Impact of geographical origin upon the electrical and structural manifestations of the black athlete's heart

European Heart Journal
Nathan R RidingMathew G Wilson

Abstract

Black athletes demonstrate an increased prevalence of repolarization anomalies and left ventricular hypertrophy compared to their white counterparts. Recent international recommendations for electrocardiogram (ECG) interpretation in athletes now account for some of these observations, but little attention is given to whether the heart of the black athlete is universal, or whether substantial differences exist according to geographic origin. Our aim was to examine the impact of geographical origin upon the electrical-and structural manifestations of the black athlete's heart. A total of 1698 male competitive athletes participating in mixed sports presented at our organization for 12 lead-ECG led pre-participation screening, with 1222 athletes undergoing systematic echocardiography. Black athletes were categorized against United Nations defined geographical regions (North, East, Middle and West Africa, African American/Caribbean, South American, and West Asia) and compared with a cohort of non-black athletes who shared a close geographical boarder with Africa (South European White and Arabic North African). The prevalence of an abnormal ECG suggestive of cardiac pathology significantly varied by geographical origin. Repolarizatio...Continue Reading

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Citations

Oct 28, 2018·Current Treatment Options in Cardiovascular Medicine·Daniel X Augustine, Liz Howard
Nov 18, 2018·European Heart Journal·Alessandro ZorziDomenico Corrado
Feb 13, 2019·British Journal of Hospital Medicine
Jul 1, 2020·Pacing and Clinical Electrophysiology : PACE·Alessandro ZorziDomenico Corrado
Oct 28, 2019·European Journal of Preventive Cardiology·Örjan DahlströmToomas Timpka
Sep 19, 2020·European Cardiology·Uchenna Ozo, Sanjay Sharma
Nov 21, 2018·Current Treatment Options in Cardiovascular Medicine·Joyee Basu, Aneil Malhotra
Jan 3, 2019·European Heart Journal·Thomas F Lüscher
Dec 14, 2018·European Journal of Preventive Cardiology·Eduard GuaschLluís Mont
Jan 9, 2021·Acta Cardiologica·Asterios Deligiannis, Evangelia Kouidi
Feb 23, 2020·Journal of the American College of Cardiology·Wei-Yin KoPeter A Noseworthy
Jul 30, 2021·Journal of Electrocardiology·Mustafa HusainiJordan M Prutkin
Jul 18, 2021·Journal of Electrocardiology·Tochukwu F Ilodibia, James O Odia

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