Imaging associations enhance the understanding of ECG abnormalities in male Brazilian football players: findings from the B-Pro Foot ECG study

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dc.contributor.authorFerrari, Filipe
dc.contributor.authorSilveira, Anderson D da
dc.contributor.authorZiegelmann, Patrícia K
dc.contributor.authorAleixo, Haroldo
dc.contributor.authorDilda, Guilherme D
dc.contributor.authorEmed, Luiz G M
dc.contributor.authorMagalhães, Flávia C O
dc.contributor.authorCardoso, Fernando B
dc.contributor.authorSilva, Henrique C da
dc.contributor.authorGuerra, Felipe E F
dc.contributor.authorSoares, Luciano G
dc.contributor.authorBassan, Fernando
dc.contributor.authorBraga, Fabrício
dc.contributor.authorHerdy, Artur H
dc.contributor.authorFroelicher, Victor
dc.contributor.authorStein, Ricardo
dc.contributor.authorB-Pro Foot ECG Collaborators
dc.date.accessioned2025-02-05T14:19:54Z
dc.date.available2025-02-05T14:19:54Z
dc.date.issued2024
dc.description.abstractObjectives To evaluate the prevalence of abnormal ECG findings and their association with imaging results in male Brazilian football players. Methods The ’B-Pro Foot ECG’ is a multicentre observational study conducted in 82 Brazilian professional clubs. It analysed 6125 players aged 15–35 years (2496 white, 2004 mixed-race and 1625 black individuals) who underwent cardiovascular screening from 2002 to 2023. All ECGs were reviewed by two experienced cardiologists in the athlete’s care. Those with abnormal findings underwent further investigations, including a transthoracic echocardiogram (TTE). Cardiac magnetic resonance (CMR) was subsequently performed based on TTE findings or clinical suspicion. Results In total, 180 (3%) players had abnormal ECGs and 176 (98%) showed normal TTE results. Athletes aged 26–35 years had a higher prevalence of abnormal ECGs than younger athletes (15–25 years). Black players had a higher prevalence of T-wave inversion (TWI) in the inferior leads than white players (2.6% vs 1.4%; p=0.005), as well as in V5 (2.9%) and V6 (2.1%) compared with white (1.2% and 1.0%; p<0.001) and mixed-race (1.5% and 1.2%; p<0.05) players, respectively. TTE parameters were similar across ethnicities. However, four out of 75 players with inferolateral TWI showed abnormal TTEs and CMR findings consistent with cardiomyopathies. CMR also showed cardiomyopathies or myocarditis in four players with inferolateral TWI and normal TTEs. In total, nine (0.1%) athletes were diagnosed with cardiac diseases and were followed for 40±30 months, with no cardiac events documented. Conclusion This study found a 3% prevalence of abnormal ECGs in male Brazilian football players. Inferolateral TWI was associated with cardiac pathologies confirmed by CMR, even in athletes with a normal TTE.
dc.identifier.citationFerrari F, da Silveira AD, Ziegelmann PK, Aleixo H, Dilda GD, Emed LGM, Magalhães FCO, Cardoso FB, da Silva HC, Guerra FEF, Soares LG, Bassan F, Braga F, Herdy AH, Froelicher V, Stein R; B-Pro Foot ECG Collaborators. Imaging associations enhance the understanding of ECG abnormalities in male Brazilian football players: findings from the B-Pro Foot ECG study. Br J Sports Med. 2024 May 28;58(11):598-605. doi: 10.1136/bjsports-2023-108053.
dc.identifier.otherDOI: 10.1136/bjsports-2023-108053
dc.identifier.urihttps://dspace.inc.saude.gov.br/handle/123456789/790
dc.language.isoen
dc.publisherBritish Journal of Sports Medicine
dc.subjectAthletesen
dc.subjectAdolescenten
dc.subjectAdulten
dc.subjectBrazil / epidemiologyen
dc.subjectEchocardiography*en
dc.subjectElectrocardiography*en
dc.subjectHumansen
dc.subjectMagnetic Resonance Imagingen
dc.subjectMaleen
dc.subjectPrevalenceen
dc.subjectSoccer*en
dc.subjectYoung Adult.en
dc.titleImaging associations enhance the understanding of ECG abnormalities in male Brazilian football players: findings from the B-Pro Foot ECG study
dc.typeArticle
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