The role of the electrocardiogram in identifying the risk of sudden cardiac death

Biljana Zogović ,
Biljana Zogović
Miljan Stašević ,
Miljan Stašević
Ivan Radić
Ivan Radić

Published: 01.12.2020.

Volume 50, Issue 3 (2021)

pp. 1-6;

https://doi.org/10.5937/pramed2104001z

Abstract

Introduction: Sudden cardiac death (SCD) represents the unexpected and sudden death of young apparently healthy people. Alarge number of examined cases referred to professional athletes. There is not enough data in the literature related to those who performed sports in a sporadic and recreational manner. In order to prevent SCD, a screening protocol was determined, in which, an ECG performed at rest plays a important role. Based on the established criteria, changes on the ECG can be treated as normal, borderline and abnormal. An abnormal result indicates a risk of SCD. Objective: The aim of this study was to determine the risk of SCD in students who practice physical activity recreationally. Methods: The research involved 500 students (both sexes) of the 1st and 3rd year of study on the University of Pristina situated in Kosovska Mitrovica. As part of the regular systematic examination, an ECG was performed at rest. The risk of SCD was determined by analyzing the changes on the ECG and grouping them based on screening recommendations. Results: The obtained results show that 44% of students had changes on the ECG and that 8% of students had an abnormal result indicated a possible risk of sudden cardiac death. Conclusion: Therefore, timely recognizing and interpreting ECG changes in accordance with screening recommendations is an imperative for identification and possible prevention of SCD.

References

1.
Serra G, Baranchuk A, Bayes-De-Luna A, Brugada J, Goldwasser D, Capulzini L, et al. New electrocardiographic criteria to differentiate the Type-2 Brugada pattern from electrocardiogram of healthy athletes with r’-wave in leads V1/V2. Europace. 2014;16(11):1639–45.
2.
Wisten A, Andersson S, Forsberg H, Krantz P, Messner T. Sudden cardiac death in the young in Sweden: electrocardiogram in relation to forensic diagnosis. Journal of Internal Medicine. 2004;255(2):213–20.
3.
Roberts WO, Asplund CA, O’Connor FG, Stovitz SD. Cardiac preparticipation screening for the young athlete: Why the routine use of ECG is not necessary. Journal of Electrocardiology. 2015;48(3):311–5.
4.
Soori R, Gharehlo AAN, Hashemi N, Hashemi N, Ingle L. Sudden Cardiac Death (SCD) in Athletes: A Mini-Review. 2020;12(1):71–6.
5.
Panhuyzen-Goedkoop NM, Jørstad HT, Smeets JLRM. A new consensus document on electrocardiographic interpretation in athletes: does it help to prevent sudden cardiac death in athletes? Netherlands Heart Journal. 2018;26(3):127–32.
6.
Wasfy MM, Hutter AM, Weiner RB. Sudden Cardiac Death in Athletes. Methodist DeBakey Cardiovascular Journal. 12(2):76.
7.
Maron BJ, Doerer JJ, Haas TS, Tierney DM, Mueller FO. Sudden Deaths in Young Competitive Athletes. Circulation. 2009;119(8):1085–92.
8.
Serratosa-Fernández L, Pascual-Figal D, Masiá-Mondéjar MD, Sanz-de la Garza M, Madaria-Marijuan Z, Gimeno-Blanes JR, et al. Comments on the New International Criteria for Electrocardiographic Interpretation in Athletes. Revista Española de Cardiología (English Edition). 2017;70(11):983–90.
9.
Drezner JA, Ackerman MJ, Anderson J, Ashley E, Asplund CA, Baggish AL, et al. Electrocardiographic interpretation in athletes: the ‘Seattle Criteria.’ British Journal of Sports Medicine. 2013;47(3):122–4.
10.
Asif IM, Drezner JA. Sudden Cardiac Death and Preparticipation Screening: The Debate Continues—In Support of Electrocardiogram-Inclusive Preparticipation Screening. Progress in Cardiovascular Diseases. 2012;54(5):445–50.
11.
Harmon KG, Asif IM, Maleszewski JJ, Owens DS, Prutkin JM, Salerno JC, et al. Incidence, Cause, and Comparative Frequency of Sudden Cardiac Death in National Collegiate Athletic Association Athletes. Circulation. 2015;132(1):10–9.
12.
Wisten A, Börjesson M, Krantz P, Stattin EL. Exercise related sudden cardiac death (SCD) in the young — Pre-mortal characterization of a Swedish nationwide cohort, showing a decline in SCD among athletes. Resuscitation. 2019;144:99–105.
13.
Halasz G, Cattaneo M, Piepoli M, Romano S, Biasini V, Menafoglio A, et al. Pediatric athletes’ ECG and diagnostic performance of contemporary ECG interpretation criteria. International Journal of Cardiology. 2021;335:40–6.
14.
García‐Niebla J, Llontop‐García P, Valle‐Racero JI, Serra‐Autonell G, Batchvarov VN, De Luna AB. Technical Mistakes during the Acquisition of the Electrocardiogram. Annals of Noninvasive Electrocardiology. 2009;14(4):389–403.
15.
Drezner JA, O’Connor FG, Harmon KG, Fields KB, Asplund CA, Asif IM, et al. AMSSM Position Statement on Cardiovascular Preparticipation Screening in Athletes: Current evidence, knowledge gaps, recommendations and future directions. British Journal of Sports Medicine. 2017;51(3):153–67.
16.
Corrado D, Pelliccia A, Heidbuchel H, Sharma S, Link M, Basso C, et al. Recommendations for interpretation of 12-lead electrocardiogram in the athlete. 2010;31(2):243–59.
17.
Pelliccia A. Recommendations for competitive sports participation in athletes with cardiovascular disease: A consensus document from the Study Group of Sports Cardiology of the Working Group of Cardiac Rehabilitation and Exercise Physiology and the Working Group of Myocardial and Pericardial Diseases of the European Society of Cardiology. European Heart Journal. 26(14):1422–45.
18.
Corrado D, Basso C, Pavei A, Michieli P, Schiavon M, Thiene G. Trends in Sudden Cardiovascular Death in Young Competitive Athletes After Implementation of a Preparticipation Screening Program. JAMA. 2006;296(13):1593.
19.
Schmied C, Borjesson M. Sudden cardiac death in athletes. Journal of Internal Medicine. 2014;275(2):93–103.
20.
Bille K, Figueiras D, Schamasch P, Kappenberger L, Brenner JI, Meijboom FJ, et al. Sudden cardiac death in athletes: the Lausanne Recommendations. European Journal of Cardiovascular Prevention & Rehabilitation. 2006;13(6):859–75.
21.
Baggish AL. Cardiovascular Screening in College Athletes With and Without Electrocardiography. Annals of Internal Medicine. 2010;152(5):269.
22.
Baranchuk A, Enriquez A, García-Niebla J, Bayés-Genís A, Villuendas R, Bayés de Luna A. Differential Diagnosis of rSr’ Pattern in Leads V1-V2. Comprehensive Review and Proposed Algorithm. Annals of Noninvasive Electrocardiology. 2015;20(1):7–17.

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