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Cardiovascular risk of veterans' football: An observational cohort study with follow-up

TitelCardiovascular risk of veterans' football: An observational cohort study with follow-up
MedientypJournal Article
Year of Publication2024
AutorenEgger F, Schilling T, Baumann S, Meyer T, Scharhag J
JournalPLoS One
Volume19
Ausgabe4
Seitennummerierunge0297951
Date Published2024
ISSN1932-6203
SchlüsselwörterAdult, Aged, Biomarkers, Cardiovascular Diseases, Follow-Up Studies, Football, Heart Disease Risk Factors, Humans, Middle Aged, Natriuretic Peptide, Brain, Risk Factors, Veterans
Zusammenfassung

BACKGROUND: The cardiac stress for veteran football players during match is considerable. In this specific elderly population, the kinetics of exercise-induced cardiac troponin I (cTnI) and B-Type natriuretic peptide (BNP) could potentially be related to cardiovascular risk factors (CVRF) and cardiovascular disease and are therefore be investigated for their usefulness as an complement to established screening measures.

METHODS: cTnI and BNP was measured in 112 veteran football players (age: 51 ± 10 years) within 30 minutes pre- and post-match. Players with elevated cTnI (cTnI-positive) and a control group (out of the 112 veteran players) with normal cTnI (cTnI-negative) underwent cardiac follow-up 4.2 ± 3.5 months post-match, comprising history, resting and stress ECG (including 30 minutes pre- and post cTnI and BNP), and echocardiography.

RESULTS: In 33 players (29%) cTnI and in 6 players BNP (5%) exceeded the upper range limit for increased risk of myocardial damage (cTnI ≥ 5 ng/l) and myocardial wall stress (BNP ≥ 100 pg/ml) post-match, respectively. No correlation was observed between Δ cTnI (pre- vs. post-match) and the number of CVRF (r = -0.06, p = 0.50). Follow-up was conducted in 62 players (31 cTnI-positive and 31 cTnI-negative players) of which 6 (10%, 3 cTnI positive and 3 cTnI negative players) had cardiac abnormalities (hypertrophic cardiomyopathy n = 2, coronary artery disease n = 2, coronary artery anomaly n = 1, hypertensive heart disease n = 1).

CONCLUSION: Veterans' football matches elicit increases in BNP and particularly cTnI in a considerable number of players. However, these biochemical alterations do not indicate acute cardiac damage as evidenced by follow-up. Routine determination of cardiac biomarkers is unlikely to improve cardiovascular screening in veteran football players.

DOI10.1371/journal.pone.0297951
Alternate JournalPLoS One
PubMed ID38578731
PubMed Central IDPMC10997130
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