Electrocardiographic findings in young competitive athletes during acute SARS-CoV-2 infection.
Bradley J Petek, Nathaniel Moulson, Aaron L Baggish, Jonathan A Drezner, Kimberly G Harmon, Christian F Klein, Stephanie A Kliethermes, Manesh R Patel, Timothy W Churchill
Author Information
Bradley J Petek: Division of Cardiology, Massachusetts General Hospital, United States of America; Cardiovascular Performance Program, Massachusetts General Hospital, United States of America.
Nathaniel Moulson: Division of Cardiology and Sports Cardiology BC, University of British Columbia, Canada.
Aaron L Baggish: Division of Cardiology, Massachusetts General Hospital, United States of America; Cardiovascular Performance Program, Massachusetts General Hospital, United States of America.
Jonathan A Drezner: Department of Family Medicine and Center for Sports Cardiology, University of Washington, United States of America.
Kimberly G Harmon: Department of Family Medicine and Center for Sports Cardiology, University of Washington, United States of America.
Christian F Klein: Department of Internal Medicine, University of Washington, United States of America.
Stephanie A Kliethermes: Department of Orthopedics and Rehabilitation, University of Wisconsin Madison, United States of America.
Manesh R Patel: Division of Cardiology, Duke Heart Center, and Duke Clinical Research Institute, Duke University School of Medicine, United States of America.
Timothy W Churchill: Division of Cardiology, Massachusetts General Hospital, United States of America; Cardiovascular Performance Program, Massachusetts General Hospital, United States of America. Electronic address: twchurchill@partners.org.
Initial guidelines recommended a 12-lead electrocardiogram (ECG) in young competitive athletes following SARS-CoV-2 infection to screen for myocarditis. However, no data are available that detail ECG findings before and after SARS-CoV-2 infection in young athletes without clinical or imaging evidence of overt myocarditis. This study applied the International Criteria for ECG interpretation in a cohort of 378 collegiate athletes to compare ECG findings at baseline and during the acute phase of SARS-CoV-2 infection. Our results suggest that ECG changes can occur in the absence of definitive SARS-CoV-2cardiac involvement in young competitive athletes.
