Clinical, electrocardiographic, echocardiographic characteristics and long-term follow-up of elite soccer players with J-point elevation
| Autor: | Carlo Gabriele Gribaudo, Davide Castagno, Gianpasquale Ganzit, Piero Astegiano, Yvonne Cristoforetti, Fiorenzo Gaita, Carla Giustetto, Luigi Biasco |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent sudden death Left ventricular hypertrophy Sudden death Electrocardiography Young Adult Heart Conduction System Physiology (medical) Internal medicine Heart rate Soccer medicine Humans Interventricular septum electrocardiography electrophysiology exercise Retrospective Studies medicine.diagnostic_test Ventricular Remodeling business.industry Odds ratio J Point Elevation medicine.disease Confidence interval medicine.anatomical_structure Echocardiography Multivariate Analysis Physical therapy Cardiology Cardiology and Cardiovascular Medicine business |
| Zdroj: | Circulation. Arrhythmia and electrophysiology. 6(6) |
| ISSN: | 1941-3084 |
| Popis: | Background— J-point elevation is common in athletes; nevertheless, the influence of structural changes associated with the athlete’s heart and its prognostic impact are still debated. Our aim was to investigate the prevalence of J-point elevation, the associated clinical, electrocardiographic, and echocardiographic characteristics and its impact on long-term outcome in elite soccer players. Methods and Results— Clinical, electrocardiographic, and cardiopulmonary exercise test data from 332 male professional soccer players were retrospectively analyzed. For 235 (70.7%) athletes echocardiographic data were also available. J-point elevation was defined as an elevation ≥1 mm in ≥2 contiguous leads. Long-term follow-up data were obtained for all athletes, whereas univariate and multivariable analyses were performed to assess the associated characteristics. Overall, 118 (35.6%) athletes showed a J-point elevation ≥1 mm. At multivariable analysis a significant direct association of interventricular septum thickness (odds ratio for 1 SD increase, 1.361; 95% confidence interval, 1.019–1.817; P =0.036) and Sokolow–Lyon index (odds ratio for 1 SD increase, 1.367; 95% confidence interval, 1.026–1.822; P =0.033) and an inverse association of baseline heart rate (odds ratio for 1 SD increase, 0.686; 95% confidence interval, 0.508–0.927; P =0.011) with J-point elevation were observed. During a long-term follow-up (median, 13.3 years; first and third quartiles, 10.1–17.0 years), a low mortality rate was observed, not related to cardiovascular causes. Conclusions— The correlation between J-point elevation and interventricular septum thickness suggests a possible mechanistic role of exercise-induced left ventricular hypertrophy as the basis for J-point elevation. After a long-term follow-up, no cardiac death was observed. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|