Coronary atherosclerotic burden in veteran athletes: The relationship between cardiovascular risk and volume of exercise

IF 1.6 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Joana Certo Pereira , Rita Santos , Francisco Moscoso Costa , José Monge , Pedro de Araújo Gonçalves , Hélder Dores
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引用次数: 0

Abstract

Introduction and objectives

The association between exercise and coronary atherosclerosis still remains unclarified. We aimed to analyze the prevalence of high coronary atherosclerotic burden in veteran athletes, considering cardiovascular (CV) risk and volume of exercise.

Methods

A total of 105 asymptomatic male veteran athletes (48±5.6 years old) were studied. A high coronary atherosclerotic burden was defined as one of the following characteristics in coronary computed tomography angiography: calcium score >100, >75th percentile, obstructive plaques, involving left main, three-vessels or two-vessels including proximal anterior descending artery, segment involvement score >5 or CT-adapted Leaman score ≥5. CV risk was stratified by SCORE2 and volume of exercise by metabolic equivalent task score.

Results

Most athletes (n=88) were engaged in endurance sports for 17.1±9.8 years, with a median exercise volume of 66 [IQR 44–103] metabolic equivalent of tasks/hour/week. The mean Systematic Coronary Risk Evaluation 2 was 2.8±1.5%; 76.9% of athletes had a low-moderate risk and none a very high risk. High coronary atherosclerotic burden was present in 25.7% athletes. Athletes with high cardiovascular risk and high exercise volume (above the median) showed significantly high coronary atherosclerotic burden compared to those with low-moderate risk and high volume (50.0% vs. 15.6%; p=0.017). Among athletes with low to moderate risk, a high volume of exercise tended to be protective, while in those with low volume, there was similar rate of high coronary atherosclerotic burden, regardless of CV risk.

Conclusions

A combination of higher volume of exercise and high cardiovascular risk revealed the worst association with coronary atherosclerosis in veteran athletes. The relationship between these variables is controversial, but integrating exercise characteristics and risk assessment into preparticipation evaluation is essential.

老运动员的冠状动脉粥样硬化负担:心血管风险与运动量之间的关系。
引言和目的运动与冠状动脉粥样硬化之间的关系仍未明确。考虑到心血管(CV)风险和运动量,我们旨在分析退役运动员中冠状动脉粥样硬化高负担的发生率。方法共研究了 105 名无症状的男性退役运动员(48±5.6 岁)。在冠状动脉计算机断层扫描血管造影中,冠状动脉粥样硬化负荷高被定义为以下特征之一:钙化评分>100,>75百分位数,阻塞性斑块,涉及左主干、三支血管或包括近前降支动脉在内的两支血管,节段受累评分>5或CT适配Leaman评分≥5。结果大多数运动员(88 人)从事耐力运动(17.1±9.8 年),中位运动量为 66 [IQR 44-103] 代谢当量任务/小时/周。系统冠状动脉风险评估 2 的平均值为 2.8±1.5%;76.9% 的运动员为中低风险,无一人为极高风险。25.7%的运动员存在高冠状动脉粥样硬化负担。与中低风险和高运动量的运动员相比,心血管风险高和运动量大(高于中位数)的运动员冠状动脉粥样硬化负荷明显较高(50.0% 对 15.6%;P=0.017)。在中低风险的运动员中,高运动量往往具有保护作用,而在低运动量的运动员中,无论心血管风险如何,冠状动脉粥样硬化负荷高的比例相似。这些变量之间的关系尚存在争议,但将运动特征和风险评估纳入参赛前评估至关重要。
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来源期刊
Revista Portuguesa De Cardiologia
Revista Portuguesa De Cardiologia CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
2.70
自引率
22.20%
发文量
205
审稿时长
54 days
期刊介绍: The Portuguese Journal of Cardiology, the official journal of the Portuguese Society of Cardiology, was founded in 1982 with the aim of keeping Portuguese cardiologists informed through the publication of scientific articles on areas such as arrhythmology and electrophysiology, cardiovascular surgery, intensive care, coronary artery disease, cardiovascular imaging, hypertension, heart failure and cardiovascular prevention. The Journal is a monthly publication with high standards of quality in terms of scientific content and production. Since 1999 it has been published in English as well as Portuguese, which has widened its readership abroad. It is distributed to all members of the Portuguese Societies of Cardiology, Internal Medicine, Pneumology and Cardiothoracic Surgery, as well as to leading non-Portuguese cardiologists and to virtually all cardiology societies worldwide. It has been referred in Medline since 1987.
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