A gender-based analysis of high school athletes using computerized electrocardiogram measurements

The addition of the ECG to the preparticipation examination (PPE) of high school athletes has been a topic for debate. Defining the difference between the high school male and female ECG is crucial to help initiate its implementation in the High School PPE. Establishing the different parameters set...

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Bibliographic Details
Published in:PloS one 2013-01, Vol.8 (1), p.e53365-e53365
Main Authors: Kumar, Nikhil, Saini, Divya, Froelicher, Victor
Format: Article
Language:English
Subjects:
Adolescent
Age
Algorithms
Athletes
Biology
Body size
Computer applications
Correlation analysis
Death, Sudden, Cardiac - prevention & control
Defects
EKG
Electrocardiography
Electrocardiography - methods
Female
Females
Football
Gender
Heart
High school basketball
High school sports
Humans
Male
Males
Measurement
Medicine
Physical Examination
Physiological aspects
Reference Values
Schools
Sex differences (Biology)
Sex Factors
Signal Processing, Computer-Assisted
Statistical analysis
Student athletes
Students
Surveys and Questionnaires
Technology application
Teenage athletes
Validity
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Summary:The addition of the ECG to the preparticipation examination (PPE) of high school athletes has been a topic for debate. Defining the difference between the high school male and female ECG is crucial to help initiate its implementation in the High School PPE. Establishing the different parameters set for the male and female ECG would help to reduce false positives. We examined the effect of gender on the high school athlete ECG by obtaining and analyzing ECG measurements of high school athletes from Henry M. Gunn High School. In 2011 and 2012, computerized Electrocardiograms were recorded and analyzed on 181 athletes (52.5% male; mean age 16.1 ± 1.1 years) who participated in 17 different sports. ECG statistics included intervals and durations in all 3 axes (X, Y, Z) to calculate 12 lead voltage sums, QRS Amplitude, QT interval, QRS Duration, and the sum of the R wave in V5 and the S Wave in V2 (RS Sum). By computer analysis, we demonstrated that male athletes had significantly greater QRS duration, Q-wave duration, and T wave amplitude. (P
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0053365