The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2026 · 範疇回顧（依標題推測）
Fragmented QRS complex in athletes' electrocardiogram: physiological adaptation or pathological sign? A scoping review.
心血管・呼吸・內科 · 運動員心血管篩檢
中文閱讀摘要
本範圍式回顧顯示運動員 fQRS 隨年齡增加，V1 導聯孤立 fQRS 可能無害，但≥2 個連續導聯需進一步檢查，長期預後待證。
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原始摘要
Background
Fragmented QRS (fQRS) complex, characterized by notching/slurring in the QRS complex, has been linked with myocardial fibrosis and sudden cardiac death (SCD) in cardiomyopathies. While fQRS is a recognized arrhythmogenic marker in hypertrophic cardiomyopathy, it is not included in the International Criteria for ECG interpretation in athletes.
Methods
This review aims to evaluate the prevalence and clinical significance of fQRS in athletes. This review was done according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) guideline. A search was conducted across PubMed, ScienceDirect, and Google Scholar to identify relevant studies reporting fQRS in athletes across all age groups and sports discipline.
Results
A total of 7 studies were included in the final review, revealing higher prevalence of fQRS in older age groups, with the highest prevalence occurring in lead V1. Athletes with fQRS also experienced no adverse events on follow-ups.
Conclusions
Current data suggests that isolated fQRS, especially in lead V1, is likely benign. However, fQRS in ≥ 2 contiguous leads warrant further investigations. A longer follow-up duration is needed to ascertain the possibilities of adverse events occurring in athletes.
至 Europe PMC 閱讀完整來源 ↗ · 擷取日期 2026-10-19
書目、來源與全文狀態
- DOI
- 10.1186/s43044-026-00730-x
- PMID／PMCID
- 41989620 / PMC13086978
- 作者
- Wiradinata W, Qhabibi FR
- 首次發表日期
- 2026-04-16Europe PMC 提供，部分日期可能依年份或月份推定。
- 卷／期／頁碼或文章編號
- 78 ／ 1 ／ 24
- 書目來源與查核日期
- Europe PMC · 2026-10-19僅核對書目欄位與來源連結；不代表已評讀研究品質。
- 全文與授權
- 來源列有免費全文（查核 2026-10-19），未逐篇測試 PDF 下載。 來源授權標示：cc by。
可回溯引用
Wiradinata W, Qhabibi FR. Fragmented QRS complex in athletes' electrocardiogram: physiological adaptation or pathological sign? A scoping review. The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology. 2026;78(1):24. PMID: 41989620. PMCID: PMC13086978. doi:10.1186/s43044-026-00730-x
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