The Athlete's Heart in Adolescent Africans

Paolo, Fernando M. Di; Schmied, Christian; Zerguini, Yacine; Junge, Astrid; Quattrini, Filippo M.; Culasso, Franco; Dvořák, Jiří; Pelliccia, Antonio

doi:10.1016/j.jacc.2011.12.008

Cited by 123 publications

(62 citation statements)

References 33 publications

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“…and 36.3% reported by Siransy [16], Wilson [7] and Ondze [17] respectively, but lower than those of Ba [12] and Di Paolo [18] series which were 85.44% and 89%. These differences obviously resulted in the criteria used to define electrical HVG in athletes.…”

Section: Discussionmentioning

confidence: 67%

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Electrocardiography of a Top Athlete in Bobo-Dioulasso, Burkina Faso

Tougouma¹,

Yaméogo²,

Kambiré³

et al. 2019

WJCD

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Elite sport results in electrocardiogram changes. Some are minor, others are likely to cause sudden death. The authors intended to describe the electrocardiogram features of top athletes at rest in Bobo-Dioulasso. This descriptive transversal study was carried out from August 2015 to February 2016 in the cardiology department of CHU Sanou Souro in Bobo-Dioulasso. The study sampled top athletes aged 17 to 35 with at least eight hours' training per week for more than six months regardless of the type of discipline. Two hundred top-level athletes from 4 sport disciplines were included. The median age of athletes was 24 years (IIQ: 21-27). The median duration in high level sport was 6 years (IIQ: 4-8) and the median length of weekly training sessions was 10 hours (IIQ: 10-10). Only 4% of the athletes had already conducted an Electrocardiogram (ECG). ECG abnormalities were reported in 90.5% of cases and sinus bradycardia was the most common abnormality reported in 72.5% of cases. Left ventricular and left atrial hypertrophy were reported in 44% and 34.5% of cases respectively. Early repolarization syndrome was registered in 47% of cases. Practicing top-level sport activity can result in electrical changes with athletes. These changes need to be identified by practitioners so that the can differentiate them from heart diseases.

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Section: Discussionmentioning

confidence: 67%

“…Ba [12] made the same observation. It is usually noted that early repolarization is more common with athletes [18] [20] and linked to hypervagotonia. Although frequent, the early repolarization remains a minor disorder that should not be ignored as some practitioners have attributed a higher risk of ventricular fibrillation to it [21].…”

Section: Discussionmentioning

confidence: 99%

Electrocardiography of a Top Athlete in Bobo-Dioulasso, Burkina Faso

Tougouma¹,

Yaméogo²,

Kambiré³

et al. 2019

WJCD

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“…Early repolarisation abnormality, commonly seen in blacks,24,25 may be an explanation for this. In a similar study involving 4 831 HIV-positive adults, including those with hypertension and diabetes mellitus, T-wave inversion was observed in 11.1% of participants and it was substantially more common in women than men.…”

Section: Discussionmentioning

confidence: 97%

Electrocardiographic findings in a cross-sectional study of human immunodeficiency virus (HIV) patients in Enugu, south-east Nigeria

Njoku¹,

Ejim²,

Anisiuba³

et al. 2016

CVJA

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SummaryBackgroundElectrocardiographic (ECG) abnormalities are prevalent in subjects with human immunodeficiency virus (HIV) infection. In this study, three groups of subjects were investigated and the prevalence of ECG abnormalities was analysed.MethodsA cross-sectional study was carried out on adults between November 2010 and November 2011 at the University of Nigeria Teaching Hospital, Enugu, Nigeria. One hundred HIV-infected patients on highly active anti-retroviral therapy (HAART), 100 HIV-infected HAART-naïve patients and 100 HIV-negative controls were recruited. Twelve-lead electrocardiograms were done on all subjects. Data were analysed using the chi-squared, Student’s t-, one-way ANOVA and Duncan post hoc tests.ResultsLeft-axis deviation was seen in 15 (16%) of the HIV-positive subjects on HAART, 10 (13.7%) of the HAART-naïve subjects and eight (21%) of the controls (p = 0.265). Eight (11%) subjects with left ventricular hypertrophy (p <0.001) and two (2.7%) with ST-segment elevation were found among the HIV-positive HAART-naïve subjects (p = 0.134). Prolonged QTc interval was seen in 17 (18.2%) of the HIV-positive patients on HAART, 12 (16.4%) of the HIV-positive HAART-naïve patients and four (10.5%) of the controls (p = 0.012).ConclusionThe prevalence of ECG abnormalities was higher in the HIV-positive patients on HAART (93%) and the HIV-positive HAART-naïve patients (73%) compared to the controls.

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“…The former group also showed a higher incidence of ST segment elevations and T-wave changes. Multivariate analyses found no relation between ECG and echocardiographic parameters in the entire population of athletes, either African or Caucasian [11]. These findings and those reported by other studies [12] indicate that there are basic race-based differences in ECG voltage criteria, which should be included in future revised criteria, to improve the sensitivity of ECG in pediatric patients in a diverse society such as the United States.…”

Section: Discussionmentioning

confidence: 72%