Optimising screening of intermediate to high-risk asymptomatic sportsmen with exercise electrocardiogram. The SEEPRED study
| العنوان: | Optimising screening of intermediate to high-risk asymptomatic sportsmen with exercise electrocardiogram. The SEEPRED study |
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| المؤلفون: | D Hupin, M Oriol, F Roche |
| المصدر: | European Journal of Preventive Cardiology. 29 |
| بيانات النشر: | Oxford University Press (OUP), 2022. |
| سنة النشر: | 2022 |
| مصطلحات موضوعية: | Epidemiology, Cardiology and Cardiovascular Medicine |
| الوصف: | Funding Acknowledgements Type of funding sources: None. Background The importance of exercise electrocardiogram (ECG) is still controversial in the prevention of cardiovascular events among sportsmen. The aim of this study was to assess the relevance of exercise ECG as a significant prognostic marker for cardiovascular events when any CVD risk factors are present. Methods The SEEPRED cohort study included leisure time asymptomatic sportsmen over 35 years old, referred from 2011 to 2016 in the Sports Medicine Unit of our university hospital. Major adverse cardiovascular events (MACE) and atrial fibrillation were collected 5 years after exercise ECG using a phone questionnaire. Multivariate logistic regression models were performed to predict positive exercise ECG, suspected and confirmed silent myocardial ischemia (SMI) and cardiovascular events. Results Of the cohort of 2457 sportsmen (1898 men; mean age 50.2 ± 9.4 years; physical activity level 29.4 ± 25.1 MET-h/week), 1482 (60%) had at least one cardiovascular disease (CVD) risk factor and 52 (2%) had a SCORE>5%. A total of 256 exercise ECGs (10%) were defined as positive, most of them due to SMI (n = 196; 8%). SMI was an indication for coronary angiography in 43 cases, leading to 33 documented SMIs (1%), including 23 significant stenoses requiring revascularization. In multivariate logistic regression analysis, having at least 2 CVD risk factors was independently associated with (1) positive exercise ECG [OR=1.80 (CI 95%: 1.29-2.52), p=0.0006], with (2) suspected SMI [OR=2.57 (CI 95%: 1.10-6.02), p=0.0304], with (3) confirmed SMI [OR=8.20 (CI 95%: 3.46-19.46), p Conclusions The study supports the European recommendations for the use of exercise ECG in evaluation of asymptomatic leisure time sportsmen over 35 years. Having at least 2 CVD risk factors was the best predictors for presence of coronary lesions at risk for events. |
| تدمد: | 2047-4881 2047-4873 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::5fe812114516fdbbed89c5d306ecbf4f https://doi.org/10.1093/eurjpc/zwac056.205 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi...........5fe812114516fdbbed89c5d306ecbf4f |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20474881 20474873 |
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