Sujet
Pre-participation cardiovascular evaluation, Polynesians, Melanesians, Sudden cardiac death, Cardiomyopathy, T wave inversion, [SDV.IB]Life Sciences [q-bio]/Bioengineering

Domaines
Santé, Sciences du vivant

Description

International audience Background - 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.

Mots-clés
Biologie, History

Langue
English (en-GB)

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

Contributeurs
Laboratoire Interuniversitaire de Biologie de la Motricité (LIBM ) ; Université Claude Bernard Lyon 1 (UCBL) ; Université de Lyon-Université de Lyon-Université Jean Monnet [Saint-Étienne] (UJM)-Université Savoie Mont Blanc (USMB [Université de Savoie] [Université de Chambéry]), Direction des affaires sanitaires et sociales de Nouvelle-Calédonie, Centre hospitalier territorial Gaston-Bourret [Nouméa], Système Nerveux Autonome - Epidémiologie, Physiologie, Ingénierie, Santé (SNA-EPIS) ; Université Jean Monnet [Saint-Étienne] (UJM)-Centre Hospitalier Universitaire de Saint-Etienne, Laboratoire Traitement du Signal et de l'Image (LTSI) ; Université de Rennes 1 (UR1) ; Université de Rennes (UNIV-RENNES)-Université de Rennes (UNIV-RENNES)-Institut National de la Santé et de la Recherche Médicale (INSERM), This work was supported by a grant from Fond Pacific and the Ministère des Affaires Etrangères et du Développement international, AFD CTZ 1056 01 T and a grant from Philips industry.

Sources
ISSN: 0167-5273, EISSN: 0167-5273, International Journal of Cardiology, https://hal-univ-rennes1.archives-ouvertes.fr/hal-01987936, International Journal of Cardiology, Elsevier, 2019, 278, pp.273-279. ⟨10.1016/j.ijcard.2018.11.012⟩

Relation
info:eu-repo/semantics/altIdentifier/doi/10.1016/j.ijcard.2018.11.012
info:eu-repo/semantics/altIdentifier/pmid/30579721

Couverture
Melanesia

Nom du journal