Evidence map›Paper›PMID 33836023›Full record

ArticlePloS one2021

Significance of extended sports cardiology screening of elite handball referees.

Orsolya Kiss, Mate Babity, Attila Kovacs, Judit Skopal, Hajnalka Vago, Balint Karoly Lakatos, Csaba Bognar, Reka Rakoczi, Mark Zamodics, Lorinc Frivaldszky and 5 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Orsolya KissHeart and Vascular Center, Semmelweis University, Budapest, Hungary.
Mate BabityHeart and Vascular Center, Semmelweis University, Budapest, Hungary.ORCID 0000-0001-5334-5430
Attila KovacsHeart and Vascular Center, Semmelweis University, Budapest, Hungary.
Judit SkopalHeart and Vascular Center, Semmelweis University, Budapest, Hungary.
Hajnalka VagoHeart and Vascular Center, Semmelweis University, Budapest, Hungary.
Balint Karoly LakatosHeart and Vascular Center, Semmelweis University, Budapest, Hungary.
Csaba BognarHeart and Vascular Center, Semmelweis University, Budapest, Hungary.
Reka RakocziHeart and Vascular Center, Semmelweis University, Budapest, Hungary.
Mark ZamodicsHeart and Vascular Center, Semmelweis University, Budapest, Hungary.
Lorinc FrivaldszkyHeart and Vascular Center, Semmelweis University, Budapest, Hungary.
Anna Menyhart-HetenyiHeart and Vascular Center, Semmelweis University, Budapest, Hungary.
Zsofia DohyHeart and Vascular Center, Semmelweis University, Budapest, Hungary.
Csilla CzimbalmosHeart and Vascular Center, Semmelweis University, Budapest, Hungary.
Liliana SzaboHeart and Vascular Center, Semmelweis University, Budapest, Hungary.
Bela MerkelyHeart and Vascular Center, Semmelweis University, Budapest, Hungary.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The significance of cardiology screening of referees is not well established. Cardiovascular risk factors and diseases were examined in asymptomatic Hungarian elite handball referees undergoing extended screening: personal/family history, physical examination, 12-lead ECG, laboratory tests, body-composition analysis, echocardiography, and cardiopulmonary exercise testing. Holter-ECG (n = 8), blood pressure monitorization (n = 10), cardiac magnetic resonance imaging (CMR; n = 27) and computer tomography (CCT; n = 4) were also carried out if needed. We examined 100 referees (age: 29.6±7.9years, male: 64, training: 4.3±2.0 hours/week), cardiovascular risk factors were: positive medical history: 24%, overweight: 10%, obesity: 3%, dyslipidaemia: 41%. Elevated resting blood pressure was measured in 38%. Stress-ECG was positive due to ECG-changes in 16%, due to elevated exercise blood pressure in 8%. Echocardiography and/or CMR identified abnormalities in 19%. A significant number of premature ventricular contractions was found on the Holter-ECG in two cases. The CCT showed myocardial bridge or coronary plaques in one-one case. We recommended lifestyle changes in 58%, new/modified antihypertensive or lipid-lowering therapy in 5%, iron-supplementation in 22%. By our results, a high percentage of elite Hungarian handball referees had cardiovascular risk factors or diseases, which, combined with physical and psychological stress, could increase the possibility of cardiovascular events. Our study draws attention to the importance of cardiac screening in elite handball referees.

Indexed as

SportsAdolescentAdultBlood PressureCardiovascular DiseasesCreatine KinaseElectrocardiographyExercise TestFemaleHeartHumansLife StyleMagnetic Resonance ImagingMaleMiddle AgedMyocardial ContractionCreatine Kinase

Identifiers

PMID33836023
PMCPMC8034713

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.