在数字时代的年轻美国运动员中,与种族和性别相关的电心图再极化特征
Jason V Tso1, Samuel Montalvo2, Filipe Ferrari3
1Division of Cardiovascular Medicine, Stanford Center for Inherited Cardiovascular Disease, Stanford, California, USA; Division of Cardiovascular Medicine, Stanford University School of Medicine, Stanford, California, USA.
JACC. Advances
|December 6, 2025
概括
前T波逆转 (TWI) 在年轻运动员中很常见,性别影响其流行率,而不是种族. 特定的凸前TWI模式似乎是所有种族的正常发现.
科学领域:
- 心脏病学 心脏病学
- 运动医学 运动医学
- 电心电图是指心电图.
背景情况:
- 2017年国际心电图 (ECG) 解释标准在运动员中根据性别和种族区分前T波逆转 (TWI).
- 以前的解释表明TWI模式的种族差异.
研究的目的:
- 在美国运动员的大型数字心电图数据库中分析TWI和T波幅的性别和种族相关差异.
- 为了评估凸前TWI模式的患病率.
主要方法:
- 分析了8758名运动员查心电图 (平均年龄18.5岁,58.7%是男性).
- 定义TWI为逆转<-0.075 mV.
- 由J点升高>0.075mV识别的凸前TWI模式,在前导线 (V2-V4) 中具有特定的ST形态.
主要成果:
- 在58%的运动员中,TWI发生在≥1个先验中;7.5%的运动员在V2-V4.4中出现TWI.
- 在V1-V3.3线索中,TWI在女性中比男性更频繁.
- 虽然黑人男性中较常见的是较低领线的TWI,但凸的前TWI模式显示没有显著的性别或种族差异 (总体为0.26%).
- T波振幅与男性性别和较低的心率相关,但不是种族.
结论:
- 前部TWI在年轻的美国运动员中很普遍,性别差异显著,但种族差异很小.
- 凸起的前面TWI模式很少见,并且似乎是一个正常的发现,不论种族.
- 结果提供了数字参考值,可能有助于改进未来的运动员心电图查指南.
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