Relation of Race to Electrocardiographic Patterns in Elite American Football Players
Relation of Race to Electrocardiographic Patterns in Elite American Football Players Anthony Magalski, Barry J. Maron, Michael L. Main, Marcia McCoy, Angela Florez, Kimberly J. Reid, Harold W. Epps, John Bates, Jon E. Browne We studied electrocardiographic (ECG) characteristics of highly-trained Ame...
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creator | Magalski, Anthony, MD, FACC Maron, Barry J., MD, FACC Main, Michael L., MD, FACC McCoy, Marcia, RN, MSN Florez, Angela, BA Reid, Kimberly J., MS Epps, Harold W., MED, ATC, LAT Bates, John, MD, FACC Browne, Jon E., MD |
description | Relation of Race to Electrocardiographic Patterns in Elite American Football Players Anthony Magalski, Barry J. Maron, Michael L. Main, Marcia McCoy, Angela Florez, Kimberly J. Reid, Harold W. Epps, John Bates, Jon E. Browne We studied electrocardiographic (ECG) characteristics of highly-trained American football players. Electrocardiographic abnormalities were found in 480 (25%) participants. By race, abnormal ECGs were 2-fold more common in black (n = 396; 30%) than in white athletes (n = 78; 13%). Black race was a significant independent predictor of abnormal ECGs, including patterns most suggestive of underlying heart disease. These findings have important implications for pre-participation ECG screening of athletes, underscoring the potential for a high rate of false-positives in black athletes. |
doi_str_mv | 10.1016/j.jacc.2008.01.065 |
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Maron, Michael L. Main, Marcia McCoy, Angela Florez, Kimberly J. Reid, Harold W. Epps, John Bates, Jon E. Browne We studied electrocardiographic (ECG) characteristics of highly-trained American football players. Electrocardiographic abnormalities were found in 480 (25%) participants. By race, abnormal ECGs were 2-fold more common in black (n = 396; 30%) than in white athletes (n = 78; 13%). Black race was a significant independent predictor of abnormal ECGs, including patterns most suggestive of underlying heart disease. These findings have important implications for pre-participation ECG screening of athletes, underscoring the potential for a high rate of false-positives in black athletes.</description><identifier>ISSN: 0735-1097</identifier><identifier>EISSN: 1558-3597</identifier><identifier>DOI: 10.1016/j.jacc.2008.01.065</identifier><identifier>PMID: 18534272</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; African Americans ; Age ; Athletic drafts & trades ; Blood pressure ; Cardiology ; Cardiomyopathy ; Cardiovascular ; Cardiovascular disease ; Cardiovascular Physiological Phenomena ; Confidence intervals ; Electrocardiography ; European Continental Ancestry Group ; Football ; Heart Rate ; Humans ; Internal Medicine ; Male ; Odds Ratio ; Professional football ; Ultrasonic imaging ; United States ; White people</subject><ispartof>Journal of the American College of Cardiology, 2008-06, Vol.51 (23), p.2250-2255</ispartof><rights>American College of Cardiology Foundation</rights><rights>2008 American College of Cardiology Foundation</rights><rights>Copyright Elsevier Limited Jun 10, 2008</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c548t-ae89d136f4c2e64979fbc5a1d1a7fcbea23f87a6b965d3764e0cd8ee973432c03</citedby><cites>FETCH-LOGICAL-c548t-ae89d136f4c2e64979fbc5a1d1a7fcbea23f87a6b965d3764e0cd8ee973432c03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0735109708011169$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18534272$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Magalski, Anthony, MD, FACC</creatorcontrib><creatorcontrib>Maron, Barry J., MD, FACC</creatorcontrib><creatorcontrib>Main, Michael L., MD, FACC</creatorcontrib><creatorcontrib>McCoy, Marcia, RN, MSN</creatorcontrib><creatorcontrib>Florez, Angela, BA</creatorcontrib><creatorcontrib>Reid, Kimberly J., MS</creatorcontrib><creatorcontrib>Epps, Harold W., MED, ATC, LAT</creatorcontrib><creatorcontrib>Bates, John, MD, FACC</creatorcontrib><creatorcontrib>Browne, Jon E., MD</creatorcontrib><title>Relation of Race to Electrocardiographic Patterns in Elite American Football Players</title><title>Journal of the American College of Cardiology</title><addtitle>J Am Coll Cardiol</addtitle><description>Relation of Race to Electrocardiographic Patterns in Elite American Football Players Anthony Magalski, Barry J. Maron, Michael L. Main, Marcia McCoy, Angela Florez, Kimberly J. Reid, Harold W. Epps, John Bates, Jon E. Browne We studied electrocardiographic (ECG) characteristics of highly-trained American football players. Electrocardiographic abnormalities were found in 480 (25%) participants. By race, abnormal ECGs were 2-fold more common in black (n = 396; 30%) than in white athletes (n = 78; 13%). Black race was a significant independent predictor of abnormal ECGs, including patterns most suggestive of underlying heart disease. These findings have important implications for pre-participation ECG screening of athletes, underscoring the potential for a high rate of false-positives in black athletes.</description><subject>Adult</subject><subject>African Americans</subject><subject>Age</subject><subject>Athletic drafts & trades</subject><subject>Blood pressure</subject><subject>Cardiology</subject><subject>Cardiomyopathy</subject><subject>Cardiovascular</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular Physiological Phenomena</subject><subject>Confidence intervals</subject><subject>Electrocardiography</subject><subject>European Continental Ancestry Group</subject><subject>Football</subject><subject>Heart Rate</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Male</subject><subject>Odds Ratio</subject><subject>Professional football</subject><subject>Ultrasonic imaging</subject><subject>United States</subject><subject>White people</subject><issn>0735-1097</issn><issn>1558-3597</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkk2LFDEQhoMo7rj6BzxIg-Ct21TS-QIRlmVXhQWXdT2HdLpa02Y6Y9IjzL-3mxlY2IOe6vK8L1Q9RchroA1QkO_HZnTeN4xS3VBoqBRPyAaE0DUXRj0lG6q4qIEadUZelDJSSqUG85ycgRa8ZYptyP0dRjeHNFVpqO6cx2pO1VVEP-fkXe5D-pHd7mfw1a2bZ8xTqcK0AGHG6mKLOXg3VdcpzZ2LsbqN7oC5vCTPBhcLvjrNc_L9-ur-8nN98_XTl8uLm9qLVs-1Q2164HJoPUPZGmWGzgsHPTg1-A4d44NWTnZGip4r2SL1vUY0irececrPybtj7y6n33sss92G4jFGN2HaF6tAtoqB_i_IKGuZZiv49hE4pn2eliUsCCoZGKFhodiR8jmVknGwuxy2Lh8sULuqsaNd1dhVjaVgFzVL6M2pet9tsX-InFwswIcjgMvJ_gTMtviAk8c-5MWH7VP4d__HR3Efw7T4ib_wgOVhD1uYpfbb-hzrb1BNAUAa_hfCWLOF</recordid><startdate>20080610</startdate><enddate>20080610</enddate><creator>Magalski, Anthony, MD, FACC</creator><creator>Maron, Barry J., MD, FACC</creator><creator>Main, Michael L., MD, FACC</creator><creator>McCoy, Marcia, RN, MSN</creator><creator>Florez, Angela, BA</creator><creator>Reid, Kimberly J., MS</creator><creator>Epps, Harold W., MED, ATC, LAT</creator><creator>Bates, John, MD, FACC</creator><creator>Browne, Jon E., MD</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7TS</scope><scope>7X8</scope></search><sort><creationdate>20080610</creationdate><title>Relation of Race to Electrocardiographic Patterns in Elite American Football Players</title><author>Magalski, Anthony, MD, FACC ; Maron, Barry J., MD, FACC ; Main, Michael L., MD, FACC ; McCoy, Marcia, RN, MSN ; Florez, Angela, BA ; Reid, Kimberly J., MS ; Epps, Harold W., MED, ATC, LAT ; Bates, John, MD, FACC ; Browne, Jon E., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c548t-ae89d136f4c2e64979fbc5a1d1a7fcbea23f87a6b965d3764e0cd8ee973432c03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adult</topic><topic>African Americans</topic><topic>Age</topic><topic>Athletic drafts & trades</topic><topic>Blood pressure</topic><topic>Cardiology</topic><topic>Cardiomyopathy</topic><topic>Cardiovascular</topic><topic>Cardiovascular disease</topic><topic>Cardiovascular Physiological Phenomena</topic><topic>Confidence intervals</topic><topic>Electrocardiography</topic><topic>European Continental Ancestry Group</topic><topic>Football</topic><topic>Heart Rate</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Male</topic><topic>Odds Ratio</topic><topic>Professional football</topic><topic>Ultrasonic imaging</topic><topic>United States</topic><topic>White people</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Magalski, Anthony, MD, FACC</creatorcontrib><creatorcontrib>Maron, Barry J., MD, FACC</creatorcontrib><creatorcontrib>Main, Michael L., MD, FACC</creatorcontrib><creatorcontrib>McCoy, Marcia, RN, MSN</creatorcontrib><creatorcontrib>Florez, Angela, BA</creatorcontrib><creatorcontrib>Reid, Kimberly J., MS</creatorcontrib><creatorcontrib>Epps, Harold W., MED, ATC, LAT</creatorcontrib><creatorcontrib>Bates, John, MD, FACC</creatorcontrib><creatorcontrib>Browne, Jon E., MD</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Physical Education Index</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American College of Cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Magalski, Anthony, MD, FACC</au><au>Maron, Barry J., MD, FACC</au><au>Main, Michael L., MD, FACC</au><au>McCoy, Marcia, RN, MSN</au><au>Florez, Angela, BA</au><au>Reid, Kimberly J., MS</au><au>Epps, Harold W., MED, ATC, LAT</au><au>Bates, John, MD, FACC</au><au>Browne, Jon E., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relation of Race to Electrocardiographic Patterns in Elite American Football Players</atitle><jtitle>Journal of the American College of Cardiology</jtitle><addtitle>J Am Coll Cardiol</addtitle><date>2008-06-10</date><risdate>2008</risdate><volume>51</volume><issue>23</issue><spage>2250</spage><epage>2255</epage><pages>2250-2255</pages><issn>0735-1097</issn><eissn>1558-3597</eissn><abstract>Relation of Race to Electrocardiographic Patterns in Elite American Football Players Anthony Magalski, Barry J. 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subjects | Adult African Americans Age Athletic drafts & trades Blood pressure Cardiology Cardiomyopathy Cardiovascular Cardiovascular disease Cardiovascular Physiological Phenomena Confidence intervals Electrocardiography European Continental Ancestry Group Football Heart Rate Humans Internal Medicine Male Odds Ratio Professional football Ultrasonic imaging United States White people |
title | Relation of Race to Electrocardiographic Patterns in Elite American Football Players |
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