Pre-participation cardiovascular evaluation in Pacific Island athletes

INTERNATIONAL JOURNAL OF CARDIOLOGY

卷:278

Article

Chatard, Jean-Claude¹  Espinosa, Florian²  Donnadieu, Richard³  Grangeon, Jean-Paul⁴  Sabot, Jean-Marie³  Guivarch, Christian⁵  Dacquin, Regis⁵  Raby, Francois-Xavier⁶  Papouin, Gerard⁶  Viali, Satu⁷  Braunstein, Corinne⁸  Gerbay, Antoine²  Roche, Frederic⁹  Isaaz, Karl²  Barthelemy, Jean-Claude⁹  Carre, Francois¹⁰ 

[1] Univ Lyon St Etienne, Interuniv Lab Human Movement Sci, Fac Med Jacques Lisfranc, F-42023 St Etienne, France

[2] Univ Lyon St Etienne, Fac Med Jacques Lisfranc, Dept Cardiol, F-42023 St Etienne, France

[3] Sports Med Ctr Noumea, Noumea, New Caledonia

[4] Direct Hlth & Social Affairs, Noumea, New Caledonia

[5] Sports Med Ctr Tahiti, Tahiti, French Polynesi, France

[6] Taone Hosp, Dept Cardiol, Tahiti, French Polynesi, France

[7] Apia Hosp, Dept Cardiol, Apia, Samoa

[8] Gaston Bourret Hosp, Dept Cardiol, Noumea, New Caledonia

[9] Univ Lyon St Etienne, Lab Autonomous Nervous Syst, Fac Med Jacques Lisfranc, F-42023 St Etienne, France

[10] Univ Rennes 1, CHU Pontchaillou, INSERM U1099, Rennes, France

关键词: Pre-participation cardiovascular evaluation;    Cardiomyopathy;    Sudden cardiac death;    T wave inversion;    Melanesians;    Polynesians;   

DOI  :  10.1016/j.ijcard.2018.11.012

来源: Elsevier

【 摘 要 】

Background: Pre-participation cardiovascular evaluation (PPE) aims to detect cardiac disease with sudden cardiac death (SCD) risk. No study has focused on Pacific Island athletes. Methods: A total of 2281 Pacific Island athletes were studied with (i) a questionnaire on family, personal history and symptoms, (ii) a physical examination and (iii) a 12-lead ECG. Results: 85% presented a normal history and examination. A positive family history was 1.4-1.9 fold higher in Melanesians, Polynesians and Metis than in Caucasians, while a positive personal history, abnormal symptoms and abnormal examination was 1.3 fold higher in Melanesians and Metis than in others. Neither gender nor training level had a bearing on these results. Melanesians had higher T wave inversions (TWIs) in V2-V4 leads but had no CV abnormalities. Lateral or infero-lateral TWIs were found in 6 male and in 5 highly trained athletes and cardiomyopathies were diagnosed in 3/6 athletes. Overall, 3.9% athletes were found to have a CV abnormality and 0.8% had a risk of SCD. Polynesians and males were more at risk than the others while the level of training made no difference. In athletes at risk of SCD, the main detected CV diseases were cardiomyopathies, WolffParkinson-White (WPW) and severe valve lesions of rheumatoid origin. Conclusions: PPE revealed that 3.9% presented CV abnormalities. A risk of SCD was found in 0.8% with cardiomyopathies, WPW, and severe valve lesions of rheumatoid origin. Melanesians, Polynesians andmale of high level of training were more at risk than others. (c) 2018 Elsevier B.V. All rights reserved.

【 授权许可】

Free