无症状围绝经期女运动员的ST段压低模式
The ST segment depression pattern in asymptomatic peri-menopausal female athletes.
作者信息
Orlandi Melissa, Orlandi Goffredo, Bini Vittorio, Fiorillo Claudia, Becatti Matteo, Stefani Laura
机构信息
Sports Medicine Center, University of Florence, Italy.
Department of Medicine, University of Perugia, Italy.
出版信息
Heliyon. 2020 Aug 28;6(8):e04738. doi: 10.1016/j.heliyon.2020.e04738. eCollection 2020 Aug.
BACKGROUND
ST segment has not been well investigated in asymptomatic peri-menopausal female athletes, when the CV risk is higher.
AIMS
The aims of the study is to investigate the prevalence of ST segment depression in peri-menopausal female athletes, divided in four age groups.
METHODS
in a cohort of 6010 female athletes aged 45-65 years old, 161 subjects were selected for the presence of ST segment depression, revealed by maximal ergometric test. All athletes were also evaluated by physical examination and echocardiography. Inclusion criteria for ST segment depression were ST depression >0.5 mm respect to baseline and its depth was divided in 0.5 mm, 0.5-1 mm, 1-2 mm categories. Its behavior was classified in ascending, horizontal and descending and it was studied in relation to the age range (<51; 51-55; 56-60; >60).
RESULTS
ST segment depression was mainly evident in inferolateral leads in all groups (63%, 70,3%, 71%, 63,6%, for <51; 51-55, 56-60 and 61-65 respectively) with horizontal pattern (52,2%, 59,5%, 57,8%, 63,6%) and 1-2 mm depth (43,5%, 46,7%, 60,6%), with the exception of the range 51-55, mainly showing a depth of 0,5-1 mm (45,9%). The older group showed increased SBP (137.5 mmHg, p = 0.007) and BMI (24.3, p = 0.093) values. Mitral prolapse was shown in 11,8% while 36,6% showed systolic flattening of mitral leaflets.
CONCLUSIONS
ST depression in asymptomatic menopausal female athletes is frequent and it is characterized by a specific presentation pattern. This is particularly important in the menopausal age when CV risk factors are more prevalent.
背景
在心血管风险较高的无症状围绝经期女性运动员中，ST段尚未得到充分研究。
目的
本研究的目的是调查分为四个年龄组的围绝经期女性运动员中ST段压低的患病率。
方法
在一组6010名年龄在45 - 65岁的女性运动员中，通过最大运动测试发现161名受试者存在ST段压低。所有运动员还接受了体格检查和超声心动图检查。ST段压低的纳入标准为相对于基线ST段压低>0.5mm，其深度分为0.5mm、0.5 - 1mm、1 - 2mm类别。其形态分为上升型、水平型和下降型，并根据年龄范围（<51岁；51 - 55岁；56 - 60岁；>60岁）进行研究。
结果
ST段压低在所有组中主要在下心外侧导联明显（分别在<51岁、51 - 55岁、56 - 60岁和61 - 65岁组中为63%、70.3%、71%、63.6%），呈水平型（52.2%、59.5%、57.8%、63.6%），深度为1 - 2mm（43.5%、46.7%、60.6%），51 - 55岁组除外，主要显示深度为0.5 - 1mm（45.9%）。年龄较大的组收缩压（137.5mmHg，p = 0.007）和体重指数（24.3，p = 0.093）值升高。11.8%的人显示二尖瓣脱垂，而36.6%的人显示二尖瓣叶收缩期扁平。
结论
无症状绝经后女性运动员中ST段压低很常见，且具有特定的表现形式。在绝经年龄，当心血管危险因素更为普遍时，这一点尤为重要。
Zotero 插件