Evidence map›Paper›PMID 40964528›Full record

ArticleFrontiers in cardiovascular medicine2025

The diagnostic accuracy of contemporary ECG interpretation criteria in risk stratification of master athletes.

Geza Halasz, Bruno Capelli, Simone Pasquale Crispino, Andrea Segreti, Raffaella Mistrulli, Federico Andreoli, Armando Ferrera, Francesco Perone, Michele Villa, Tiziano Cassina and 4 more

Abstract read
In one paragraph

Article in Frontiers in cardiovascular medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Geza HalaszCardiology Department, Azienda Ospedaliera San Camillo Forlanini, Rome, Italy.
Bruno CapelliSport and Exercise Medicine, Istituto Cardiocentro Ticino, Ente Ospedaliero Cantonale, Lugano, Switzerland.
Simone Pasquale CrispinoDepartment of Cardiovascular Sciences, Fondazione Policlinico Universitario Campus Bio-Medico di Roma, Rome, Italy.
Andrea SegretiDepartment of Cardiovascular Sciences, Fondazione Policlinico Universitario Campus Bio-Medico di Roma, Rome, Italy.
Raffaella MistrulliDepartment of Clinical and Molecular Medicine, Sapienza University of Rome, Rome, Italy.
Federico AndreoliDepartment of Clinical and Molecular Medicine, Sapienza University of Rome, Rome, Italy.
Armando FerreraInstitute of Sports Medicine and Science, National Italian Olympic Committee, Rome, Italy.
Francesco PeroneCardiac Rehabilitation Unit, Rehabilitation Clinic "Villa delle Magnolie", Caserta, Italy.
Michele VillaCardiac Anesthesia and Intensive Care, Istituto Cardiocentro Ticino, Ente Ospedaliero Cantonale, Lugano, Switzerland.
Tiziano CassinaCardiac Anesthesia and Intensive Care, Istituto Cardiocentro Ticino, Ente Ospedaliero Cantonale, Lugano, Switzerland.
Vincenzo BiasiniItalian Sport Medicine Federation Clinic, L'Aquila, Italy.
Francesco GrigioniDepartment of Cardiovascular Sciences, Fondazione Policlinico Universitario Campus Bio-Medico di Roma, Rome, Italy.
Domenico GabrielliCardiology Department, Azienda Ospedaliera San Camillo Forlanini, Rome, Italy.
Massimo PiepoliClinical Cardiology, IRCCS Policlinico San Donato, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Limited data are available on the diagnostic performance of contemporary ECG interpretation criteria in master athletes (aged over 35 years). This study aimed to describe ECG findings and compare the diagnostic accuracy of the 2017 International, 2010 ESC, and 2013 Seattle criteria in identifying high-risk cardiovascular conditions in a cohort of competitive master athletes. Methods: We included 506 consecutive Caucasian master athletes (mean age, 47.9 ± 8.7 years; 85.6% male) who underwent ECG-based preparticipation screening. ECGs were retrospectively interpreted according to the three criteria. Transthoracic echocardiography was included to calculate sensitivity and specificity. Results: Thirteen athletes (2.5%) were diagnosed with a condition potentially related to sudden cardiac death (SCD), including severe aortic regurgitation ( Conclusion: The Seattle criteria demonstrated the highest overall accuracy, with significantly better discriminative performance than the International criteria, and a lower false-positive rate compared with the ESC criteria. These findings support the use of the Seattle criteria as part of a comprehensive screening strategy in master athletes.

Indexed as

athleteECGmasterpreparticipation screeningsudden death

Identifiers

PMID40964528
PMCPMC12436490

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.