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Sökning: onr:"swepub:oai:gup.ub.gu.se/165636" > Preparticipation Ev...

Preparticipation Evaluation of Novice, Middle-Age Long-Distance Runners.

Aagaard, P (författare)
Sahlen, A, (författare)
Karolinska Institutet, Department of Medicine, Huddinge
Bergfeldt, L (författare)
visa fler...
Braunschweig, F, (författare)
Karolinska Institutet, Department of Medicine, Solna
Sahlén, A (författare)
visa färre...
Göteborgs universitet Sahlgrenska akademin. Institutionen för medicin, avdelningen för molekylär och klinisk medicin. 
2013
Engelska.
Ingår i: Medicine and science in sports and exercise. - 0195-9131. ; 45:1
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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  • Abstract PURPOSE: To assess the cardiovascular health and risk profile in middle-aged males making an entry to participate for their first time in a long-distance race. METHODS: Male first-time participants ≥45 years in the world's largest cross-country running race, the Lidingöloppet, were evaluated with a medical history and physical exam, European risk-SCORE, 12-lead ECG, echocardiography and blood tests. Further diagnostic work-up was performed when clinically indicated. RESULTS: Of 265 eligible runners, 153 (58%, age 51±5 y) completed the study. While the 10-year fatal cardiovascular event risk was low (SCORE: 1% (IQR: 0 - 1%)), mild abnormalities were common, e.g. elevated blood-pressure (19%), left ventricular hypertrophy (6%), elevated LDL cholesterol (5%). ECG changes compatible with "athlete's heart" were present in 82%, e.g. sinus bradycardia (61%) and/or early repolarization (32%). ECG changes considered training-unrelated were found in 24%, e.g. prolonged QTc: 13%; left axis deviation: 5.3%; left atrial enlargement: 4%). In 14 runners (9%) additional diagnostic work-up was clinically motivated, and 4 (2%) were ultimately discouraged from vigorous exercise due to QTc intervals >500 ms (n=2), symptomatic atrioventricular block (n=1), and a cardiac tumor (n=1). The physician exam and the ECG identified 12 of the 14 subjects requiring further evaluation. CONCLUSIONS: Cardiovascular evaluation of middle-aged men, including a physician exam and a 12-lead ECG, appears useful to identify individuals requiring further testing prior to vigorous exercise. The additional yield of routine echocardiography was small.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Kardiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)

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Av författaren/redakt...
Aagaard, P
Sahlen, A
Bergfeldt, L
Braunschweig, F
Sahlén, A
Om ämnet
MEDICIN OCH HÄLSOVETENSKAP
MEDICIN OCH HÄLS ...
och Klinisk medicin
och Kardiologi
Artiklar i publikationen
Medicine and sci ...
Av lärosätet
Karolinska Institutet
Göteborgs universitet

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