:00

  • Voluntary fluid intake and core temperature responses in adolescent tennis players: sports beverage versus water.

    abstract:OBJECTIVE:To examine differences in ad libitum fluid intake, comparing a 6% carbohydrate/electrolyte drink (CHO-E) and water, and associated differences in core temperature and other selected physiological and perceptual responses in adolescent athletes during tennis training in the heat. METHODS:Fourteen healthy, fit...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1136/bjsm.2005.023333

    authors: Bergeron MF,Waller JL,Marinik EL

    更新日期:2006-05-01 00:00:00

  • The effectiveness of a squash eyewear promotion strategy.

    abstract:OBJECTIVE:To evaluate the protective eyewear promotion (PEP) project, which was a comprehensive educational strategy to increase the use of appropriate protective eyewear by squash players. METHODS:An ecological study design was used. Four squash venues in one playing association were randomly chosen to receive PEP an...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.2005.018366

    authors: Eime R,Finch C,Wolfe R,Owen N,McCarty C

    更新日期:2005-09-01 00:00:00

  • Energy demands during a judo match and recovery.

    abstract:OBJECTIVE:To assess energy demand during a judo match and the kinetics of recovery by measuring the metabolites of the oxypurine cascade, lipolytic activity, and glycolytic pathway. METHODS:Venous blood samples were taken from 16 national judoists (mean (SEM) age 18.4 (1.6) years), before (T(1)) and three minutes (T(2...

    journal_title:British journal of sports medicine

    pub_type: 杂志文章

    doi:10.1136/bjsm.37.3.245

    authors: Degoutte F,Jouanel P,Filaire E

    更新日期:2003-06-01 00:00:00