Arrhythmias & electrophysiology

Normative Values for QRS Duration in Athletes aged 12-35 years undergoing Pre-participation Exams

Heart RhythmPublished cross-sectional study

Main finding · QRS durationResult — go to the resultMean difference 8.9 ms 95% CI 8.5–9.2

Authors' conclusion

Our results indicate that defining prolonged QRS criteria necessitates adjustments according to age and sex. To facilitate future prospective research, we offer specific regression models to detect outliers.

Study context

Population
Asymptomatic, apparently healthy athletes ages 12 to 35 undergoing pre-participation examinationsathletes (58% male, age 12–35 years, mean age 18)
Participants
9,084 participants
Exposure
Females vs Males
Outcome
QRS duration

Main finding

As reported in the abstract

Mean difference

8.9 ms

95% CI 8.5–9.2

By group

Malesvs Females
mean difference 8.9 ms (95% CI 8.5–9.2)

Observational data: associations, not effects.

Further findings

QRS duration >120 ms

OutcomeFemalesMales
QRS duration percentiles and range
97.5th percentile106.0 ms116.0 ms
99th percentile108.0 ms118.3 ms
Range62-130 ms70-132 ms

QRS duration by age and sex

Positive cross-sectional association with age; greater in men than women

99th percentile quantile regression equations

Female
QRS=99.6 + 0.56 x age
Male
QRS = 104.7 + 0.74 x age

Original publication

Normative Values for QRS Duration in Athletes aged 12-35 years undergoing Pre-participation Exams. Heart Rhythm. Published 5 November 2026. doi:10.1016/j.hrthm.2026.10.060

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