University athletes and changes in cardiac geometry: insight from the 2015 Gwangju Summer Universiade
University athletes and changes in cardiac geometry: insight from the 2015 Gwangju Summer Universiade
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DOI：
10.1093/ehjci/jey196
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发表时间：
2019-04-01
影响因子：
6.2
通讯作者：
Park, Jong Chun
中科院分区：
文献类型：
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作者：
Cho, Jae Yeong;Kim, Kye Hun;Park, Jong Chun
有一个关于心脏几何形状的变化，在训练有素的国际和多种族的大学运动员的数据很少。我们的目的是调查心脏结构异常的发病率和心脏几何形状的变化，在高度训练有素的大学athlets.Methods和结果进行了全面的超声心动图研究，在1185名大学运动员通过检查你的心脏计划在2015年光州夏季世界大学生运动会。参与者被分为两组：正常与异常左心室（LV）几何形状（向心性重塑，向心性肥大或离心性肥大）。与心脏性猝死相关的结构性心脏病尚未确定，但轻微的结构性心脏异常在大学运动员中很常见。五十六名运动员（13.2%）有左心室几何结构异常;向心性重塑（n = 73，6.2%）、向心性肥大（n = 25，2.1%）和离心性肥大（n = 58，4.9%）。左心室几何结构异常在非洲裔运动员和耐力、混合或力量训练中明显更常见。在多变量logistic回归分析中，非洲裔运动员[比值比（OR）2.16，95%置信区间（CI）1.34-3.46; P = 0.001]，耐力学科（OR 1.79，95% CI 1.26-2.54; P = 0.001），和训练时间（OR 1.01，95% CI 1.00-1.02; P = 0.045）结论2015年夏季世界大学生运动会大规模心血管筛查项目表明，左室几何结构异常并不少见（13.2%），向心性重构是年轻受过训练的大学运动员中左室几何结构变化的最常见模式。种族、运动类型和训练时间是左室几何结构异常的重要预测因素。结构性心脏异常在大学运动员中很常见，即使它们是轻微的异常。
Aims There is a paucity of data regarding the changes of cardiac geometry in highly trained international and multiracial university athletes. We aimed to investigate the incidence of structural cardiac abnormalities and changes of cardiac geometry in highly trained university athletes.Methods and results Comprehensive echocardiographic studies were performed in 1185 university athletes through the Check-up Your Heart Program during the 2015 Gwangju Summer Universiade. Participants were divided into two groups: normal vs. abnormal left ventricular (LV) geometry (concentric remodelling, concentric hypertrophy, or eccentric hypertrophy). Structural heart diseases associated with sudden cardiac death were not identified, but minor structural cardiac abnormalities were common in university athletes. One hundred and fifty-six athletes (13.2%) had abnormal LV geometry; concentric remodelling (n = 73, 6.2%), concentric hypertrophy (n = 25, 2.1%), and eccentric hypertrophy (n = 58, 4.9%). Abnormal LV geometry was significantly more common in athletes of African descent and in endurance, mixed, or power disciplines. In multivariate logistic regression analysis, athletes of African descent [odds ratio (OR) 2.16, 95% confidence interval (CI) 1.34-3.46; P = 0.001], endurance disciplines (OR 1.79, 95% CI 1.26-2.54; P = 0.001), and training time (OR 1.01, 95% CI 1.00-1.02; P = 0.045) were independent predictors of abnormal LV geometry.Conclusion A large scale cardiovascular screening programme of the 2015 Summer Universiade demonstrated that abnormal LV geometry is not uncommon (13.2%) and concentric remodelling is the most common pattern of LV geometric change in young trained university athletes. Race, type of sport, and training time are significant predictors of abnormal LV geometry. Structural cardiac abnormalities are common in university athletes even though they are minor abnormalities.