The ST segment depression pattern in asymptomatic peri-menopausal female athletes
Melissa Orlandi1, Goffredo Orlandi1, Vittorio Bini2
1Sports Medicine Center, University of Florence, Italy.
Heliyon
|September 14, 2020
Summary
ST segment depression is common in asymptomatic peri-menopausal female athletes, often appearing in inferolateral leads with a horizontal pattern. This finding is crucial given increased cardiovascular risk during menopause.
Area of Science:
- Cardiology
- Sports Medicine
- Women's Health
Background:
- ST segment changes are under-investigated in asymptomatic peri-menopausal female athletes.
- Cardiovascular (CV) risk is elevated in this demographic during menopause.
Purpose of the Study:
- To determine the prevalence of ST segment depression in peri-menopausal female athletes.
- To analyze ST segment depression patterns across four age groups (45-65 years).
Main Methods:
- Maximal ergometric testing on 6010 female athletes (aged 45-65).
- 161 athletes with ST depression (>0.5 mm) were analyzed.
- Evaluation included physical exams, echocardiography, and classification of ST depression depth and pattern by age group.
Main Results:
- ST depression was frequent, predominantly in inferolateral leads (63-71%) with a horizontal pattern (52-64%) and 1-2 mm depth (43-61%).
- The 51-55 age group showed a higher prevalence of 0.5-1 mm depth ST depression.
- Older athletes exhibited increased systolic blood pressure (SBP) and body mass index (BMI).
- Echocardiography revealed mitral valve prolapse in 11.8% and systolic flattening in 36.6%.
Conclusions:
- ST depression is a frequent finding in asymptomatic menopausal female athletes.
- A specific presentation pattern of ST depression exists in this population.
- These findings are significant given the increased prevalence of CV risk factors during menopause.
Keywords:
AthletesCardiologyErgometic maximal testFemalePeri-menopausal womenPhysiologyPublic healthST segment DepressionWomen's healthMore Related Videos
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