The interpretation of ECG in the young and in athletes.

Transcription

1 PRACTICAL ECG COURSE The interpretation of ECG in the young and in athletes. Synopsis and aims: the practical ECG course is focused on ECG interpretation in young individuals (14-35 years) and in athletes. The spectrum of cardiac conditions potentially detected at the ECG in the young is broad and significantly different from the one characterizing older patients. Furthermore, ECG interpretation in athletes requires careful analysis to properly distinguish physiological changes related to athletic training from findings suggestive of an underlying pathological condition. Cardiovascular-related sudden death is the leading cause of mortality in athletes during sport. Most of disorders associated with an increased risk of sudden cardiac death, such as cardiomyopathies and primary electrical diseases, are suggested by abnormal findings present on a 12-lead ECG. Therefore, ECG interpretation is an important skill for physicians involved in the cardiovascular care of athletes and of young individuals. The aim of the course is to provide a basic knowledge and ability to accurately differentiate findings suggestive of a potentially lethal cardiovascular disorder from normal variants or features of benign physiological adaptations. The course is highly interactive. At the end of the course the attendants will be able to recognize the main ECG abnormalities suggestive of a cardiac disease in young individuals and athletes. After the course, a document with MCQs will be available for download from the website (not fail/pass process). The document will be sent back to the attendees with specific details about the wrong answers. A certificate will be issued and sent via to all the attendees.

2 CPD approval (Royal College of Physicians) applied (4 CPD points). Setting: the Molecular and Clinical Sciences Institute at St George s University and the charity Cardiac Risk in the Young have contributed significantly to the research on ECG interpretation in young individuals and in athletes. Professor Sanjay Sharma is the research lead of the Cardiology Clinical Academic Group and was the lead author for the international consensus document: International recommendations for electrocardiographic interpretation in athletes. Eur Heart J. 2017, J Am Coll Cardiol More information can be found here: Audience: General Practitioners, Sport physicians, Consultant, Staff grade & Associate Specialist doctors, Physician assistants, Specialist Nurses. Venue: St George s University Hospital, John Parker Lecture Theatre. Programme Organizers: Dr Gherardo Finocchiaro, MD; Dr Michael Papadakis, MBBS, MD, FESC. Organizing bodies: St George s University of London and Cardiac Risk in the Young (CRY).

3 PROGRAMME : Welcome and registration : Understanding the basic principles: P wave, QRS complex and T wave (Dr V Batchvarov) 15:00-15:25: Axis deviation, atrial enlargement, left ventricular hypertrophy 15:25-15:40: Practical and interactive reading of normal simple ECG traces (Dr G Finocchiaro, Dr M Papadakis) 15: : Introduction on ECG interpretation in athletes: normal and abnormal findings (Dr M Papadakis) 16: : The ECG in ischemia and infarction Coffee break 16: : Rhythm abnormalities in the young and in athletes: Bradyarrhythmias

4 17:00-17:20: Rhythm abnormalities in the young and in athletes: Tachyarrhythmias 17:20-17:40: The ECG in cardiomyopathies 17:40-18:00: The ECG in channelopathies 18:00-18:10: The ECG in pre-excitation and Wolff-Parkinson-White syndrome 18:10-18:30: Repolarization patterns in athletes (Dr G Finocchiaro, Dr M Papadakis) 18:30-19:10: Interactive ECG interpretation Clinical cases (Dr G Finocchiaro, Dr M Papadakis) End of the course

5 Lecturers CV: Dr Michael Papadakis, MBBS, MD: Dr Papadakis qualified at Imperial College School of Medicine, London in 2001 and obtained membership of the Royal College of Physicians in In 2008 he was awarded a CRY junior research fellow grant and was registered for a Medical Doctorate at King s College London and subsequently at St George s University of London. In 2011 he was awarded a clinical lectureship post and from 2016 he is a Consultant Cardiologist at St George s University. His interests include sports cardiology, conditions predisposing to sudden cardiac death in the young, prevention of young deaths and heart failure. Dr Papadakis is a member and recently elected Chair of the European Sports Cardiology nucleus. He is credited with an increasing number of publications in peer reviewed medical journals and abstracts at scientific conferences. He was awarded the Young Investigators Award for the best scientific abstract at Europrevent 2010 by the European Association for Cardiovascular Prevention and Rehabilitation. Dr Gherardo Finocchiaro, MD: Dr Finocchiaro completed his undergraduate training and qualified from Trieste University (Italy) in He completed his fellowship in Cardiology in Trieste in April 2012, with particular interest in cardiomyopathies. He then spent one year at Stanford University (CA, US), focusing on hypertrophic cardiomyopathy and athlete s heart, gaining a post-doctoral diploma in Subsequently he worked for seven months at The Heart Hospital imaging center (London) learning cardiac MRI and gaining a level II accreditation in this field. He published several papers in the field of cardiomyopathies and sport cardiology. He is now clinician and researcher at St George s University Hospital, London. His main fields of interest are sudden cardiac death, cardiomyopathies and athletic cardiac adaptation.

6 Dr Velislav N. Batchvarov, MD, PhD: Dr Batchvarov qualified at the Medical University in Sofia, Bulgaria in He worked as a GP, cardiologist and cardiac electrophysiologist in Bulgaria before moving to the UK in For nearly 20 years he has been involved in clinical electrocardiology research at St. George s University of London. His expertise and interests include theory of electrocardiography, digital signal processing for ECG analysis, development of new computerised concepts for ECG display and analysis, ECG-based diagnosis and risk stratification in genetic arrhythmic syndromes (arrhythmogenic right ventricular cardiomyopathy, Brugada syndrome). He has vast experience in ECG teaching at all levels and many publications, book chapters and presentations at international meetings. He is currently retired and continues part-time his research at St. George s.