{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,27]],"date-time":"2025-05-27T09:33:10Z","timestamp":1748338390760,"version":"3.40.5"},"reference-count":29,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,1,28]],"date-time":"2021-01-28T00:00:00Z","timestamp":1611792000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Scandinavian Med Sci Sports"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:p>The value of echocardiography in the screening of athletes in addition to the electrocardiogram is debated and still unclear. 336 rugby players in French professional divisions (Top 14, Pro D2) were prospectively assessed with electrocardiogram and echocardiography. 75% were Caucasian, 16.4% Pacific Islanders, and 8.6% Afro\u2010Caribbean. Six (1.8%) players had electrocardiogram abnormalities, exclusively negative T waves. Twenty\u2010one (6.25%) of them had abnormal echocardiography findings: one possible early hypertrophic cardiomyopathy, one anomalous origin of coronary artery, two left ventricular dilatations, one isolated bicuspid aortic valve, two aortic regurgitations, and 14 ascending aortic dilatations. The median aortic diameter was modestly correlated with age: 32\u00a0mm [23\u201048] in players aged \u226425\u00a0years vs 33.5\u00a0mm [24\u201050] in those aged &gt;25\u00a0years (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.02, correlation coefficient \u2212.01). This tendency increased with cumulative hours of weight training: 34\u00a0mm [24\u201050] in forwards vs 32\u00a0mm [25\u201044] in backs (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.01); and ethnicity, with Pacific Islanders having higher values in both raw data and body surface area or height\u2010indexed data than Afro\u2010Caribbeans and Caucasians: 34 [25\u201050] vs 32 [27\u201048] and 33 [23\u201049] mm (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.017); 15 [12.2\u201021] vs 14.8 [11\u201019.9] and 14.8 [10\u201020.9] mm\/m<jats:sup>2<\/jats:sup> (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.0001); 18.5 [14\u201025] mm\/m vs 17.4 [14.8\u201025] mm\/m and 17.6 [12.2\u201025.3] mm\/m (<jats:italic>P<\/jats:italic>\u00a0=\u00a00.0125). In a population of professional rugby players, echocardiography was contributive. The main anomaly was aortic dilatation (14\/336, 4.2%). While this is proportionally much higher than in other sports, the cutoffs need to be defined more precisely by including the criterion of ethnicity, as is already the case for electrocardiography.<\/jats:p>","DOI":"10.1111\/sms.13919","type":"journal-article","created":{"date-parts":[[2021,1,15]],"date-time":"2021-01-15T00:09:37Z","timestamp":1610669377000},"page":"1078-1085","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Aortic dilatation: Value of echocardiography in the systematic assessment of elite rugby players in the French National Rugby League (LNR)"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7857-1132","authenticated-orcid":false,"given":"Laurent","family":"Chevalier","sequence":"first","affiliation":[{"name":"Clinique du Sport Bordeaux\u2010M\u00e9rignac M\u00e9rignac France"},{"name":"Ligue Nationale Rugby Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1951-8195","authenticated-orcid":false,"given":"Luc","family":"Corneloup","sequence":"additional","affiliation":[{"name":"Clinique du Sport Bordeaux\u2010M\u00e9rignac M\u00e9rignac France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francois","family":"Carr\u00e9","sequence":"additional","affiliation":[{"name":"Univ Rennes 1 CHU Rennes Inserm, LTSI \u2010 UMR 1099 Rennes France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aude","family":"Mignot","sequence":"additional","affiliation":[{"name":"Clinique du Sport Bordeaux\u2010M\u00e9rignac M\u00e9rignac France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00e9r\u00e9mie","family":"Jaussaud","sequence":"additional","affiliation":[{"name":"Clinique du Sport Bordeaux\u2010M\u00e9rignac M\u00e9rignac 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