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Siaplaouras, J; Apitz, C; Fritsch, P; Wilhelm, M; Kriemler, S; .
The 12-lead resting ECG in sport medical examinations of children and adolescents Statement of the working group on cardiovascular diseases of the Society of Pediatric Sports Medicine.
MONATSSCHR KINDERHEILK. 2019; 167(12): 1157-1161. Doi: 10.1007/s00112-019-00796-9
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Co-authors Med Uni Graz: Fritsch Peter
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Abstract:: The Society for Pediatric Sports Medicine (GPS) aims to promote an active lifestyle for children and adolescents and supports transnational exchange of experts with the aim of promoting physical activity in children, adolescents and young athletes through common positions. To date, the prevention of sudden cardiac death (SCD) in sports still poses a medical challenge. By establishment of a resting electrocardiogram (ECG), various SCD-related electrical or structural heart conditions can be suspected or diagnosed. Nevertheless, the importance of the 12-lead resting ECG used to detect these risk constellations is under intensive discussion. The GPS recommends the derivation of a preparticipation 12-lead resting ECG as a standard in sports medical examinations of children and adolescents who compete in sports, at least every 2 years beginning from the age of 12-14 years. A sport-specific earlier participation in competitions must be individually controlled. Current recommendations for the assessment of the resting ECG in athletes, which take the training-related cardiac adaptations into consideration, lead to the best possible sensitivity and specificity; however, to avoid disadvantageous consequences from false negative or false positive findings, the assessment must be done by physicians and pediatricians with expertise in pediatric sports medicine and the currently used criteria.
Find related publications in this database (Keywords): ECG; Sudden cardiac death; Sports medical examination; Athlete's heart; International recommendations