ECG Interpretation in Athletes

25 - 26 September

Programme

THURSDAY, 25th September

 

08:00 – 08:10  Welcome –  Jonathan Drezner
08:10 – 09:15  Background and Evidence Synthesis

  • 08:10       International Criteria 2025 (IC25): defining our objective, scope and process. Jonathan Drezner
  • 08:20       The boundaries of cardiac adaptation to exercise and implications for ECG interpretation. Sanjay Sharma
  • 08:30       Performance of the International Criteria in the cardiovascular screening of young competitive athletes: a systematic review. Nate Moulson
  • 08:40       Diagnostic accuracy of specific ECG abnormalities in young competitive athletes: a systematic review. Brad Petek
  • 08:55       Improving the International Criteria: a Delphi study of sports cardiology and sports medicine experts. Jessica Orchard
  • 09:05       Discussion.

09:30 – 10:15  Anterior Repolarization Variants

  • 09:30       Anterior repolarization variants in athletes: is this a normal finding and in whom? Michael Papadakis
  • 09:40       Anterior repolarization variants in athletes: new data from…
    The United States of America.     Jonathan Kim
    Brazil.     Ricardo Stein
    Qatar.     Mat Wilson
  • 10:00       Anterior repolarization variants in athletes: are we sure this is normal? Maria Brosnan
  • 10:10       Discussion.

10:30 – 10:45  Break

  • 10:45       Understanding PVC morphology: which features are of greatest concern?  Alessandro Zorzi
  • 10:55       PVCs in athletes: is one enough? Rachel Lampert
  • 11:05       Evaluation of abnormal PVCs in athletes. Jack Salerno
  • 11:15       Discussion.

11:30 – 12:00  WPW / Ventricular Pre-excitation

  • 11:30       Asymptomatic WPW: prevalence and risk of SCA/D. Tim Churchill
  • 11:40       Evaluation of asymptomatic WPW in athletes. Eugene Chung
  • 11:50       Discussion.

12:00 – 12:30  Long QT

  • 12:00       470/480 Bazett: do we have it right? Michael Ackerman
  • 12:10       Evaluation of a prolonged QTc in athletes. Belinda Gray
  • 12:20       Discussion.

12:30 – 13:20  Lunch

13:20 – 15:00  ECG ‘Potpourri’

  • 13:20       RBBB and IVCD: normal or abnormal in athletes? Aaron Baggish
  • 13:30       Borderline ECG findings: do we need the “yellow box”? Brad Petek
  • 13:40       What defines abnormal ST segment depression? Jordan Prutkin
  • 13:50       QRS fragmentation: ready for primetime? Alessandro Zorzi
  • 14:00       Juvenile TWI: prevalence and implications. Guido Pieles
  • 14:10       Anterior TWI in female athletes: normal or abnormal? Jessica Orchard
  • 14:20       Multiple PACs: should we be concerned? Rachel Lampert
  • 14:30       Discussion.

15:00 – 15:30  Break

15:30 – 17:00  Cardiomyopathies

  • 15:30       Approach to the evaluation of TWI and ST depression in athletes: does location matter? Dermot Phelan
  • 15:40       Evaluation of a “markedly abnormal” ECG: considerations and differential diagnosis. Matthew Martinez
  • 15:50       Low QRS voltage: definition and implications in athletes. Antonio Pelliccia
  • 16:00       Non-ischemic LV scar: clinical, electrocardiographic, and MRI features. Viviana Maestrini
  • 16:10       ECG abnormalities and the evaluation of arrhythmogenic cardiomyopathy in athletes. Andre La Gerche
  • 16:20       Distinguishing athlete’s heart from dilated cardiomyopathy: ECG and cardiac imaging considerations. Sabiha Gati
  • 16:30       Evaluation of pediatric cardiomyopathy. Jonathan Edelson
  • 16:40       Discussion.

17:10  Adjourn

 

FRIDAY, 26th September

08:00 – 09:00  International Criteria 2025

  • 08:00       “IC25” – proposed new criteria – Modeling IC25 in a cohort of 32,000 young active individuals. Jonathan Drezner
  • 08:30       Discussion.

09:00 – 10:15  Special Populations

  • 09:00       ECG findings in Para athletes. Aneil Malhotra
  • 09:10       ECG findings in Masters athletes (age >35). Mats Borjesson
  • 09:20       Additional considerations in pediatric athletes (age <12). Cecilia Gonzalez Corcia
  • 09:30       ECG considerations in the tactical athlete. Alaric Franzos
  • 09:40       Exercise-induced cardiac remodeling and ECG considerations in endurance athletes. Guido Claessen
  • 09:50       Exercise – how little is too little? ECG considerations in non-athletes. Gherardo Finocchiaro
  • 10:00       Discussion.
    • IC25 populations.
    • IC25 age range.

10:15 – 10:45  ECG Challenges and Interpretation Uncertainties

  • 10:15       ECG examples and discussion. Jonathan Drezner

10:45 – 11:00  Break

  • 11:00       Fine-tuning the Evaluation of ECG Abnormalities
  • 11:10       Is echocardiography required when CMR is available? Jonathan Kim
  • 11:20       Alternatives to cardiac imaging if CMR is not available? David Owens
  • 11:30       Atrial fibrillation in young athletes: prevalence and diagnostic considerations. Hari Raju 
  • 11:40       Considerations for genetic testing in the secondary evaluation of ECG abnormalities in athletes. Michael Ackerman 
  • 11:50       Work-up pending: sports restriction for ECG abnormalities? Kimberly Harmon
  • 12:00       Discussion.

12:15 – 13:00  Next Steps

  • 12:15       What next? Post-ECG summit. Jonathan Drezner
    • Finalize criteria and recommendations for the secondary evaluation of ECG abnormalities.
    • Level of agreement.
    • Authorship, writing assignments, and timeline.
    • Co-publication: BJSM, EHJ, JACC
    • BJSM Special Issue: ECG interpretation in athletes.
    • ECG training modules.
    • BJSM Live – lasting resource.
  • 12:30       Discussion.
    • Evidence-gaps and research priorities for ECG interpretation in athletes.

13:00  Adjourn

 

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