A1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä
Screening Sportsmen and Sportswomen Over Age 35 : The Relevance of an Exercise Electrocardiogram : Data From the SEEPRED Study (2024)
Hupin, D., Oriol, M., Laukkanen, Jari A., Abraham, P., Dulac, N., Laugier, S., Trauchessec, G., Carmaux, A., Haber, B., Bertoletti, L., Costa, A., & Roche, F. (2024). Screening Sportsmen and Sportswomen Over Age 35 : The Relevance of an Exercise Electrocardiogram : Data From the SEEPRED Study. Scandinavian Journal of Medicine and Science in Sports, 34(7), Article e14686. https://doi.org/10.1111/sms.14686
JYU-tekijät tai -toimittajat
Julkaisun tiedot
Julkaisun kaikki tekijät tai toimittajat: Hupin, David; Oriol, Mathieu; Laukkanen, Jari A.; Abraham, Pierre; Dulac, Nathan; Laugier, Simon; Trauchessec, Guillaume; Carmaux, Antoine; Haber, Benjamain; Bertoletti, Laurent; et al.
Lehti tai sarja: Scandinavian Journal of Medicine and Science in Sports
ISSN: 0905-7188
eISSN: 1600-0838
Julkaisuvuosi: 2024
Ilmestymispäivä: 03.07.2024
Volyymi: 34
Lehden numero: 7
Artikkelinumero: e14686
Kustantaja: Wiley
Julkaisumaa: Britannia
Julkaisun kieli: englanti
DOI: https://doi.org/10.1111/sms.14686
Julkaisun avoin saatavuus: Ei avoin
Julkaisukanavan avoin saatavuus:
Julkaisu on rinnakkaistallennettu (JYX): https://jyx.jyu.fi/handle/123456789/100160
Tiivistelmä
The importance of exercise electrocardiogram (ECG) is still controversial in the prevention of cardiovascular events among sportsmen and sportswomen. The aim of this study was to assess the relevance of exercise ECG as a screening tool to prevent cardiovascular events when any cardiovascular disease (CVD) risk factors are present.
Methods
The study included leisure time asymptomatic sportsmen and sportswomen over age 35 evaluated from 2011 to 2016 at the University Hospital of Saint-Etienne (France). Major adverse cardiovascular events (MACE) and atrial fibrillation were collected at 3 years.
Results
Of the cohort of 2457 sportsmen and sportswomen (mean age 50.2 ± 9.4 years), 50 (2%) had a high-risk SCORE2. A total of 256 exercise ECGs (10%) were defined as positive, most of them due to silent myocardial ischemia (SMI) (n = 196; 8%). These 196 SMI cases led to 33 coronary angiograms (1%), which revealed 23 significant coronary stenoses requiring revascularization. In multivariate logistic regression analysis, having at least two CVD risk factors was independently associated with (1) positive exercise ECG (OR = 1.80 [95% CI: 1.29–2.52], p = 0.0006), with (2) suspected SMI (OR = 2.57 [95% CI: 1.10–6.02], p = 0.0304), with (3) confirmed SMI (OR = 8.20 [95% CI: 3.46–19.46], p < 0.0001) and with (4) cardiovascular events (MACE or atrial fibrillation) (OR = 6.95 [95% CI: 3.49–13.81], p < 0.0001) at 3 years (median).
Conclusions
The study supports the European recommendations for the use of exercise ECG in evaluation of asymptomatic leisure time sportsmen over age 35. Having at least two CVD risk factors was the best predictor for presence of coronary artery stenosis that may increase the risk for adverse events.
Trial Registration: ClinicalTrials.gov Identifier: NCT06024863
YSO-asiasanat: urheilijat; aikuisurheilu; sydän- ja verisuonitaudit; sepelvaltimotauti; riskitekijät; seulontatutkimus; EKG
Liittyvät organisaatiot
OKM-raportointi: Kyllä
VIRTA-lähetysvuosi: 2024
Alustava JUFO-taso: 2
