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在COVID-19后的大学运动员中进行回归比赛查的非COVID-19心血管病理
Christian F Klein1, Bradley J Petek2, Nathaniel Moulson3
1Internal Medicine, University of Washington, Seattle, Washington, USA.
大型非COVID-19心血管病理在大学运动员中很罕见,在SARS-CoV-2感染后被批准恢复比赛. 大多数查期间的发现都是偶然的或具有不确定的意义,很少需要干预.
科学领域:
- 心脏病学 心脏病学
- 运动医学 运动医学
- 传染性疾病 传染性疾病
背景情况:
- 由于对心脏参与的担忧,在SARS-CoV-2感染后的运动员中进行广泛的心脏检测.
- 需要区分COVID-19相关的心脏问题与先前存在的或与之无关的心血管疾病.
研究的目的:
- 在接受感染后回归比赛查的大学运动员中检查偶然的非COVID-19心血管病理.
- 评估心电图 (ECG) 和胸前心电图 (TTE) 在识别显著心脏病的有用性.
主要方法:
- 全国前性多中心观察队列研究 (运动员心脏病结果注册表).
- 包括2020年9月至2021年6月的ECG和TTE,没有先前存在的条件的大学运动员.
- 定义发现为重大,次要,偶然或不确定的意义.
主要成果:
- 包括2900名运动员;1.2%的人患有心电图异常,导致2名运动员TTE显示心肌病.
- 1.9%的ECG正常的运动员有TTE异常,包括大动脉根扩张 (0.1%) 和轻微发现 (1.0%).
- 总体而言,0.2%的运动员患有严重的心血管疾病;三分之二的发现是偶然的或具有不确定的意义.
结论:
- 在回归比赛查期间,在1/500名大学运动员中发现了主要的非COVID-19心血管病理.
- 胸外心电图在运动员中增加了有限的价值,他们的心电图正常,主要是识别大动脉根扩张和轻微异常.
- 该队列中的大多数心血管发现是偶然的或具有不确定的意义,这突显了需要仔细解释查结果的必要性.
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