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Electrocardiographic and Echocardiographic Insights From a Prospective Registry of Asian Elite Athletes

Background: Asian representation in sport is increasing, yet there remains a lack of reference values for the Asian athlete's heart. Consequently, current guidelines for cardiovascular screening recommend using Caucasian athletes' norms to evaluate Asian athletes. This study aims to outlin...

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Autores principales: Yeo, Tee Joo, Wang, Mingchang, Grignani, Robert, McKinney, James, Koh, Lay Pheng, Tan, Frankie Hun Yau, Chan, Gregory Chung Tsing, Tay, Nigel, Chan, Siew-Pang, Lee, Chi-Hang, Oxborough, David, Malhotra, Aneil, Sharma, Sanjay, Richards, Arthur Mark
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8761771/
https://www.ncbi.nlm.nih.gov/pubmed/35047579
http://dx.doi.org/10.3389/fcvm.2021.799129
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author Yeo, Tee Joo
Wang, Mingchang
Grignani, Robert
McKinney, James
Koh, Lay Pheng
Tan, Frankie Hun Yau
Chan, Gregory Chung Tsing
Tay, Nigel
Chan, Siew-Pang
Lee, Chi-Hang
Oxborough, David
Malhotra, Aneil
Sharma, Sanjay
Richards, Arthur Mark
author_facet Yeo, Tee Joo
Wang, Mingchang
Grignani, Robert
McKinney, James
Koh, Lay Pheng
Tan, Frankie Hun Yau
Chan, Gregory Chung Tsing
Tay, Nigel
Chan, Siew-Pang
Lee, Chi-Hang
Oxborough, David
Malhotra, Aneil
Sharma, Sanjay
Richards, Arthur Mark
author_sort Yeo, Tee Joo
collection PubMed
description Background: Asian representation in sport is increasing, yet there remains a lack of reference values for the Asian athlete's heart. Consequently, current guidelines for cardiovascular screening recommend using Caucasian athletes' norms to evaluate Asian athletes. This study aims to outline electrocardiographic and echocardiographic characteristics of the Asian athlete's heart using a Singaporean prospective registry of Southeast (SE) Asian athletes. Methods and Results: One hundred and fifty elite athletes, mean age of 26.1 ± 5.7 years (50% males, 88% Chinese), were evaluated using a questionnaire, 12-lead electrocardiogram (ECG) and transthoracic echocardiogram. All ECGs were analyzed using the 2017 International Recommendations. Echocardiographic data were presented by gender and sporting discipline. The prevalence of abnormal ECGs among SE Asian athletes was 6.7%—higher than reported figures for Caucasian athletes. The abnormal ECGs comprised mainly anterior T wave inversions (ATWI) beyond lead V2, predominantly in female athletes from mixed/endurance sport (9.3% prevalence amongst females). None had echocardiographic structural abnormalities. Male athletes had reduced global longitudinal strain compared to females (−18.7 ± 1.6 vs. −20.7 ± 2.1%, p < 0.001). Overall, SE Asian athletes had smaller left ventricular cavity sizes and wall thickness compared to non-Asian athletes. Conclusion: SE Asian athletes have higher abnormal ECG rates compared to Caucasian athletes, and also demonstrate structural differences that should be accounted for when interpreting their echocardiograms compared to athletes of other ethnicities.
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spelling pubmed-87617712022-01-18 Electrocardiographic and Echocardiographic Insights From a Prospective Registry of Asian Elite Athletes Yeo, Tee Joo Wang, Mingchang Grignani, Robert McKinney, James Koh, Lay Pheng Tan, Frankie Hun Yau Chan, Gregory Chung Tsing Tay, Nigel Chan, Siew-Pang Lee, Chi-Hang Oxborough, David Malhotra, Aneil Sharma, Sanjay Richards, Arthur Mark Front Cardiovasc Med Cardiovascular Medicine Background: Asian representation in sport is increasing, yet there remains a lack of reference values for the Asian athlete's heart. Consequently, current guidelines for cardiovascular screening recommend using Caucasian athletes' norms to evaluate Asian athletes. This study aims to outline electrocardiographic and echocardiographic characteristics of the Asian athlete's heart using a Singaporean prospective registry of Southeast (SE) Asian athletes. Methods and Results: One hundred and fifty elite athletes, mean age of 26.1 ± 5.7 years (50% males, 88% Chinese), were evaluated using a questionnaire, 12-lead electrocardiogram (ECG) and transthoracic echocardiogram. All ECGs were analyzed using the 2017 International Recommendations. Echocardiographic data were presented by gender and sporting discipline. The prevalence of abnormal ECGs among SE Asian athletes was 6.7%—higher than reported figures for Caucasian athletes. The abnormal ECGs comprised mainly anterior T wave inversions (ATWI) beyond lead V2, predominantly in female athletes from mixed/endurance sport (9.3% prevalence amongst females). None had echocardiographic structural abnormalities. Male athletes had reduced global longitudinal strain compared to females (−18.7 ± 1.6 vs. −20.7 ± 2.1%, p < 0.001). Overall, SE Asian athletes had smaller left ventricular cavity sizes and wall thickness compared to non-Asian athletes. Conclusion: SE Asian athletes have higher abnormal ECG rates compared to Caucasian athletes, and also demonstrate structural differences that should be accounted for when interpreting their echocardiograms compared to athletes of other ethnicities. Frontiers Media S.A. 2022-01-03 /pmc/articles/PMC8761771/ /pubmed/35047579 http://dx.doi.org/10.3389/fcvm.2021.799129 Text en Copyright © 2022 Yeo, Wang, Grignani, McKinney, Koh, Tan, Chan, Tay, Chan, Lee, Oxborough, Malhotra, Sharma and Richards. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Cardiovascular Medicine
Yeo, Tee Joo
Wang, Mingchang
Grignani, Robert
McKinney, James
Koh, Lay Pheng
Tan, Frankie Hun Yau
Chan, Gregory Chung Tsing
Tay, Nigel
Chan, Siew-Pang
Lee, Chi-Hang
Oxborough, David
Malhotra, Aneil
Sharma, Sanjay
Richards, Arthur Mark
Electrocardiographic and Echocardiographic Insights From a Prospective Registry of Asian Elite Athletes
title Electrocardiographic and Echocardiographic Insights From a Prospective Registry of Asian Elite Athletes
title_full Electrocardiographic and Echocardiographic Insights From a Prospective Registry of Asian Elite Athletes
title_fullStr Electrocardiographic and Echocardiographic Insights From a Prospective Registry of Asian Elite Athletes
title_full_unstemmed Electrocardiographic and Echocardiographic Insights From a Prospective Registry of Asian Elite Athletes
title_short Electrocardiographic and Echocardiographic Insights From a Prospective Registry of Asian Elite Athletes
title_sort electrocardiographic and echocardiographic insights from a prospective registry of asian elite athletes
topic Cardiovascular Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8761771/
https://www.ncbi.nlm.nih.gov/pubmed/35047579
http://dx.doi.org/10.3389/fcvm.2021.799129
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