Arrhythmias & electrophysiology

Classification of Premature Ventricular Contractions in Athletes During Routine Preparticipation Exams

Circ Arrhythm ElectrophysiolPublished Retrospective cross-sectional study

Authors' conclusion

There is a low prevalence of PVCs on routine ECG screening of young athletes, and most PVCs are of benign morphology in this population.

Study context

Population
Athletes aged 14 to 35 years screened with ECG during preparticipation exams, 2014–2021
Participants
10,728 screened athletes
Outcome
Prevalence and morphology of incidental PVCs (benign vs nonbenign)
Methodological detailsmass screenings in schools and professional sports teams, Retrospective analysis of digital ECGs with simultaneous display of frontal (limb) and horizontal (precordial) plane leads; Premature ventricular contraction (PVCs) categorized as benign or nonbenign by recommended criteria
  • Mass screenings in schools and professional sports teams
  • Retrospective analysis of digital ECGs with simultaneous display of frontal (limb) and horizontal (precordial) plane leads; PVCs categorized as benign or nonbenign by recommended criteria

Main finding

As reported in the abstract

Athletes with ≥1 PVC
26 (0.24%)
Left bundle branch block pattern
19 of 26 (73%)
Right bundle branch block pattern
7 (27%)
Benign PVC patterns
24 (96%)
Right ventricular outflow tract morphology
18
Left anterior fascicle morphology
5
Left posterior fascicle morphology
2

Observational data: associations, not effects.

Further findings

Demographics of athletes with PVCs

Female
50%
White
65%
Asian
8%
Hispanic
4%
Black
23%

Original publication

Classification of Premature Ventricular Contractions in Athletes During Routine Preparticipation Exams. Circ Arrhythm Electrophysiol. Published 28 August 2024. doi:10.1161/circep.124.012835

Composed by AI from the published abstract and checked against it. How Briefs are made →

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