Prevalence and diagnostic significance of novel 12-lead ECG patterns following COVID-19 infection in elite soccer players Article Swipe
Raghav Bhatia
,
Aneil Malhotra
,
Hamish MacLachlan
,
Sabiha Gati
,
A Kasiakogias
,
Sarandeep Marwaha
,
Nikhil Chatrath
,
Saad Fyyaz
,
Robert Cooper
,
Dhrubo Rakhit
,
Amanda Varnava
,
Maite Tome
,
Gherardo Finocchiaro
,
Michael Papadakis
,
Sanjay Sharma
·
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1093/eurheartj/ehac544.2483
YOU?
·
· 2022
· Open Access
·
· DOI: https://doi.org/10.1093/eurheartj/ehac544.2483
Background Identification of athletes with cardiac inflammation following COVID-19 can prevent exercise fatalities. The efficacy of pre and post COVID-19 infection electrocardiograms (ECGs) for detecting athletes with myopericarditis has never been reported. We aimed to assess the prevalence and diagnostic significance of novel 12-lead ECG patterns following COVID-19 infection in elite soccer players. Methods We conducted a multicentre study over a 2-year period involving 5 centres and 34 clubs and compared pre COVID and post COVID ECG changes in 455 consecutive athletes. ECGs were reported in accordance with the International recommendations for ECG interpretation in athletes. The following patterns were considered abnormal if they were not detected on the pre COVID-19 infection ECG: (a) biphasic T-waves; (b) reduction in T-wave amplitude by 50% in contiguous leads; (c) ST-segment depression; (d) J-point and ST-segment elevation >0.2 mV in the precordial leads and >0.1 mV in the limb leads; (e) tall T-waves ≥1.0 mV (f) low QRS-amplitude in >3 limb leads and (g) complete right bundle branch block. Athletes exhibiting novel ECG changes underwent cardiovascular magnetic resonance (CMR) scans. One club mandated CMR scans for all 28 (6%) athletes, despite the absence of cardiac symptoms or ECG changes. Results Athletes were aged 22±5 years (89% male and 57% white). 65 (14%) athletes reported cardiac symptoms. The mean duration of illness was 3±4 days. The post COVID ECG was performed 14±16 days following a positive PCR. 440 (97%) athletes had an unchanged post COVID-19 ECG. Of these, 3 (0.6%) had cardiac symptoms and CMRs resulted in a diagnosis of pericarditis. 15 (3%) athletes demonstrated novel ECG changes following COVID-19 infection. Among athletes who demonstrated novel ECG changes, 10 (67%) reported cardiac symptoms. 13 (87%) athletes with novel ECG changes were diagnosed with inflammatory cardiac sequelae; pericarditis (n=6), healed myocarditis (n=3), definitive myocarditis (n=2), and possible/probable myocarditis (n=2). The overall prevalence of inflammatory cardiac sequelae based on novel ECG changes was 2.8%. None of the 28 (6%) athletes, who underwent a CMR, in the absence of cardiac symptoms or novel ECG changes revealed any abnormalities. Athletes revealing novel ECG changes, had a higher prevalence of cardiac symptoms (67% v 12% p<0.0001) and longer symptom duration (8±8 days v 2±4 days; p<0.0001) compared with athletes without novel ECG changes. Among athletes without cardiac symptoms, the additional yield of novel ECG changes to detect cardiac inflammation was 20% (n=3). Conclusions 3% of elite soccer players demonstrated novel ECG changes post COVID-19 infection, of which almost 90% were diagnosed with cardiac inflammation during subsequent investigation. Most athletes with novel ECG changes exhibited cardiac symptoms. Novel ECGs changes contributed to a diagnosis of cardiac inflammation in 20% of athletes without cardiac symptoms. Funding Acknowledgement Type of funding sources: None.
Related Topics
Concepts
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1093/eurheartj/ehac544.2483
- https://academic.oup.com/eurheartj/article-pdf/43/Supplement_2/ehac544.2483/46368154/ehac544.2483.pdf
- OA Status
- bronze
- Cited By
- 1
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4306254715
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4306254715Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1093/eurheartj/ehac544.2483Digital Object Identifier
- Title
-
Prevalence and diagnostic significance of novel 12-lead ECG patterns following COVID-19 infection in elite soccer playersWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2022Year of publication
- Publication date
-
2022-10-01Full publication date if available
- Authors
-
Raghav Bhatia, Aneil Malhotra, Hamish MacLachlan, Sabiha Gati, A Kasiakogias, Sarandeep Marwaha, Nikhil Chatrath, Saad Fyyaz, Robert Cooper, Dhrubo Rakhit, Amanda Varnava, Maite Tome, Gherardo Finocchiaro, Michael Papadakis, Sanjay SharmaList of authors in order
- Landing page
-
https://doi.org/10.1093/eurheartj/ehac544.2483Publisher landing page
- PDF URL
-
https://academic.oup.com/eurheartj/article-pdf/43/Supplement_2/ehac544.2483/46368154/ehac544.2483.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
bronzeOpen access status per OpenAlex
- OA URL
-
https://academic.oup.com/eurheartj/article-pdf/43/Supplement_2/ehac544.2483/46368154/ehac544.2483.pdfDirect OA link when available
- Concepts
-
Medicine, Athletes, QRS complex, Internal medicine, Cardiology, ST segment, T wave, Electrocardiography, Physical therapy, Myocardial infarctionTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
1Total citation count in OpenAlex
- Citations by year (recent)
-
2023: 1Per-year citation counts (last 5 years)
- Related works (count)
-
10Other works algorithmically related by OpenAlex
Full payload
| id | https://openalex.org/W4306254715 |
|---|---|
| doi | https://doi.org/10.1093/eurheartj/ehac544.2483 |
| ids.doi | https://doi.org/10.1093/eurheartj/ehac544.2483 |
| ids.openalex | https://openalex.org/W4306254715 |
| fwci | 0.22046548 |
| type | article |
| title | Prevalence and diagnostic significance of novel 12-lead ECG patterns following COVID-19 infection in elite soccer players |
| biblio.issue | Supplement_2 |
| biblio.volume | 43 |
| biblio.last_page | |
| biblio.first_page | |
| topics[0].id | https://openalex.org/T11922 |
| topics[0].field.id | https://openalex.org/fields/27 |
| topics[0].field.display_name | Medicine |
| topics[0].score | 0.9998999834060669 |
| topics[0].domain.id | https://openalex.org/domains/4 |
| topics[0].domain.display_name | Health Sciences |
| topics[0].subfield.id | https://openalex.org/subfields/2705 |
| topics[0].subfield.display_name | Cardiology and Cardiovascular Medicine |
| topics[0].display_name | Cardiovascular Effects of Exercise |
| topics[1].id | https://openalex.org/T11112 |
| topics[1].field.id | https://openalex.org/fields/27 |
| topics[1].field.display_name | Medicine |
| topics[1].score | 0.9966999888420105 |
| topics[1].domain.id | https://openalex.org/domains/4 |
| topics[1].domain.display_name | Health Sciences |
| topics[1].subfield.id | https://openalex.org/subfields/2705 |
| topics[1].subfield.display_name | Cardiology and Cardiovascular Medicine |
| topics[1].display_name | Viral Infections and Immunology Research |
| topics[2].id | https://openalex.org/T12291 |
| topics[2].field.id | https://openalex.org/fields/27 |
| topics[2].field.display_name | Medicine |
| topics[2].score | 0.9912999868392944 |
| topics[2].domain.id | https://openalex.org/domains/4 |
| topics[2].domain.display_name | Health Sciences |
| topics[2].subfield.id | https://openalex.org/subfields/2705 |
| topics[2].subfield.display_name | Cardiology and Cardiovascular Medicine |
| topics[2].display_name | Pericarditis and Cardiac Tamponade |
| is_xpac | False |
| apc_list.value | 4238 |
| apc_list.currency | EUR |
| apc_list.value_usd | 4570 |
| apc_paid | |
| concepts[0].id | https://openalex.org/C71924100 |
| concepts[0].level | 0 |
| concepts[0].score | 0.9259097576141357 |
| concepts[0].wikidata | https://www.wikidata.org/wiki/Q11190 |
| concepts[0].display_name | Medicine |
| concepts[1].id | https://openalex.org/C2781054738 |
| concepts[1].level | 2 |
| concepts[1].score | 0.6915178894996643 |
| concepts[1].wikidata | https://www.wikidata.org/wiki/Q4813730 |
| concepts[1].display_name | Athletes |
| concepts[2].id | https://openalex.org/C111773187 |
| concepts[2].level | 2 |
| concepts[2].score | 0.6773808598518372 |
| concepts[2].wikidata | https://www.wikidata.org/wiki/Q1969239 |
| concepts[2].display_name | QRS complex |
| concepts[3].id | https://openalex.org/C126322002 |
| concepts[3].level | 1 |
| concepts[3].score | 0.6422032713890076 |
| concepts[3].wikidata | https://www.wikidata.org/wiki/Q11180 |
| concepts[3].display_name | Internal medicine |
| concepts[4].id | https://openalex.org/C164705383 |
| concepts[4].level | 1 |
| concepts[4].score | 0.6376563310623169 |
| concepts[4].wikidata | https://www.wikidata.org/wiki/Q10379 |
| concepts[4].display_name | Cardiology |
| concepts[5].id | https://openalex.org/C2771771 |
| concepts[5].level | 3 |
| concepts[5].score | 0.4685588479042053 |
| concepts[5].wikidata | https://www.wikidata.org/wiki/Q6576883 |
| concepts[5].display_name | ST segment |
| concepts[6].id | https://openalex.org/C192244848 |
| concepts[6].level | 3 |
| concepts[6].score | 0.46583715081214905 |
| concepts[6].wikidata | https://www.wikidata.org/wiki/Q7672706 |
| concepts[6].display_name | T wave |
| concepts[7].id | https://openalex.org/C2780040984 |
| concepts[7].level | 2 |
| concepts[7].score | 0.44404274225234985 |
| concepts[7].wikidata | https://www.wikidata.org/wiki/Q79785 |
| concepts[7].display_name | Electrocardiography |
| concepts[8].id | https://openalex.org/C1862650 |
| concepts[8].level | 1 |
| concepts[8].score | 0.3383287787437439 |
| concepts[8].wikidata | https://www.wikidata.org/wiki/Q186005 |
| concepts[8].display_name | Physical therapy |
| concepts[9].id | https://openalex.org/C500558357 |
| concepts[9].level | 2 |
| concepts[9].score | 0.19931668043136597 |
| concepts[9].wikidata | https://www.wikidata.org/wiki/Q12152 |
| concepts[9].display_name | Myocardial infarction |
| keywords[0].id | https://openalex.org/keywords/medicine |
| keywords[0].score | 0.9259097576141357 |
| keywords[0].display_name | Medicine |
| keywords[1].id | https://openalex.org/keywords/athletes |
| keywords[1].score | 0.6915178894996643 |
| keywords[1].display_name | Athletes |
| keywords[2].id | https://openalex.org/keywords/qrs-complex |
| keywords[2].score | 0.6773808598518372 |
| keywords[2].display_name | QRS complex |
| keywords[3].id | https://openalex.org/keywords/internal-medicine |
| keywords[3].score | 0.6422032713890076 |
| keywords[3].display_name | Internal medicine |
| keywords[4].id | https://openalex.org/keywords/cardiology |
| keywords[4].score | 0.6376563310623169 |
| keywords[4].display_name | Cardiology |
| keywords[5].id | https://openalex.org/keywords/st-segment |
| keywords[5].score | 0.4685588479042053 |
| keywords[5].display_name | ST segment |
| keywords[6].id | https://openalex.org/keywords/t-wave |
| keywords[6].score | 0.46583715081214905 |
| keywords[6].display_name | T wave |
| keywords[7].id | https://openalex.org/keywords/electrocardiography |
| keywords[7].score | 0.44404274225234985 |
| keywords[7].display_name | Electrocardiography |
| keywords[8].id | https://openalex.org/keywords/physical-therapy |
| keywords[8].score | 0.3383287787437439 |
| keywords[8].display_name | Physical therapy |
| keywords[9].id | https://openalex.org/keywords/myocardial-infarction |
| keywords[9].score | 0.19931668043136597 |
| keywords[9].display_name | Myocardial infarction |
| language | en |
| locations[0].id | doi:10.1093/eurheartj/ehac544.2483 |
| locations[0].is_oa | True |
| locations[0].source.id | https://openalex.org/S181568219 |
| locations[0].source.issn | 0195-668X, 1522-9645 |
| locations[0].source.type | journal |
| locations[0].source.is_oa | False |
| locations[0].source.issn_l | 0195-668X |
| locations[0].source.is_core | True |
| locations[0].source.is_in_doaj | False |
| locations[0].source.display_name | European Heart Journal |
| locations[0].source.host_organization | https://openalex.org/P4310311648 |
| locations[0].source.host_organization_name | Oxford University Press |
| locations[0].source.host_organization_lineage | https://openalex.org/P4310311648, https://openalex.org/P4310311647 |
| locations[0].source.host_organization_lineage_names | Oxford University Press, University of Oxford |
| locations[0].license | |
| locations[0].pdf_url | https://academic.oup.com/eurheartj/article-pdf/43/Supplement_2/ehac544.2483/46368154/ehac544.2483.pdf |
| locations[0].version | publishedVersion |
| locations[0].raw_type | journal-article |
| locations[0].license_id | |
| locations[0].is_accepted | True |
| locations[0].is_published | True |
| locations[0].raw_source_name | European Heart Journal |
| locations[0].landing_page_url | https://doi.org/10.1093/eurheartj/ehac544.2483 |
| indexed_in | crossref |
| authorships[0].author.id | https://openalex.org/A5000896149 |
| authorships[0].author.orcid | https://orcid.org/0000-0002-3604-7957 |
| authorships[0].author.display_name | Raghav Bhatia |
| authorships[0].countries | GB |
| authorships[0].affiliations[0].institution_ids | https://openalex.org/I165862685 |
| authorships[0].affiliations[0].raw_affiliation_string | St George's University of London , London , United Kingdom |
| authorships[0].institutions[0].id | https://openalex.org/I165862685 |
| authorships[0].institutions[0].ror | https://ror.org/040f08y74 |
| authorships[0].institutions[0].type | education |
| authorships[0].institutions[0].lineage | https://openalex.org/I124357947, https://openalex.org/I165862685 |
| authorships[0].institutions[0].country_code | GB |
| authorships[0].institutions[0].display_name | St George's, University of London |
| authorships[0].author_position | first |
| authorships[0].raw_author_name | R Bhatia |
| authorships[0].is_corresponding | False |
| authorships[0].raw_affiliation_strings | St George's University of London , London , United Kingdom |
| authorships[1].author.id | https://openalex.org/A5020950019 |
| authorships[1].author.orcid | https://orcid.org/0000-0002-8670-3764 |
| authorships[1].author.display_name | Aneil Malhotra |
| authorships[1].countries | GB |
| authorships[1].affiliations[0].institution_ids | https://openalex.org/I4210092852 |
| authorships[1].affiliations[0].raw_affiliation_string | Manchester University NHS Foundation Trust , Manchester , United Kingdom |
| authorships[1].institutions[0].id | https://openalex.org/I4210092852 |
| authorships[1].institutions[0].ror | https://ror.org/00he80998 |
| authorships[1].institutions[0].type | healthcare |
| authorships[1].institutions[0].lineage | https://openalex.org/I4210092852 |
| authorships[1].institutions[0].country_code | GB |
| authorships[1].institutions[0].display_name | Manchester University NHS Foundation Trust |
| authorships[1].author_position | middle |
| authorships[1].raw_author_name | A Malhotra |
| authorships[1].is_corresponding | False |
| authorships[1].raw_affiliation_strings | Manchester University NHS Foundation Trust , Manchester , United Kingdom |
| authorships[2].author.id | https://openalex.org/A5065069107 |
| authorships[2].author.orcid | https://orcid.org/0000-0001-8682-6193 |
| authorships[2].author.display_name | Hamish MacLachlan |
| authorships[2].countries | GB |
| authorships[2].affiliations[0].institution_ids | https://openalex.org/I165862685 |
| authorships[2].affiliations[0].raw_affiliation_string | St George's University of London , London , United Kingdom |
| authorships[2].institutions[0].id | https://openalex.org/I165862685 |
| authorships[2].institutions[0].ror | https://ror.org/040f08y74 |
| authorships[2].institutions[0].type | education |
| authorships[2].institutions[0].lineage | https://openalex.org/I124357947, https://openalex.org/I165862685 |
| authorships[2].institutions[0].country_code | GB |
| authorships[2].institutions[0].display_name | St George's, University of London |
| authorships[2].author_position | middle |
| authorships[2].raw_author_name | H MacLachlan |
| authorships[2].is_corresponding | False |
| authorships[2].raw_affiliation_strings | St George's University of London , London , United Kingdom |
| authorships[3].author.id | https://openalex.org/A5030190234 |
| authorships[3].author.orcid | https://orcid.org/0000-0002-0199-5092 |
| authorships[3].author.display_name | Sabiha Gati |
| authorships[3].countries | GB |
| authorships[3].affiliations[0].institution_ids | https://openalex.org/I2800036501 |
| authorships[3].affiliations[0].raw_affiliation_string | Royal Brompton and Harefield NHS Foundation Trust , London , United Kingdom |
| authorships[3].institutions[0].id | https://openalex.org/I2800036501 |
| authorships[3].institutions[0].ror | https://ror.org/02218z997 |
| authorships[3].institutions[0].type | healthcare |
| authorships[3].institutions[0].lineage | https://openalex.org/I2800036501 |
| authorships[3].institutions[0].country_code | GB |
| authorships[3].institutions[0].display_name | Royal Brompton & Harefield NHS Foundation Trust |
| authorships[3].author_position | middle |
| authorships[3].raw_author_name | S Gati |
| authorships[3].is_corresponding | False |
| authorships[3].raw_affiliation_strings | Royal Brompton and Harefield NHS Foundation Trust , London , United Kingdom |
| authorships[4].author.id | https://openalex.org/A5080951096 |
| authorships[4].author.orcid | |
| authorships[4].author.display_name | A Kasiakogias |
| authorships[4].countries | GB |
| authorships[4].affiliations[0].institution_ids | https://openalex.org/I2800036501 |
| authorships[4].affiliations[0].raw_affiliation_string | Royal Brompton and Harefield NHS Foundation Trust , London , United Kingdom |
| authorships[4].institutions[0].id | https://openalex.org/I2800036501 |
| authorships[4].institutions[0].ror | https://ror.org/02218z997 |
| authorships[4].institutions[0].type | healthcare |
| authorships[4].institutions[0].lineage | https://openalex.org/I2800036501 |
| authorships[4].institutions[0].country_code | GB |
| authorships[4].institutions[0].display_name | Royal Brompton & Harefield NHS Foundation Trust |
| authorships[4].author_position | middle |
| authorships[4].raw_author_name | A Kasiakogias |
| authorships[4].is_corresponding | False |
| authorships[4].raw_affiliation_strings | Royal Brompton and Harefield NHS Foundation Trust , London , United Kingdom |
| authorships[5].author.id | https://openalex.org/A5015370700 |
| authorships[5].author.orcid | https://orcid.org/0000-0003-1352-9109 |
| authorships[5].author.display_name | Sarandeep Marwaha |
| authorships[5].countries | GB |
| authorships[5].affiliations[0].institution_ids | https://openalex.org/I165862685 |
| authorships[5].affiliations[0].raw_affiliation_string | St George's University of London , London , United Kingdom |
| authorships[5].institutions[0].id | https://openalex.org/I165862685 |
| authorships[5].institutions[0].ror | https://ror.org/040f08y74 |
| authorships[5].institutions[0].type | education |
| authorships[5].institutions[0].lineage | https://openalex.org/I124357947, https://openalex.org/I165862685 |
| authorships[5].institutions[0].country_code | GB |
| authorships[5].institutions[0].display_name | St George's, University of London |
| authorships[5].author_position | middle |
| authorships[5].raw_author_name | S Marwaha |
| authorships[5].is_corresponding | False |
| authorships[5].raw_affiliation_strings | St George's University of London , London , United Kingdom |
| authorships[6].author.id | https://openalex.org/A5044366961 |
| authorships[6].author.orcid | https://orcid.org/0000-0001-5620-6049 |
| authorships[6].author.display_name | Nikhil Chatrath |
| authorships[6].countries | GB |
| authorships[6].affiliations[0].institution_ids | https://openalex.org/I165862685 |
| authorships[6].affiliations[0].raw_affiliation_string | St George's University of London , London , United Kingdom |
| authorships[6].institutions[0].id | https://openalex.org/I165862685 |
| authorships[6].institutions[0].ror | https://ror.org/040f08y74 |
| authorships[6].institutions[0].type | education |
| authorships[6].institutions[0].lineage | https://openalex.org/I124357947, https://openalex.org/I165862685 |
| authorships[6].institutions[0].country_code | GB |
| authorships[6].institutions[0].display_name | St George's, University of London |
| authorships[6].author_position | middle |
| authorships[6].raw_author_name | N Chatrath |
| authorships[6].is_corresponding | False |
| authorships[6].raw_affiliation_strings | St George's University of London , London , United Kingdom |
| authorships[7].author.id | https://openalex.org/A5082275404 |
| authorships[7].author.orcid | https://orcid.org/0000-0002-8630-9265 |
| authorships[7].author.display_name | Saad Fyyaz |
| authorships[7].countries | GB |
| authorships[7].affiliations[0].institution_ids | https://openalex.org/I165862685 |
| authorships[7].affiliations[0].raw_affiliation_string | St George's University of London , London , United Kingdom |
| authorships[7].institutions[0].id | https://openalex.org/I165862685 |
| authorships[7].institutions[0].ror | https://ror.org/040f08y74 |
| authorships[7].institutions[0].type | education |
| authorships[7].institutions[0].lineage | https://openalex.org/I124357947, https://openalex.org/I165862685 |
| authorships[7].institutions[0].country_code | GB |
| authorships[7].institutions[0].display_name | St George's, University of London |
| authorships[7].author_position | middle |
| authorships[7].raw_author_name | S Fyyaz |
| authorships[7].is_corresponding | False |
| authorships[7].raw_affiliation_strings | St George's University of London , London , United Kingdom |
| authorships[8].author.id | https://openalex.org/A5019984038 |
| authorships[8].author.orcid | https://orcid.org/0000-0001-7482-828X |
| authorships[8].author.display_name | Robert Cooper |
| authorships[8].countries | GB |
| authorships[8].affiliations[0].institution_ids | https://openalex.org/I146655781, https://openalex.org/I4210086861 |
| authorships[8].affiliations[0].raw_affiliation_string | Liverpool Heart and Chest Hospital , Liverpool , United Kingdom |
| authorships[8].institutions[0].id | https://openalex.org/I4210086861 |
| authorships[8].institutions[0].ror | https://ror.org/000849h34 |
| authorships[8].institutions[0].type | healthcare |
| authorships[8].institutions[0].lineage | https://openalex.org/I2800087592, https://openalex.org/I4210086861 |
| authorships[8].institutions[0].country_code | GB |
| authorships[8].institutions[0].display_name | Liverpool Heart and Chest Hospital |
| authorships[8].institutions[1].id | https://openalex.org/I146655781 |
| authorships[8].institutions[1].ror | https://ror.org/04xs57h96 |
| authorships[8].institutions[1].type | education |
| authorships[8].institutions[1].lineage | https://openalex.org/I146655781 |
| authorships[8].institutions[1].country_code | GB |
| authorships[8].institutions[1].display_name | University of Liverpool |
| authorships[8].author_position | middle |
| authorships[8].raw_author_name | R Cooper |
| authorships[8].is_corresponding | False |
| authorships[8].raw_affiliation_strings | Liverpool Heart and Chest Hospital , Liverpool , United Kingdom |
| authorships[9].author.id | https://openalex.org/A5110568532 |
| authorships[9].author.orcid | |
| authorships[9].author.display_name | Dhrubo Rakhit |
| authorships[9].countries | GB |
| authorships[9].affiliations[0].institution_ids | https://openalex.org/I2802965805 |
| authorships[9].affiliations[0].raw_affiliation_string | University Hospital Southampton NHS Foundation Trust , Southampton , United Kingdom |
| authorships[9].institutions[0].id | https://openalex.org/I2802965805 |
| authorships[9].institutions[0].ror | https://ror.org/0485axj58 |
| authorships[9].institutions[0].type | healthcare |
| authorships[9].institutions[0].lineage | https://openalex.org/I2802965805 |
| authorships[9].institutions[0].country_code | GB |
| authorships[9].institutions[0].display_name | University Hospital Southampton NHS Foundation Trust |
| authorships[9].author_position | middle |
| authorships[9].raw_author_name | D Rakhit |
| authorships[9].is_corresponding | False |
| authorships[9].raw_affiliation_strings | University Hospital Southampton NHS Foundation Trust , Southampton , United Kingdom |
| authorships[10].author.id | https://openalex.org/A5022925757 |
| authorships[10].author.orcid | https://orcid.org/0000-0003-0651-0303 |
| authorships[10].author.display_name | Amanda Varnava |
| authorships[10].countries | GB |
| authorships[10].affiliations[0].institution_ids | https://openalex.org/I153355300 |
| authorships[10].affiliations[0].raw_affiliation_string | Imperial College Healthcare NHS Trust , London , United Kingdom |
| authorships[10].institutions[0].id | https://openalex.org/I153355300 |
| authorships[10].institutions[0].ror | https://ror.org/056ffv270 |
| authorships[10].institutions[0].type | healthcare |
| authorships[10].institutions[0].lineage | https://openalex.org/I153355300 |
| authorships[10].institutions[0].country_code | GB |
| authorships[10].institutions[0].display_name | Imperial College Healthcare NHS Trust |
| authorships[10].author_position | middle |
| authorships[10].raw_author_name | A Varnava |
| authorships[10].is_corresponding | False |
| authorships[10].raw_affiliation_strings | Imperial College Healthcare NHS Trust , London , United Kingdom |
| authorships[11].author.id | https://openalex.org/A5066452769 |
| authorships[11].author.orcid | https://orcid.org/0000-0002-8962-3524 |
| authorships[11].author.display_name | Maite Tome |
| authorships[11].countries | GB |
| authorships[11].affiliations[0].institution_ids | https://openalex.org/I165862685 |
| authorships[11].affiliations[0].raw_affiliation_string | St George's University of London , London , United Kingdom |
| authorships[11].institutions[0].id | https://openalex.org/I165862685 |
| authorships[11].institutions[0].ror | https://ror.org/040f08y74 |
| authorships[11].institutions[0].type | education |
| authorships[11].institutions[0].lineage | https://openalex.org/I124357947, https://openalex.org/I165862685 |
| authorships[11].institutions[0].country_code | GB |
| authorships[11].institutions[0].display_name | St George's, University of London |
| authorships[11].author_position | middle |
| authorships[11].raw_author_name | M Esteban |
| authorships[11].is_corresponding | False |
| authorships[11].raw_affiliation_strings | St George's University of London , London , United Kingdom |
| authorships[12].author.id | https://openalex.org/A5025087249 |
| authorships[12].author.orcid | https://orcid.org/0000-0001-7531-6286 |
| authorships[12].author.display_name | Gherardo Finocchiaro |
| authorships[12].countries | GB |
| authorships[12].affiliations[0].institution_ids | https://openalex.org/I165862685 |
| authorships[12].affiliations[0].raw_affiliation_string | St George's University of London , London , United Kingdom |
| authorships[12].institutions[0].id | https://openalex.org/I165862685 |
| authorships[12].institutions[0].ror | https://ror.org/040f08y74 |
| authorships[12].institutions[0].type | education |
| authorships[12].institutions[0].lineage | https://openalex.org/I124357947, https://openalex.org/I165862685 |
| authorships[12].institutions[0].country_code | GB |
| authorships[12].institutions[0].display_name | St George's, University of London |
| authorships[12].author_position | middle |
| authorships[12].raw_author_name | G Finocchiaro |
| authorships[12].is_corresponding | False |
| authorships[12].raw_affiliation_strings | St George's University of London , London , United Kingdom |
| authorships[13].author.id | https://openalex.org/A5045357003 |
| authorships[13].author.orcid | https://orcid.org/0000-0003-0616-2353 |
| authorships[13].author.display_name | Michael Papadakis |
| authorships[13].countries | GB |
| authorships[13].affiliations[0].institution_ids | https://openalex.org/I165862685 |
| authorships[13].affiliations[0].raw_affiliation_string | St George's University of London , London , United Kingdom |
| authorships[13].institutions[0].id | https://openalex.org/I165862685 |
| authorships[13].institutions[0].ror | https://ror.org/040f08y74 |
| authorships[13].institutions[0].type | education |
| authorships[13].institutions[0].lineage | https://openalex.org/I124357947, https://openalex.org/I165862685 |
| authorships[13].institutions[0].country_code | GB |
| authorships[13].institutions[0].display_name | St George's, University of London |
| authorships[13].author_position | middle |
| authorships[13].raw_author_name | M Papadakis |
| authorships[13].is_corresponding | False |
| authorships[13].raw_affiliation_strings | St George's University of London , London , United Kingdom |
| authorships[14].author.id | https://openalex.org/A5100615522 |
| authorships[14].author.orcid | https://orcid.org/0000-0002-3630-6138 |
| authorships[14].author.display_name | Sanjay Sharma |
| authorships[14].countries | GB |
| authorships[14].affiliations[0].institution_ids | https://openalex.org/I165862685 |
| authorships[14].affiliations[0].raw_affiliation_string | St George's University of London , London , United Kingdom |
| authorships[14].institutions[0].id | https://openalex.org/I165862685 |
| authorships[14].institutions[0].ror | https://ror.org/040f08y74 |
| authorships[14].institutions[0].type | education |
| authorships[14].institutions[0].lineage | https://openalex.org/I124357947, https://openalex.org/I165862685 |
| authorships[14].institutions[0].country_code | GB |
| authorships[14].institutions[0].display_name | St George's, University of London |
| authorships[14].author_position | last |
| authorships[14].raw_author_name | S Sharma |
| authorships[14].is_corresponding | False |
| authorships[14].raw_affiliation_strings | St George's University of London , London , United Kingdom |
| has_content.pdf | True |
| has_content.grobid_xml | True |
| is_paratext | False |
| open_access.is_oa | True |
| open_access.oa_url | https://academic.oup.com/eurheartj/article-pdf/43/Supplement_2/ehac544.2483/46368154/ehac544.2483.pdf |
| open_access.oa_status | bronze |
| open_access.any_repository_has_fulltext | False |
| created_date | 2025-10-10T00:00:00 |
| display_name | Prevalence and diagnostic significance of novel 12-lead ECG patterns following COVID-19 infection in elite soccer players |
| has_fulltext | True |
| is_retracted | False |
| updated_date | 2025-11-06T03:46:38.306776 |
| primary_topic.id | https://openalex.org/T11922 |
| primary_topic.field.id | https://openalex.org/fields/27 |
| primary_topic.field.display_name | Medicine |
| primary_topic.score | 0.9998999834060669 |
| primary_topic.domain.id | https://openalex.org/domains/4 |
| primary_topic.domain.display_name | Health Sciences |
| primary_topic.subfield.id | https://openalex.org/subfields/2705 |
| primary_topic.subfield.display_name | Cardiology and Cardiovascular Medicine |
| primary_topic.display_name | Cardiovascular Effects of Exercise |
| related_works | https://openalex.org/W60403443, https://openalex.org/W2472120097, https://openalex.org/W2065761171, https://openalex.org/W2418904649, https://openalex.org/W2495162883, https://openalex.org/W4229008153, https://openalex.org/W2011708516, https://openalex.org/W3149459938, https://openalex.org/W2124103991, https://openalex.org/W27054570 |
| cited_by_count | 1 |
| counts_by_year[0].year | 2023 |
| counts_by_year[0].cited_by_count | 1 |
| locations_count | 1 |
| best_oa_location.id | doi:10.1093/eurheartj/ehac544.2483 |
| best_oa_location.is_oa | True |
| best_oa_location.source.id | https://openalex.org/S181568219 |
| best_oa_location.source.issn | 0195-668X, 1522-9645 |
| best_oa_location.source.type | journal |
| best_oa_location.source.is_oa | False |
| best_oa_location.source.issn_l | 0195-668X |
| best_oa_location.source.is_core | True |
| best_oa_location.source.is_in_doaj | False |
| best_oa_location.source.display_name | European Heart Journal |
| best_oa_location.source.host_organization | https://openalex.org/P4310311648 |
| best_oa_location.source.host_organization_name | Oxford University Press |
| best_oa_location.source.host_organization_lineage | https://openalex.org/P4310311648, https://openalex.org/P4310311647 |
| best_oa_location.source.host_organization_lineage_names | Oxford University Press, University of Oxford |
| best_oa_location.license | |
| best_oa_location.pdf_url | https://academic.oup.com/eurheartj/article-pdf/43/Supplement_2/ehac544.2483/46368154/ehac544.2483.pdf |
| best_oa_location.version | publishedVersion |
| best_oa_location.raw_type | journal-article |
| best_oa_location.license_id | |
| best_oa_location.is_accepted | True |
| best_oa_location.is_published | True |
| best_oa_location.raw_source_name | European Heart Journal |
| best_oa_location.landing_page_url | https://doi.org/10.1093/eurheartj/ehac544.2483 |
| primary_location.id | doi:10.1093/eurheartj/ehac544.2483 |
| primary_location.is_oa | True |
| primary_location.source.id | https://openalex.org/S181568219 |
| primary_location.source.issn | 0195-668X, 1522-9645 |
| primary_location.source.type | journal |
| primary_location.source.is_oa | False |
| primary_location.source.issn_l | 0195-668X |
| primary_location.source.is_core | True |
| primary_location.source.is_in_doaj | False |
| primary_location.source.display_name | European Heart Journal |
| primary_location.source.host_organization | https://openalex.org/P4310311648 |
| primary_location.source.host_organization_name | Oxford University Press |
| primary_location.source.host_organization_lineage | https://openalex.org/P4310311648, https://openalex.org/P4310311647 |
| primary_location.source.host_organization_lineage_names | Oxford University Press, University of Oxford |
| primary_location.license | |
| primary_location.pdf_url | https://academic.oup.com/eurheartj/article-pdf/43/Supplement_2/ehac544.2483/46368154/ehac544.2483.pdf |
| primary_location.version | publishedVersion |
| primary_location.raw_type | journal-article |
| primary_location.license_id | |
| primary_location.is_accepted | True |
| primary_location.is_published | True |
| primary_location.raw_source_name | European Heart Journal |
| primary_location.landing_page_url | https://doi.org/10.1093/eurheartj/ehac544.2483 |
| publication_date | 2022-10-01 |
| publication_year | 2022 |
| referenced_works_count | 0 |
| abstract_inverted_index.3 | 245 |
| abstract_inverted_index.5 | 65 |
| abstract_inverted_index.a | 57, 61, 231, 254, 327, 348, 433 |
| abstract_inverted_index.v | 355, 364 |
| abstract_inverted_index.10 | 275 |
| abstract_inverted_index.13 | 280 |
| abstract_inverted_index.15 | 258 |
| abstract_inverted_index.28 | 185, 322 |
| abstract_inverted_index.3% | 395 |
| abstract_inverted_index.34 | 68 |
| abstract_inverted_index.65 | 208 |
| abstract_inverted_index.Of | 243 |
| abstract_inverted_index.We | 33, 55 |
| abstract_inverted_index.an | 238 |
| abstract_inverted_index.by | 122 |
| abstract_inverted_index.if | 103 |
| abstract_inverted_index.in | 50, 79, 86, 95, 119, 124, 137, 144, 156, 253, 329, 438 |
| abstract_inverted_index.mV | 136, 143, 152 |
| abstract_inverted_index.of | 3, 16, 42, 191, 217, 256, 308, 320, 332, 351, 383, 396, 407, 435, 440, 448 |
| abstract_inverted_index.on | 108, 313 |
| abstract_inverted_index.or | 194, 335 |
| abstract_inverted_index.to | 35, 387, 432 |
| abstract_inverted_index.(a) | 114 |
| abstract_inverted_index.(b) | 117 |
| abstract_inverted_index.(c) | 127 |
| abstract_inverted_index.(d) | 130 |
| abstract_inverted_index.(e) | 148 |
| abstract_inverted_index.(f) | 153 |
| abstract_inverted_index.(g) | 161 |
| abstract_inverted_index.12% | 356 |
| abstract_inverted_index.20% | 392, 439 |
| abstract_inverted_index.440 | 234 |
| abstract_inverted_index.455 | 80 |
| abstract_inverted_index.50% | 123 |
| abstract_inverted_index.57% | 206 |
| abstract_inverted_index.90% | 410 |
| abstract_inverted_index.CMR | 181 |
| abstract_inverted_index.ECG | 45, 77, 93, 170, 195, 225, 263, 273, 285, 315, 337, 345, 373, 385, 402, 423 |
| abstract_inverted_index.One | 178 |
| abstract_inverted_index.The | 14, 97, 214, 222, 305 |
| abstract_inverted_index.all | 184 |
| abstract_inverted_index.and | 18, 39, 67, 70, 74, 132, 141, 160, 205, 250, 301, 358 |
| abstract_inverted_index.any | 340 |
| abstract_inverted_index.can | 10 |
| abstract_inverted_index.for | 24, 92, 183 |
| abstract_inverted_index.had | 237, 247, 347 |
| abstract_inverted_index.has | 29 |
| abstract_inverted_index.low | 154 |
| abstract_inverted_index.not | 106 |
| abstract_inverted_index.pre | 17, 72, 110 |
| abstract_inverted_index.the | 37, 89, 109, 138, 145, 189, 321, 330, 380 |
| abstract_inverted_index.was | 219, 226, 317, 391 |
| abstract_inverted_index.who | 270, 325 |
| abstract_inverted_index.(3%) | 259 |
| abstract_inverted_index.(6%) | 186, 323 |
| abstract_inverted_index.(67% | 354 |
| abstract_inverted_index.(89% | 203 |
| abstract_inverted_index.2±4 | 365 |
| abstract_inverted_index.3±4 | 220 |
| abstract_inverted_index.CMR, | 328 |
| abstract_inverted_index.CMRs | 251 |
| abstract_inverted_index.ECG. | 242 |
| abstract_inverted_index.ECG: | 113 |
| abstract_inverted_index.ECGs | 83, 429 |
| abstract_inverted_index.Most | 419 |
| abstract_inverted_index.None | 319 |
| abstract_inverted_index.PCR. | 233 |
| abstract_inverted_index.Type | 447 |
| abstract_inverted_index.aged | 200 |
| abstract_inverted_index.been | 31 |
| abstract_inverted_index.club | 179 |
| abstract_inverted_index.days | 229, 363 |
| abstract_inverted_index.limb | 146, 158 |
| abstract_inverted_index.male | 204 |
| abstract_inverted_index.mean | 215 |
| abstract_inverted_index.over | 60 |
| abstract_inverted_index.post | 19, 75, 223, 240, 404 |
| abstract_inverted_index.tall | 149 |
| abstract_inverted_index.they | 104 |
| abstract_inverted_index.were | 84, 100, 105, 199, 287, 411 |
| abstract_inverted_index.with | 5, 27, 88, 283, 289, 369, 413, 421 |
| abstract_inverted_index.(14%) | 209 |
| abstract_inverted_index.(67%) | 276 |
| abstract_inverted_index.(87%) | 281 |
| abstract_inverted_index.(8±8 | 362 |
| abstract_inverted_index.(97%) | 235 |
| abstract_inverted_index.(CMR) | 176 |
| abstract_inverted_index.2.8%. | 318 |
| abstract_inverted_index.22±5 | 201 |
| abstract_inverted_index.Among | 268, 375 |
| abstract_inverted_index.COVID | 73, 76, 224 |
| abstract_inverted_index.None. | 451 |
| abstract_inverted_index.Novel | 428 |
| abstract_inverted_index.aimed | 34 |
| abstract_inverted_index.based | 312 |
| abstract_inverted_index.clubs | 69 |
| abstract_inverted_index.days. | 221 |
| abstract_inverted_index.days; | 366 |
| abstract_inverted_index.elite | 51, 397 |
| abstract_inverted_index.leads | 140, 159 |
| abstract_inverted_index.never | 30 |
| abstract_inverted_index.novel | 43, 169, 262, 272, 284, 314, 336, 344, 372, 384, 401, 422 |
| abstract_inverted_index.right | 163 |
| abstract_inverted_index.scans | 182 |
| abstract_inverted_index.study | 59 |
| abstract_inverted_index.which | 408 |
| abstract_inverted_index.years | 202 |
| abstract_inverted_index.yield | 382 |
| abstract_inverted_index.(0.6%) | 246 |
| abstract_inverted_index.(ECGs) | 23 |
| abstract_inverted_index.(n=2), | 300 |
| abstract_inverted_index.(n=2). | 304 |
| abstract_inverted_index.(n=3), | 297 |
| abstract_inverted_index.(n=3). | 393 |
| abstract_inverted_index.(n=6), | 294 |
| abstract_inverted_index.14±16 | 228 |
| abstract_inverted_index.2-year | 62 |
| abstract_inverted_index.T-wave | 120 |
| abstract_inverted_index.almost | 409 |
| abstract_inverted_index.assess | 36 |
| abstract_inverted_index.block. | 166 |
| abstract_inverted_index.branch | 165 |
| abstract_inverted_index.bundle | 164 |
| abstract_inverted_index.detect | 388 |
| abstract_inverted_index.during | 416 |
| abstract_inverted_index.healed | 295 |
| abstract_inverted_index.higher | 349 |
| abstract_inverted_index.leads; | 126, 147 |
| abstract_inverted_index.longer | 359 |
| abstract_inverted_index.period | 63 |
| abstract_inverted_index.scans. | 177 |
| abstract_inverted_index.soccer | 52, 398 |
| abstract_inverted_index.these, | 244 |
| abstract_inverted_index.≥1.0 | 151 |
| abstract_inverted_index.12-lead | 44 |
| abstract_inverted_index.Funding | 445 |
| abstract_inverted_index.J-point | 131 |
| abstract_inverted_index.Methods | 54 |
| abstract_inverted_index.Results | 197 |
| abstract_inverted_index.T-waves | 150 |
| abstract_inverted_index.absence | 190, 331 |
| abstract_inverted_index.cardiac | 6, 192, 212, 248, 278, 291, 310, 333, 352, 378, 389, 414, 426, 436, 443 |
| abstract_inverted_index.centres | 66 |
| abstract_inverted_index.changes | 78, 171, 264, 286, 316, 338, 386, 403, 424, 430 |
| abstract_inverted_index.despite | 188 |
| abstract_inverted_index.funding | 449 |
| abstract_inverted_index.illness | 218 |
| abstract_inverted_index.overall | 306 |
| abstract_inverted_index.players | 399 |
| abstract_inverted_index.prevent | 11 |
| abstract_inverted_index.symptom | 360 |
| abstract_inverted_index.white). | 207 |
| abstract_inverted_index.without | 371, 377, 442 |
| abstract_inverted_index.Abstract | 0 |
| abstract_inverted_index.Athletes | 167, 198, 342 |
| abstract_inverted_index.COVID-19 | 9, 20, 48, 111, 241, 266, 405 |
| abstract_inverted_index.T-waves; | 116 |
| abstract_inverted_index.abnormal | 102 |
| abstract_inverted_index.athletes | 4, 26, 210, 236, 260, 269, 282, 370, 376, 420, 441 |
| abstract_inverted_index.biphasic | 115 |
| abstract_inverted_index.changes, | 274, 346 |
| abstract_inverted_index.changes. | 196, 374 |
| abstract_inverted_index.compared | 71, 368 |
| abstract_inverted_index.complete | 162 |
| abstract_inverted_index.detected | 107 |
| abstract_inverted_index.duration | 216, 361 |
| abstract_inverted_index.efficacy | 15 |
| abstract_inverted_index.exercise | 12 |
| abstract_inverted_index.magnetic | 174 |
| abstract_inverted_index.mandated | 180 |
| abstract_inverted_index.patterns | 46, 99 |
| abstract_inverted_index.players. | 53 |
| abstract_inverted_index.positive | 232 |
| abstract_inverted_index.reported | 85, 211, 277 |
| abstract_inverted_index.resulted | 252 |
| abstract_inverted_index.revealed | 339 |
| abstract_inverted_index.sequelae | 311 |
| abstract_inverted_index.sources: | 450 |
| abstract_inverted_index.symptoms | 193, 249, 334, 353 |
| abstract_inverted_index.&gt;3 | 157 |
| abstract_inverted_index.amplitude | 121 |
| abstract_inverted_index.athletes, | 187, 324 |
| abstract_inverted_index.athletes. | 82, 96 |
| abstract_inverted_index.conducted | 56 |
| abstract_inverted_index.detecting | 25 |
| abstract_inverted_index.diagnosed | 288, 412 |
| abstract_inverted_index.diagnosis | 255, 434 |
| abstract_inverted_index.elevation | 134 |
| abstract_inverted_index.exhibited | 425 |
| abstract_inverted_index.following | 8, 47, 98, 230, 265 |
| abstract_inverted_index.infection | 21, 49, 112 |
| abstract_inverted_index.involving | 64 |
| abstract_inverted_index.performed | 227 |
| abstract_inverted_index.reduction | 118 |
| abstract_inverted_index.reported. | 32 |
| abstract_inverted_index.resonance | 175 |
| abstract_inverted_index.revealing | 343 |
| abstract_inverted_index.sequelae; | 292 |
| abstract_inverted_index.symptoms, | 379 |
| abstract_inverted_index.symptoms. | 213, 279, 427, 444 |
| abstract_inverted_index.unchanged | 239 |
| abstract_inverted_index.underwent | 172, 326 |
| abstract_inverted_index.Background | 1 |
| abstract_inverted_index.ST-segment | 128, 133 |
| abstract_inverted_index.accordance | 87 |
| abstract_inverted_index.additional | 381 |
| abstract_inverted_index.considered | 101 |
| abstract_inverted_index.contiguous | 125 |
| abstract_inverted_index.definitive | 298 |
| abstract_inverted_index.diagnostic | 40 |
| abstract_inverted_index.exhibiting | 168 |
| abstract_inverted_index.infection, | 406 |
| abstract_inverted_index.infection. | 267 |
| abstract_inverted_index.precordial | 139 |
| abstract_inverted_index.prevalence | 38, 307, 350 |
| abstract_inverted_index.subsequent | 417 |
| abstract_inverted_index.&gt;0.1 | 142 |
| abstract_inverted_index.&gt;0.2 | 135 |
| abstract_inverted_index.Conclusions | 394 |
| abstract_inverted_index.consecutive | 81 |
| abstract_inverted_index.contributed | 431 |
| abstract_inverted_index.depression; | 129 |
| abstract_inverted_index.fatalities. | 13 |
| abstract_inverted_index.multicentre | 58 |
| abstract_inverted_index.myocarditis | 296, 299, 303 |
| abstract_inverted_index.demonstrated | 261, 271, 400 |
| abstract_inverted_index.inflammation | 7, 390, 415, 437 |
| abstract_inverted_index.inflammatory | 290, 309 |
| abstract_inverted_index.pericarditis | 293 |
| abstract_inverted_index.significance | 41 |
| abstract_inverted_index.International | 90 |
| abstract_inverted_index.QRS-amplitude | 155 |
| abstract_inverted_index.pericarditis. | 257 |
| abstract_inverted_index.Identification | 2 |
| abstract_inverted_index.abnormalities. | 341 |
| abstract_inverted_index.cardiovascular | 173 |
| abstract_inverted_index.interpretation | 94 |
| abstract_inverted_index.investigation. | 418 |
| abstract_inverted_index.Acknowledgement | 446 |
| abstract_inverted_index.myopericarditis | 28 |
| abstract_inverted_index.recommendations | 91 |
| abstract_inverted_index.p&lt;0.0001) | 357, 367 |
| abstract_inverted_index.possible/probable | 302 |
| abstract_inverted_index.electrocardiograms | 22 |
| cited_by_percentile_year.max | 94 |
| cited_by_percentile_year.min | 89 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 15 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.8500000238418579 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.54231605 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |