Jacob Dany, Main Michael L, Gupta Sanjaya, Gosch Kensey, McCoy Marcia, Magalski Anthony
University of Missouri-Kansas City, 2301 Holmes St, Kansas City, MO, USA.
Saint Luke's Mid America Heart Institute, 4401 Wornwall Rd, Kansas City, MO, USA.
J Electrocardiol. 2015 May-Jun;48(3):407-14. doi: 10.1016/j.jelectrocard.2015.03.005. Epub 2015 Mar 6.
We evaluated the prevalence of isolated T-wave inversions (TWI) in American athletes using contemporary ECG criteria. Ethnic and gender disparities including the association of isolated TWI with underlying abnormal cardiac structure are evaluated.
From 2004 to 2014, 1755 collegiate athletes at a single American university underwent prospective collection of medical history, physical examination, 12-lead ECG, and 2-dimensional echocardiography. ECG analysis was performed to evaluate for isolated TWI as per contemporary ECG criteria.
The overall prevalence of isolated TWI is 1.3%. Ethnic and gender disparities are not observed in American athletes (black vs. white: 1.7% vs. 1.1%; p=0.41) (women vs. men: 1.5% vs. 1.1; p=0.52). No association was found with underlying cardiomyopathy.
A lower prevalence of isolated TWI in American athletes than previously reported. Isolated TWI was not associated with an abnormal echocardiogram. No ethnic or gender disparity is seen in American college athletes.
我们使用当代心电图标准评估了美国运动员中孤立性T波倒置（TWI）的患病率。评估了种族和性别差异，包括孤立性TWI与潜在心脏结构异常的关联。
2004年至2014年，美国一所大学的1755名大学生运动员接受了病史、体格检查、12导联心电图和二维超声心动图的前瞻性收集。根据当代心电图标准进行心电图分析以评估孤立性TWI。
孤立性TWI的总体患病率为1.3%。在美国运动员中未观察到种族和性别差异（黑人与白人：1.7%对1.1%；p = 0.41）（女性与男性：1.5%对1.1%；p = 0.52）。未发现与潜在心肌病有关联。
美国运动员中孤立性TWI的患病率低于先前报道。孤立性TWI与超声心动图异常无关。在美国大学生运动员中未发现种族或性别差异。
