Cardiac Troponin Testing as a Component of Return to Play Cardiac Screening in Young Competitive Athletes Following SARS-CoV-2 Infection.
Détails
ID Serval
serval:BIB_37F47145C86F
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Cardiac Troponin Testing as a Component of Return to Play Cardiac Screening in Young Competitive Athletes Following SARS-CoV-2 Infection.
Périodique
Journal of the American Heart Association
Collaborateur⸱rice⸱s
ORCCA Investigators †
Contributeur⸱rice⸱s
Asif I.M., Baggish A.L., Borchers J., Drezner J.A., Edenfield K.M., Emery M.S., Goerl K., Hainline B., Harmon K.G., Jone P.N., Kim J.H., Kliethermes S., Kraus W.E., Lampert R., Leiszler M., Levine B.D., Martinez M.W., Moulson N., O'Connor F.G., Patel M.R., Petek B.J., Phelan D., Rink L.D., Taylor H.A., Ade C., Aiyer A., Alfadhli J., Amaradio C., Anderson S., Arlis-Mayor S., Aubry J.S., Austin A., Balcik B.J., Beaver T., Benitez N., Berkstresser B., Best T.M., Bohon T., Bonnet J.P., Boyington E., Bray J., Bryant J., Bytomski J., Carnahan S., Chamberlain R., Charters S., Chill N., Clark D.E., Comeau D., Cook L.E., Corey D., Costa A., Crowther M., Dalia T., Davidson C., Davitt K., De St Maurice A., Dean P.N., Dendy J.M., DeZenzo K., Dimitris C., Doperak J., Duffaut C., Fafara C., Fahy K., Ferderber J., Finn M., Fish F.A., Fitch R.W., Galante A., Gerlt T., Gest A., Gilson C., Goldberger J., Goldman J., Groezinger E., Guin J.R., Halseth H., Hare J., Harness B., Hatamiya N., Haylett J., Hazen N., Hughes S.G., Hiroi Y., Hockenbrock A., Honsvall A., Hopp J., Howard J., Huba S., Husaini M., Huston L., Hwang C., Irvin L., Iven V.G., Jones R., Joyce D., Karlson K., Kent J., Klein C.F., Klenck C., Kirk M., Knight J., Knippa L., Knutson M., Kovacs L.E., Kuscher Y., Kussman A., Landreth C., Leu A., Lothian D., Lowery M., Lukjanczuk A., MacKnight J.M., Magee L.M., Magnuson M.L., Mares A.V., Marquez A., McKinley G., Meester S., Meier M., Mellacheruvu P., Miles C., Miller E., Miller H., Mitrani R., Monseau A.J., Moorehead B., Myerburg R.J., Mytyk G., Narver A., Nattiv A., Nur L., Organ B.E., Pendergast M., Pettrone F.A., Pierce J., Poddar S.K., Priestman D., Quinn I., Reifsteck F., Restivo M., Robinson J.B., Roe R., Rosamond T., Shearer C.R., Riveros D., Rueda M., Sakamoto T., Schnebel B., Shah A.B., Shahtaji A., Shannon K., Sheridan-Young P., Soslow J.H., Statuta S.M., Stovak M., Tarsici A., Taylor K.S., Terrell K., Thomason M., Tso J., Vigil D., Wang F., Winningham J., Zorn S.T.
ISSN
2047-9980 (Electronic)
ISSN-L
2047-9980
Statut éditorial
Publié
Date de publication
16/08/2022
Peer-reviewed
Oui
Volume
11
Numéro
16
Pages
e025369
Langue
anglais
Notes
Publication types: Journal Article ; Observational Study ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Publication Status: ppublish
Résumé
Background Initial protocols for return to play cardiac testing in young competitive athletes following SARS-CoV-2 infection recommended cardiac troponin (cTn) to screen for cardiac involvement. This study aimed to define the diagnostic yield of cTn in athletes undergoing cardiovascular testing following SARS-CoV-2 infection. Methods and Results This prospective, observational cohort study from ORCCA (Outcomes Registry for Cardiac Conditions in Athletes) included collegiate athletes who underwent cTn testing as a component of return to play protocols following SARS-CoV-2 infection. The cTn values were stratified as undetectable, detectable but within normal limits, and abnormal (>99% percentile). The presence of probable or definite SARS-CoV-2 myocardial involvement was compared between those with normal versus abnormal cTn levels. A total of 3184/3685 (86%) athletes in the ORCCA database met the inclusion criteria for this study (age 20±1 years, 32% female athletes, 28% Black race). The median time from SARS-CoV-2 diagnosis to cTn testing was 13 days (interquartile range, 11, 18 days). The cTn levels were undetectable in 2942 athletes (92%), detectable but within normal limits in 210 athletes (7%), and abnormal in 32 athletes (1%). Of the 32 athletes with abnormal cTn testing, 19/32 (59%) underwent cardiac magnetic resonance imaging, 30/32 (94%) underwent transthoracic echocardiography, and 1/32 (3%) did not have cardiac imaging. One athlete with abnormal troponin met the criteria for definite or probable SARS-CoV-2 myocardial involvement. In the total cohort, 21/3184 (0.7%) had SARS-CoV-2 myocardial involvement, among whom 20/21 (95%) had normal troponin testing. Conclusions Abnormal cTn during routine return to play cardiac screening among competitive athletes following SARS-CoV-2 infection appears to have limited diagnostic utility.
Mots-clé
Adult, Athletes, COVID-19/diagnosis, COVID-19/epidemiology, COVID-19 Testing, Female, Heart Diseases/diagnosis, Heart Diseases/epidemiology, Humans, Male, Prospective Studies, Return to Sport, SARS-CoV-2, Troponin, Young Adult, SARS‐CoV‐2, athletes, return‐to‐play, troponin
Pubmed
Web of science
Open Access
Oui
Création de la notice
07/12/2022 11:03
Dernière modification de la notice
21/02/2024 7:17
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