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Coronary atherosclerotic burden in veteran athletes

2024-07Artigo científico Acesso aberto
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dc.contributor.authorPereira, Joana Certo
dc.contributor.authorSantos, Rita
dc.contributor.authorCosta, Francisco Moscoso
dc.contributor.authorMonge, José
dc.contributor.authorde Araújo Gonçalves, Pedro
dc.contributor.authorDores, Hélder
dc.contributor.institutionComprehensive Health Research Centre (CHRC) - pólo NMS
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.pblSociedade Portuguesa de Cardiologia | Elsevier
dc.date.accessioned2024-04-24T00:46:13Z
dc.date.available2024-04-24T00:46:13Z
dc.date.issued2024-07
dc.descriptionCopyright © 2024 Sociedade Portuguesa de Cardiologia. Publicado por Elsevier España, S.L.U. All rights reserved. 10.1016/j.repc.2024.03.001
dc.description.abstractINTRODUCTION AND OBJECTIVES: The association between exercise and coronary atherosclerosis still remains unclarified. We aimed to analyze the prevalence of high coronary atherosclerotic burden in veteran athletes, considering cardiovascular (CV) risk and volume of exercise. METHODS: A total of 105 asymptomatic male veteran athletes (48±5.6 years old) were studied. A high coronary atherosclerotic burden was defined as one of the following characteristics in coronary computed tomography angiography: calcium score >100, >75 th percentile, obstructive plaques, involving left main, three-vessels or two-vessels including proximal anterior descending artery, segment Involvement Score >5 or CT-adapted Leaman score ≥5. CV risk was stratified by SCORE2 and volume of exercise by metabolic equivalent task score. RESULTS: Most athletes (n=88) were engaged in endurance sports for 17.1±9.8 years, with a median exercise volume of 66 [IQR 44-103] metabolic equivalent of tasks/hour/week. The mean Systematic Coronary Risk Evaluation 2 was 2.8±1.5%; 76.9% of athletes had a low-moderate risk and none a very high risk. High coronary atherosclerotic burden was present in 25.7% athletes. Athletes with high cardiovascular risk and high exercise volume (above the median) showed significantly high coronary atherosclerotic burden compared to those with low-moderate risk and high volume (50.0% vs. 15.6%; p=0.017). Among athletes with low to moderate risk, a high volume of exercise tended to be protective, while in those with low volume, there was similar rate of high coronary atherosclerotic burden, regardless of CV risk. CONCLUSIONS: A combination of higher volume of exercise and high cardiovascular risk revealed the worst association with coronary atherosclerosis in veteran athletes. The relationship between these variables is controversial, but integrating exercise characteristics and risk assessment into preparticipation evaluation is essential.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent683860
dc.identifier.doi10.1016/j.repc.2024.03.001
dc.identifier.issn0304-4750
dc.identifier.otherPURE: 88555578
dc.identifier.otherPURE UUID: 60879e19-f216-4181-b057-ebd6e422e619
dc.identifier.otherPubMed: 38583858
dc.identifier.otherScopus: 85191850939
dc.identifier.urihttp://hdl.handle.net/10362/166540
dc.language.isoeng
dc.peerreviewedyes
dc.subjectCardiovascular risk
dc.subjectCoronary artery disease
dc.subjectCoronary atherosclerotic burden
dc.subjectSCORE2
dc.subjectVeteran athletes
dc.titleCoronary atherosclerotic burden in veteran athletesen
dc.title.subtitleThe relationship between cardiovascular risk and volume of exerciseen
dc.typejournal article
degois.publication.firstPage377
degois.publication.issue7
degois.publication.lastPage384
degois.publication.titleRevista Portuguesa de Cardiologia
degois.publication.volume43
dspace.entity.typePublication
rcaap.rightsopenAccess

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