Yeo, TJ;
Wang, M;
Grignani, R;
McKinney, J;
Koh, LP;
Tan, FHY;
Chan, GCT;
Tay, N;
Chan, S-P;
Lee, C-H;
et al.
Yeo, TJ; Wang, M; Grignani, R; McKinney, J; Koh, LP; Tan, FHY; Chan, GCT; Tay, N; Chan, S-P; Lee, C-H; Oxborough, D; Malhotra, A; Sharma, S; Richards, AM
(2021)
Electrocardiographic and Echocardiographic Insights From a Prospective Registry of Asian Elite Athletes.
Front Cardiovasc Med, 8.
p. 799129.
ISSN 2297-055X
https://doi.org/10.3389/fcvm.2021.799129
SGUL Authors: Sharma, Sanjay
Abstract
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.
Item Type: |
Article
|
Additional Information: |
Copyright © 2022 Yeo, Wang, Grignani, McKinney, Koh, Tan, Chan, Tay, Chan, Lee, Oxborough, Malhotra, Sharma and Richards. 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. |
Keywords: |
Asian athlete, athlete's heart, cardiac remodeling, registry, sports cardiology, athlete's heart, sports cardiology, registry, Asian athlete, cardiac remodeling |
SGUL Research Institute / Research Centre: |
Academic Structure > Molecular and Clinical Sciences Research Institute (MCS) |
Journal or Publication Title: |
Front Cardiovasc Med |
ISSN: |
2297-055X |
Language: |
eng |
Dates: |
Date | Event |
---|
3 January 2021 | Published | 29 November 2021 | Accepted |
|
Publisher License: |
Creative Commons: Attribution 4.0 |
Projects: |
Project ID | Funder | Funder ID |
---|
N-171-000-469-001 | National University Health System Clinician Scientist Program | UNSPECIFIED | CGAug16M008 | National Medical Research Council | http://dx.doi.org/10.13039/501100001349 |
|
PubMed ID: |
35047579 |
Web of Science ID: |
WOS:000745128500001 |
![](http://static.pubmed.gov/portal/portal3rc.fcgi/2745237/img/27842) |
Go to PubMed abstract |
URI: |
https://openaccess.sgul.ac.uk/id/eprint/114092 |
Publisher's version: |
https://doi.org/10.3389/fcvm.2021.799129 |
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