Abstract 19366: Ecg Abnormalities Distribution Between Competitive Athletes, Non Competitive Athletes and Non Athletes in a Population of 12.000 Young Italian Students
Introduction: The European Society of Cardiology recommends cardiovascular screening to competitive athletes. In young population the execution of 12-lead ECG screening is still controversial.
Hypothesis: The aim of our study is to evaluate the distribution of ECG abnormalities between competitive athletes, non competitive athletes and non athletes.
Methods: From October 2010 to October 2015, we evaluated prospectively 11916 high school students (age 17.2 ± 2.4 years old; 45.9% male): 4533 (38.04 %) non athletes (G-A), 4936 (41.42 %) non competitive athletes (G-B) and 2447 (20.54%) competitive athletes (G-C). They were screened using 12-lead ECG. The statistical difference was considered significant only for p-value < 0.05.
Results: We found a significant statistical difference between distributions of ECG abnormalities in three groups, particularly Brugada like ECG pattern, short PQ interval, premature ventricular contraction, left atrial enlargement are more common in G-A then in the other groups. No significant statistical difference was found for the other abnormal ECG findings. As expected, typical sport related ECG findings (es. sinus bradycardia and early repolarization) are prevalent in G-C than others.
Conclusions: Our results evidence that the distribution of ECG abnormalities between three groups is similar or higher in non athletes group. Non athletes have high rate of abnormal ECG; this suggest that an ECG screening is recommended also in non athletes.
- Sudden cardiac death
- Athletes and heart disease
- Arrhythmias, treatment of
Author Disclosures: A. Fusto: None. P. Scarparo: None. A. Cinque: None. N. Salvi: None. F. Adamo: None. I. Mancini: None. G. Schiaffini: None. M. Vassallo: None. M. Gatto: None. M. Pucci: None. G. Agnes: None. P. Bruno: None. D. Alunni Fegatelli: None. A. Vestri: None. M. Mancone: None. F. Fedele: None.
- © 2016 by American Heart Association, Inc.