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Pre-participation cardiovascular evaluation in Pacific Island athletes

By Jean-Claude Chatard, Florian Espinosa, Richard Donnadieu, Jean-Paul Grangeon, Jean-Marie Sabot, Christian Guivarch, Régis Dacquin, François-Xavier Raby, Gérard Papouin, Satu Viali, Corinne Braunstein, Antoine Gerbay, Frederic Roche, Karl Isaaz, Jean-Claude Barthelemy and François Carré

Abstract

International audienceBackground - Pre-participation cardiovascular evaluation (PPE) aims to detect cardiac disease with sudden cardiac death (SCD) risk. No study has focused on Pacific Island athletes. Methods - A total of 2281 Pacific Island athletes were studied with (i) a questionnaire on family, personal history and symptoms, (ii) a physical examination and (iii) a 12-lead ECG. Results - 85% presented a normal history and examination. A positive family history was 1.4-1.9 fold higher in Melanesians, Polynesians and Métis than in Caucasians, while a positive personal history, abnormal symptoms and abnormal examination was 1.3 fold higher in Melanesians and Métis than in others. Neither gender nor training level had a bearing on these results. Melanesians had higher T wave inversions (TWIs) in V2-V4 leads but had no CV abnormalities. Lateral or infero-lateral TWIs were found in 6 male and in 5 highly trained athletes and cardiomyopathies were diagnosed in 3/6 athletes. Overall, 3.9% athletes were found to have a CV abnormality and 0.8% had a risk of SCD. Polynesians and males were more at risk than the others while the level of training made no difference. In athletes at risk of SCD, the main detected CV diseases were cardiomyopathies, Wolff-Parkinson-White (WPW) and severe valve lesions of rheumatoid origin. Conclusions - PPE revealed that 3.9% presented CV abnormalities. A risk of SCD was found in 0.8% with cardiomyopathies, WPW, and severe valve lesions of rheumatoid origin. Melanesians, Polynesians and male of high level of training were more at risk than others

Topics: Sudden cardiac death, T wave inversion, Cardiomyopathy, Melanesians, Polynesians, Pre-participation cardiovascular evaluation, [SDV.IB]Life Sciences [q-bio]/Bioengineering
Publisher: 'Elsevier BV'
Year: 2019
DOI identifier: 10.1016/j.ijcard.2018.11.012
OAI identifier: oai:HAL:hal-01987936v1
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