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. 2023 May 19;24(5):151. doi: 10.31083/j.rcm2405151

Table 1.

ECG findings in athletes based on the international criteria [44].

Normal ECG findings Borderline ECG findings Abnormal ECG findings
Sinus bradycardia or sinus arrhythmia Left axis deviation ST-T repolarization abnormalities (T-wave inversion, ST-segment depression)
First-degree AV block, Mobitz type 1 second-degree AV block Left atrial enlargement Pathological Q waves
Ectopic atrial or junctional escape rhythm Right axis deviation QRS 140 ms duration
Incomplete RBBB Right atrial enlargement Epsilon wave
Early repolarization/ST-segment elevation Complete RBBB Complete LBBB
Increased QRS voltage criteria for left or right ventricular hypertrophy QT Abnormalities (Long and Short)
ST elevation followed by T-wave inversion V1–V4 in black athletes Ventricular pre-excitation
T wave inversion V1–V3 in <age 16 years Brugada type 1 pattern
Profound sinus bradycardia <30 bpm
PR interval 400 ms
Mobitz type 2 second-degree AV block, third-degree AV block
2 PVCs at rest
Atrial tachyarrhythmias
Ventricular arrhythmias

ECG, electrocardiogram; AV, atrioventricular; LBBB, left bundle branch block; PVC, premature ventricular contraction; RBBB, right bundle branch block.