Heart failure & cardiomyopathiesResearch article
Electrocardiographic and morphological cardiac remodelling in competitive female athletes – a scoping review
- Scoping review
Authors' conclusion
Female athletes demonstrate distinct features of electrical (increased QRS voltages for LVH, JPE, and TWI) and morphological EICR (biventricular dilatation). On CMR, LA was borderline dilated.
Study context
- Population
- Competitive female athletes aged ≥18 years without CV conditions31 articles
- Participants
- 4,896 athletes
- Comparison
- Female athletes vs upper reference limits of the general female population
Main finding
As reported in the abstract
ECG and imaging findings (exercise-induced cardiac remodelling (EICR))
- Electrocardiography (ECG) (n = 889): increased QRS voltages for LV hypertrophy (LVH)
- n = 97
- ECG: J-point elevation
- n = 108
- ECG: T-wave inversion
- n = 104
- Echocardiography (n = 4644): BSA-indexed LV volume, mean of means (URL = 61)
- 67.3 mL/m² (95%CI, 66.8-67.8)
- Echocardiography: BSA-indexed right ventricle (RV) volume, mean of means (URL = 74)
- 82.7 mL/m² (95%CI, 79.5-86.0)
- Cardiac magnetic resonance (CMR) (n = 309): LA volume, mean of means (URL = 61)
- 62.0 mL/m²; 95%CI, 58.8-65.2
- CMR: LV volume, mean of means (URL = 96)
- 103.4 mL/m²; 95%CI, 101.8-105.0
- CMR: RV volume, mean of means (URL = 107.2)
- 105.3 mL/m²; 95%CI, 103.3-110.6
Original publication
Electrocardiographic and morphological cardiac remodelling in competitive female athletes – a scoping review. Eur J Prev Cardiol. Published 13 September 2024. doi:10.1093/eurjpc/zwae293
Summarised from the published abstract; every number is checked against it