Isolated Anterior T-Wave Inversion in Elite Athletes: Prevalence and Clinical Relevance by Sex and Sporting Discipline.

ABSTRACT:

Background

Cardiac screening of elite athletes is common internationally. Female athletes are reported to have a higher proportion of abnormal screening ECGs compared with male athletes, despite lower rates of sudden cardiac death. T-wave inversion in leads V₂ and V₃ (TWI_V2-3) is considered abnormal for athletes aged ≥16 years, but there are knowledge gaps in prevalence and clinical outcomes.

Methods

Data were obtained from the ARENA (Australasian Registry of ECGs of National Athletes) project and combined with previous athlete cohort studies from Australia and New Zealand. Sporting disciplines included Olympic sports (summer and winter), Australian football, cricket, football (soccer), and netball. Logistic regression calculated adjusted odd

SUBMITTER: Orchard JJ 

PROVIDER: S-EPMC12684483 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature