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Alterações eletrocardiográficas em atletas

dc.contributor.authorDores, Hélder
dc.contributor.authorDores, Helder
dc.contributor.authorMalhotra, Aneil
dc.contributor.authorSheikh, Nabeel
dc.contributor.authorMillar, Lynne
dc.contributor.authorDhutia, Harshil
dc.contributor.authorNarain, Rajay
dc.contributor.authorMerghani, Ahmed
dc.contributor.authorPapadakis, Michael
dc.contributor.authorSharma, Sanjay
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.pblSociedade Portuguesa de Cardiologia | Elsevier
dc.date.accessioned2023-02-10T22:23:11Z
dc.date.available2023-02-10T22:23:11Z
dc.date.issued2016-11-01
dc.descriptionPublisher Copyright: © 2016 Sociedade Portuguesa de Cardiologia
dc.description.abstractIntroduction Athletes can exhibit abnormal electrocardiogram (ECG) phenotypes that require further evaluation prior to competition. These are apparently more prevalent in high-intensity endurance sports. The purpose of this study was to assess the association between ECG findings in athletes and intensity of sport and level of competition. Methods A cohort of 3423 competitive athletes had their ECGs assessed according to the Seattle criteria (SC). The presence of abnormal ECGs was correlated with: (1) intensity of sport (low/moderate vs. at least one high static or dynamic component); (2) competitive level (regional vs. national/international); (3) training volume (≤20 vs. >20 hours/week); (4) type of sport (high dynamic vs. high static component). The same endpoints were studied according to the ‘Refined Criteria’ (RC). Results Abnormal ECGs according to the SC were present in 225 (6.6%) athletes, more frequently in those involved in high-intensity sports (8.0% vs. 5.4%; p=0.002), particularly in dynamic sports, and competing at national/international level (7.1% vs. 4.9%; p=0.028). Training volume was not significantly associated with abnormal ECGs. By multivariate analysis, high-intensity sport (OR 1.55, 1.18-2.03; p=0.002) and national/international level (OR 1.50, 95% CI 1.04-2.14; p=0.027) were independent predictors of abnormal ECGs, and these variables, when combined, doubled the prevalence of this finding. According to the RC, abnormal ECGs decreased to 103 (3.0%), but were also more frequent in high-intensity sports (4.2% vs. 2.0%; p<0.001). Conclusions There is a positive correlation between higher intensity of sports and increased prevalence of ECG abnormalities. This relationship persists with the use of more restrictive criteria for ECG interpretation, although the number of abnormal ECGs is lower.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent8
dc.format.extent689736
dc.identifier.doi10.1016/j.repc.2016.04.012
dc.identifier.issn0870-2551
dc.identifier.otherPURE: 52863378
dc.identifier.otherPURE UUID: f2412533-d0f5-4421-a32e-9d2c7f896b2d
dc.identifier.otherScopus: 84995478529
dc.identifier.otherPubMed: 27693111
dc.identifier.otherWOS: 000388355400006
dc.identifier.urihttp://hdl.handle.net/10362/149042
dc.identifier.urlhttps://www.scopus.com/pages/publications/84995478529
dc.language.isopor
dc.peerreviewedyes
dc.subjectAthletes
dc.subjectCompetitive level
dc.subjectElectrocardiogram
dc.subjectType of sport
dc.subjectCardiology and Cardiovascular Medicine
dc.titleAlterações eletrocardiográficas em atletaspt
dc.title.alternativeAbnormal electrocardiographic findings in athletesCorrelation with intensity of sport and level of competitionen
dc.title.subtitlecorrelação com a intensidade de desporto e o nível de competiçãopt
dc.typejournal article
degois.publication.firstPage593
degois.publication.issue11
degois.publication.lastPage600
degois.publication.titleRevista Portuguesa de Cardiologia
degois.publication.volume35
dspace.entity.typePublication
person.familyNameDores
person.givenNameHelder
person.identifier.ciencia-id0317-133B-8C14
person.identifier.orcid0000-0002-4736-5221
rcaap.rightsopenAccess
relation.isAuthorOfPublication20b0e882-d27f-4be5-8151-ec0d0a9b7185
relation.isAuthorOfPublication.latestForDiscovery20b0e882-d27f-4be5-8151-ec0d0a9b7185

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