主要联赛足球运动员中的心电图发现:来自多种人群的规范性数据
Robyn E Bryde1, Marybeth F Soutar1, Aakash A Bavishi2
1Department of Cardiovascular Medicine, Atlantic Health System, Morristown Medical Center, Morristown, New Jersey, USA.
JACC. Advances
|July 25, 2025
概括
大联盟足球 (MLS) 球员的心电图 (ECG) 分析显示T波逆转 (TWI) 是最常见的异常,特别是在黑人运动员中. 心声图显示这些运动员没有潜在的心脏病.
科学领域:
- 心脏病学 心脏病学
- 运动医学 运动医学
- 运动生理学 运动生理学
背景情况:
- 大联盟足球 (MLS) 拥有多元化的运动员群体,但心电图 (ECG) 数据仍然未报告.
- 了解运动员心电图对于识别职业体育运动中的潜在心脏问题至关重要.
研究的目的:
- 用国际标准评估MLS球员的心电图发现.
- 在这个人群中描述正常,边缘和异常心电图.
- 在必要时将心电图发现与心声回声图数据相关联.
主要方法:
- 从2017年到2020年,对706名MLS球员进行了横截面研究.
- 基于国际标准的心电图分析.
- 对异常或涉及心电图/临床发现的心电图进行.
主要成果:
- 最常见的心电图异常发现是T波逆转 (TWI).
- 与高加索 (5.2%) 和西班牙裔 (5.7%) 运动员相比,黑人运动员的单独TWI患病率 (11.9%) 更高.
- 左轴偏差是最常见的边界发现,黑人运动员 (3.8%) 与白人 (1.2%) 的偏差也更为普遍.
- 亚组分析表明,尽管TWI异常,但心脏结构正常.
- 与训练相关的ECG变化在所有种族中普遍存在.
结论:
- 在MLS球员中,T波逆转 (TWI) 和左心房扩大是常见的心电图异常和边界发现.
- 这些发现在黑人运动员中更为普遍.
- 心声扫描没有确定有异常心电图的运动员的潜在心血管疾病,这表明这些变化可能与训练有关.
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