Schnell Frédéric
CHU de Rennes, Université de Rennes 1, hôpital Pontchaillou, service de médecine du sport, LTSI-UMR, Inserm, 1099 Rennes, France.
Presse Med. 2019 Dec;48(12):1393-1400. doi: 10.1016/j.lpm.2019.07.008. Epub 2019 Aug 27.
An ECG is recommended by the French Society of Cardiology in the screening of a competitive athlete. An intense and prolonged physical activity (>4 hours of intense sport/week) can lead to a physiological electric remodeling. In addition to physical activity (type, intensity, duration), the ECG should be interpreted according to the athlete's ethnicity and age. It is necessary to know the physiological modifications related to sport practice to avoid either false reassurances or the realization of unjustified additional examinations because of a wrong interpretation. The latest athlete ECG classification published in 2017 can be used to identify in which athlete additional tests are recommended (figure 1).
法国心脏病学会建议对竞技运动员进行心电图筛查。高强度和长时间的体育活动（每周超过4小时的高强度运动）可导致生理性电重构。除了体育活动（类型、强度、持续时间）外，心电图应根据运动员的种族和年龄进行解读。有必要了解与运动实践相关的生理变化，以避免因错误解读而导致的错误安心或不必要的额外检查。2017年发布的最新运动员心电图分类可用于确定哪些运动员建议进行额外检查（图1）。
