Coronary artery z score values in adolescent elite male soccer players

Gerling, Stephan and Pollinger, Tobias and Dechant, Markus Johann and Melter, Michael and Krutsch, Werner and Michel, Holger (2021) Coronary artery z score values in adolescent elite male soccer players. CARDIOLOGY IN THE YOUNG, 31 (3): PII S10479. pp. 381-385. ISSN 1047-9511, 1467-1107

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Abstract

Background: With the increased training loads at very early ages in European elite youth soccer, there is an interest to analyse coronary artery remodelling due to high-intensity exercise. Design and methods: Prospective echocardiographic study in 259 adolescent elite male soccer players and 48 matched controls. Results: The mean age was 12.7 +/- 0.63 years in soccer players and 12.6 +/- 0.7 years in controls (p > 0.05). Soccer players had significant greater indexed left ventricular mass (93 +/- 13 g/m(2) versus 79 +/- 12 g/m(2), p = 0.001). Both coronary arteries origin could be identified in every participant. In soccer players, the mean diameter of the left main coronary artery was 3.67 mm (SD +/- 0.59) and 2.61 mm (SD +/- 0.48) for right main coronary artery. Controls showed smaller mean luminal diameter (left main coronary artery, p = 0.01; right main coronary artery, p = 0.025). In soccer players, a total of 91% (n = 196) and in controls a total of 94% (n = 45) showed left main coronary artery z scores within the normal range: -2.0 to 2.0. In right main coronary artery, a pattern of z score values distribution was comparable (soccer players 94%, n = 202 vs. controls 84%, n = 40). A subgroup of soccer players had supernormal z score values (>2.0 to 2.5) for left main coronary artery (9%, n = 19, p = 0.01) and right main coronary artery (6%, n = 10, p = 0.025), respectively. Conclusion: Elite soccer training in early adolescence may be a stimulus strong enough to develop increased coronary arteries diameters. In soccer players, a coronary artery z score >2.0-2.5 might reflect a physiologic response induced by multiannual high-intensity training.

Item Type: Article
Uncontrolled Keywords: CARDIAC CHAMBER; EXERCISE; DISEASE; QUANTIFICATION; PREVENTION; ANOMALIES; HEART; Sudden cardiac death; echocardiography; coronary artery; soccer; athletes; adolescent
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Unfallchirurgie
Medicine > Lehrstuhl für Kinder- und Jugendmedizin
Depositing User: Dr. Gernot Deinzer
Date Deposited: 22 Aug 2022 04:59
Last Modified: 22 Aug 2022 04:59
URI: https://pred.uni-regensburg.de/id/eprint/45907

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