Please use this identifier to cite or link to this item: https://doi.org/10.3389/fcvm.2021.799129
Title: Electrocardiographic and Echocardiographic Insights From a Prospective Registry of Asian Elite Athletes
Authors: Yeo, Tee Joo 
Wang, Mingchang
Grignani, Robert
McKinney, James
Koh, Lay Pheng
Tan, Frankie Hun Yau 
Chan, Gregory Chung Tsing
Tay, Nigel
Chan, Siew-Pang 
Lee, Chi-Hang 
Oxborough, David
Malhotra, Aneil
Sharma, Sanjay
Richards, Arthur Mark 
Keywords: Science & Technology
Life Sciences & Biomedicine
Cardiac & Cardiovascular Systems
Cardiovascular System & Cardiology
athlete's heart
sports cardiology
registry
Asian athlete
cardiac remodeling
EUROPEAN ASSOCIATION
BRITISH SOCIETY
RECOMMENDATIONS
PARTICIPATION
PREVALENCE
STATEMENT
CRITERIA
UPDATE
Issue Date: 3-Jan-2022
Publisher: FRONTIERS MEDIA SA
Citation: Yeo, Tee Joo, Wang, Mingchang, Grignani, Robert, McKinney, James, Koh, Lay Pheng, Tan, Frankie Hun Yau, Chan, Gregory Chung Tsing, Tay, Nigel, Chan, Siew-Pang, Lee, Chi-Hang, Oxborough, David, Malhotra, Aneil, Sharma, Sanjay, Richards, Arthur Mark (2022-01-03). Electrocardiographic and Echocardiographic Insights From a Prospective Registry of Asian Elite Athletes. FRONTIERS IN CARDIOVASCULAR MEDICINE 8. ScholarBank@NUS Repository. https://doi.org/10.3389/fcvm.2021.799129
Abstract: Background: Asian representation in sport is increasing, yet there remains a lack of reference values for the Asian athlete's heart. Consequently, current guidelines for cardiovascular screening recommend using Caucasian athletes' norms to evaluate Asian athletes. This study aims to outline electrocardiographic and echocardiographic characteristics of the Asian athlete's heart using a Singaporean prospective registry of Southeast (SE) Asian athletes. Methods and Results: One hundred and fifty elite athletes, mean age of 26.1 ± 5.7 years (50% males, 88% Chinese), were evaluated using a questionnaire, 12-lead electrocardiogram (ECG) and transthoracic echocardiogram. All ECGs were analyzed using the 2017 International Recommendations. Echocardiographic data were presented by gender and sporting discipline. The prevalence of abnormal ECGs among SE Asian athletes was 6.7%-higher than reported figures for Caucasian athletes. The abnormal ECGs comprised mainly anterior T wave inversions (ATWI) beyond lead V2, predominantly in female athletes from mixed/endurance sport (9.3% prevalence amongst females). None had echocardiographic structural abnormalities. Male athletes had reduced global longitudinal strain compared to females (-18.7 ± 1.6 vs. -20.7 ± 2.1%, p < 0.001). Overall, SE Asian athletes had smaller left ventricular cavity sizes and wall thickness compared to non-Asian athletes. Conclusion: SE Asian athletes have higher abnormal ECG rates compared to Caucasian athletes, and also demonstrate structural differences that should be accounted for when interpreting their echocardiograms compared to athletes of other ethnicities.
Source Title: FRONTIERS IN CARDIOVASCULAR MEDICINE
URI: https://scholarbank.nus.edu.sg/handle/10635/229041
ISSN: 2297055X
DOI: 10.3389/fcvm.2021.799129
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