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J Clin Transl Res . Cardiovascular involvement among collegiate athletes following COVID-19 infection

tetano

Editor, Senior Moderator
J Clin Transl Res


. 2022 Jan 3;8(1):1-5.
eCollection 2022 Feb 25.
Cardiovascular involvement among collegiate athletes following COVID-19 infection


Christle C Guevarra[SUP] 1 [/SUP], Nicholas Murray[SUP] 2 [/SUP], Daniel Cipriani[SUP] 3 [/SUP], Kevin Mailland[SUP] 1 [/SUP], Amber Char[SUP] 4 [/SUP], Kyle Coffman[SUP] 5 [/SUP], Cameron Davis[SUP] 1 [/SUP], Frank Truong[SUP] 1 [/SUP], Alfred Danielian[SUP] 6 [/SUP], Glenn Barnes[SUP] 1 [/SUP], Wade Gaal[SUP] 1 [/SUP]



Affiliations

Abstract

Background: Recent studies suggest that the prevalence of cardiac involvement in young competitive athletes with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection appears to be low.
Aim: This study aimed to determine the prevalence of cardiovascular involvement in young competitive athletes.
Methods: In this single-center retrospective cohort study from one Division I university; we assessed the prevalence of cardiovascular involvement among collegiate athletes who tested positive for SARS-CoV-2 by polymerase chain reaction testing. Data were collected from June 25, 2020, to May 15, 2021. The primary outcome was the prevalence of cardiac involvement based on a comparison of pre- and post-infection electrocardiogram (ECGs). The secondary outcome was to evaluate for any association between ethnicity and the presence or absence of symptoms.
Results: Among 99 athletes who tested positive for the SARS-CoV-2 virus (mean age 19.9 years [standard deviation 1.7 years]; 31% female), baseline ECG changes suggestive of cardiovascular involvement post-infection were detected in two athletes (2/99; 2%). There was a statistically significant association between ethnicity and the presence or absence of symptoms, χ [SUP]2[/SUP] (3, n = 99) = 10.61, P = 0.01.
Conclusions: The prevalence of cardiovascular involvement among collegiate athletes following SARS-CoV-2 infection in this cohort is low. Afro-American and Caucasian athletes are more likely to experience symptoms following SARS-CoV-2 infection in comparison to Hispanic and Pacific Islander athletes; however, there is no association between ethnicity and symptom severity.
Relevance for patients: These data add to the growing body of the literature and agree with larger cohorts that the risk of cardiac involvement post-infection appears to be low among elite athletic and semi-professional athletic populations.

Keywords: cardiomyopathy; coronavirus disease 2019; sports medicine.
 
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