Arrhythmias & electrophysiology

Distinct early repolarisation patterns in male Brazilian soccer players: insights from a multicentre study

HeartPublished multicentre observational study

Authors' conclusion

Our findings do not suggest that ER patterns observed in male Brazilian soccer players are associated with sudden cardiac death. Given the role of Brazil in exporting soccer talent, our results may help guide athlete assessments of ER worldwide.

Study context

Population
Male Brazilian soccer players who underwent preparticipation evaluations at 83 professional clubs across Brazil’s five geographic regions between February 2002 and August 2024athletes included
Participants
6,353 players
Exposure
Prevalence of different early repolarisation (ER) patterns by ethnicity
  • Whiten = 2,556
  • Mixed-racen = 2,071
  • Blackn = 1,726
Outcome
ER patterns

Main finding

As reported in the abstract

ER patterns appeared in players

2552

40.2%

Observational data: associations, not effects.

Further findings

ER prevalence by ethnicity

ER morphologies with STE in leads V4-V6

Classic J-wave with ascending ST-segment
1275; 20.1%
Discrete J-point with ascending ST-segment
735; 11.6%

ER morphologies without STE in leads II, III and aVF

Slur on the downslope of the R-wave with ascending ST- segment
760; 12%
Slur with horizontal ST-segment
335; 5.3%
J-wave
199; 3.1%

Sudden cardiac death · mean follow-up 4.4±3.1 years

No cases of sudden cardiac death were identified

Age

Median (IQR) age
19 (16-23) years

Original publication

Distinct early repolarisation patterns in male Brazilian soccer players: insights from a multicentre study. Heart. Published 3 April 2025. doi:10.1136/heartjnl-2024-325484

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