[Usefulness of the ECG in the sports screening of footballers affiliated to a regional sports federation]. / Rendimiento del estudio electrocardiográfico en el reconocimiento deportivo de futbolistas federados de una comunidad autónoma.

We report the results of a study carried out in 825 young football club members, all of whom underwent screening for hypertrophic cardiomyopathy using a 12-lead ECG. Echocardiographic assessment was performed in only those with positive ECG results, as defined by the European Society of Cardiology. Echocardiography proved necessary in 61 (7%) individuals with positive ECG findings, of whom 7 had echocardiographic findings indicative of left ventricular hypertrophy: five were in the "gray zone", 1 was judged to have athlete's heart, and one had been diagnosed with hypertrophic cardiomyopathy. In all these cases, ECG showed repolarization abnormalities, and 4 satisfied criteria for left ventricular hypertrophy.

Rendimiento del estudio electrocardiográfico en el reconocimiento deportivo de futbolistas federados de una comunidad autónoma / Usefulness of the ECG in the sports screening of footballers affiliated to a regional sports federation

Presentamos un estudio realizado sobre 825 futbolistas federados de las categorías juvenil y superiores, en el que se procede al cribado de miocardiopatía hipertrófica mediante electrocardiograma (ECG) de doce derivaciones; se practicó ecocardiograma sólo en los casos con ECG definido como positivo siguiendo los criterios de la Sociedad Europea de Cardiología (ESC). Fue preciso realizar estudio ecocardiográfico a 61 (7%) futbolistas con ECG positivo; 7 presentaron criterios ecocardiográficos de hipertrofia ventricular izquierda, 5 estaban en la «zona gris», se consideró a 1 sujeto como corazón de deportista y otro estaba diagnosticado de miocardiopatía hipertrófica. En todos, el ECG mostró alteraciones de la repolarización y en 4, criterios de crecimiento ventricular izquierdo

We report the results of a study carried out in 825 young football club members, all of whom underwent screening for hypertrophic cardiomyopathy using a 12-lead ECG. Echocardiographic assessment was performed in only those with positive ECG results, as defined by the European Society of Cardiology. Echocardiography proved necessary in 61 (7%) individuals with positive ECG findings, of whom 7 had echocardiographic findings indicative of left ventricular hypertrophy: five were in the "gray zone", 1 was judged to have athlete's heart, and one had been diagnosed with hypertrophic cardiomyopathy. In all these cases, ECG showed repolarization abnormalities, and 4 satisfied criteria for left ventricular hypertrophy