Arrhythmias & electrophysiology
Distinct early repolarisation patterns in male Brazilian soccer players: insights from a multicentre 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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