Observational analysis compared the diagnostic accuracy of Seattle, ESC, and International criteria in master athletes, indicating Seattle criteria may enhance screening effectiveness.
Key Points
The Seattle criteria showed the highest diagnostic accuracy at 0.81 for identifying risks of sudden cardiac death.
Among 506 master athletes, 2.5% were diagnosed with serious cardiovascular conditions like dilated cardiomyopathy and severe aortic regurgitation.
ECGs were interpreted using 2017 International, 2010 ESC, and 2013 Seattle criteria, assessing sensitivity and specificity against transthoracic echocardiography.
These findings indicate that utilizing Seattle criteria may significantly improve cardiovascular screening in master athletes.