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What Is a Normal ECG in Athletes?

Up to 60% of athletes show ECG changes, and some of these changes are often striking to look at.  The Seattle ECG criteria is often used to separate the normal from the abnormal ECG in an athlete. This is important, as many normal athletes undergo cardiac angiography and even pacemaker surgery because of misinterpretation of […]

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55-year old male with chest pain.

The following ECG was taken from a  55-year old male who presented to the ER with 2-hour history of persistent heavy discomfort across the anterior chest with radiation to the neck. Risk factors: Positive family history (father had MI at age 52); hypertension; dyslipidemia. Medications: Nifedipine XL 30 mg daily and atorvastatin 10 mg daily. Physical examination: Heart […]

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New guidance for management of asymptomatic young people with Wolff-Parkinson-White (WPW) syndrome

A consensus statement on the management of asymptomatic patients with Wolff-Parkinson-White (WPW) syndrome has been presented at The Heart Rhythm Society (HRS) 2012 Scientific Sessions. This statement should help clarify which young people should undergo catheter ablation. While there is a small chance that an asymptomatic young person could end up having a life-threatening arrhythmia, […]

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