Markendorf Susanne, Schmied Christian M, Brunckhorst Corinna B
Universitätsspital Zürich, Klinik für Kardiologie.
Praxis (Bern 1994). 2020;109(4):253-258. doi: 10.1024/1661-8157/a003453.
CME ECC 65: The Athlete's ECG Regular, intensive training in athletes causes a modulation of the heart due to higher vagal tone and emerging hypertrophy. To assess these changes, which can be seen in an athlete's ECG as well, an international group of experts constituted contemporary standards for ECG interpretation in athletes, the "Seattle Criteria" which are discussed in this article: Athletes often have a physiologic sinus bradycardia with a heart rate between 30 and 60 bpm and a pronounced respiratory arrhythmia. A junctional rhythm with retrograde depolarisation of the atria frequently occurs as well, especially at rest. Early repolarisation is also an occasional phenomenon in athletes. Depending on its morphology and the history of the athlete it may be regarded as physiologic. This article shall help to evaluate an athlete's ECG in a physician's routine.
继续医学教育（CME）心电图课程65：运动员的心电图 运动员进行规律、高强度训练会因迷走神经张力增加和心肌肥厚而导致心脏发生适应性改变。为评估这些也能在运动员心电图中观察到的变化，一个国际专家小组制定了运动员心电图解读的当代标准，即本文所讨论的“西雅图标准”：运动员常出现生理性窦性心动过缓，心率在30至60次/分钟之间，且呼吸性心律失常明显。伴有心房逆行 depolarisation 的交界性心律也很常见，尤其是在休息时。早期复极在运动员中也是偶尔出现的现象。根据其形态和运动员的病史，它可能被视为生理性的。本文有助于医生在日常工作中评估运动员的心电图。 （注：原文中“retrograde depolarisation”的“depolarisation”常见释义为“去极化”，但结合语境此处可能表述有误，推测可能是“retrograde depolarization of the atria”整体意为“心房逆行除极” ，若准确表述应为“retrograde atrial depolarization” ）
