Sport – ABC CARDIOL

IJCS

Viewpoint

The Athlete's Return in the Post-COVID-19

José Antônio Caldas Teixeira et al. Mateus Freitas Teixeira Pedro Soares Teixeira Juliana Grael Jorge

Specific Complications in the Organs and Influences in Athletes

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ABC

Editorial

Sports in Covid-19 Times: Heart Alert

Marcos Perillo Filho et al. Ricardo Contesini Francisco Thiago Ghorayeb Garcia Mateus Freitas Teixeira … Bruno Bassaneze Lorena Christine Araújo de Albuquerque Rodrigo Otávio Bougleux Alô Clea Colombo Nabil Ghorayeb

Introduction

Sports competitions were taking place everywhere in 2019, but the novel coronavirus (SARS-CoV-2) has changed the sports scenario around the globe lately. In March 2020, the World Health Organization (WHO) declared COVID-19 (a disease caused by the SARS-CoV-2 virus) pandemic and social isolation was adopted by several governments, prohibiting sporting events. Whereas public authorities have started the process of relaxing social isolation, medical experts have been discussing the best way to evaluate athletes who had COVID-19 aiming a safe return to sports practice. The lack of clinical and epidemiological data regarding cardiac involvement in COVID-19 cases, especially for the oligosymptomatic, non-hospitalized ones, and the unknown consequences of potential cardiac injury, turn this task into a challenge. According to the amount of time passed by, a better understanding of the outcomes and these recommendations may change.

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Artigo Original

World soccer cup as a trigger of cardiovascular events

Daniel Guilherme Suzuki Borges et al. Rosane Aparecida Monteiro André Schmidt Antonio Pazin-Filho

BACKGROUND: Acute coronary syndromes are the major cause of death in Brazil and in the world. External stimuli, known also as triggers, such as emotional state and activity, may generate physiopathological changes that can trigger acute coronary syndromes. Among the studied triggers, the impact of stressful events, such as soccer championships, are controversial in literature and there is no effective data on the Brazilian population. OBJECTIVE: To evaluate the acute effects of environmental stress induced by soccer games of the World Soccer Cup on increased incidence of cardiovascular diseases in Brazil. METHODS: Public data were obtained from the Unified Health System (Sistema Único de Saúde), regarding hospital admissions that had the International Code Disease of acute coronary syndromes from May to August, in 1998, 2002, 2006 and 2010 (155,992 admissions). Analysis was restricted to patients older than 35 years and admitted by clinical specialties. The incidence of myocardial infarction, angina and mortality were compared among days without World Cup soccer games (Group I: 144,166; 61.7 ± 12.3; 59.4% males); on days when there were no Brazil’s soccer team matches (Group II: 9,768; 61.8±12.3; 60.0% males); and days when there were Brazil’s soccer team matches (Group III; 2,058; 61.6±12.6; 57.8% males). Logistic regression was used to adjust to age, gender, population density and number of medical assistance units. RESULTS: The incidence of myocardial infarction increased during the period of World Cup soccer games (1.09; 95%CI = 1.05-1.15) and days when there were Brazil’s matches (1.16; 95%CI = 1.06-1.27). There was no impact on mortality during the Cup (1.00; CI95% = 0.93-1.08) and Brazil’s matches (1.04; 95%CI = 0.93-1.22). CONCLUSION: World Cup soccer games and, specially, Brazil’s matches have an impact on the incidence of myocardial infarction, but not on in-hospital mortality.

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The Athlete's Return in the Post-COVID-19

Specific Complications in the Organs and Influences in Athletes

Sports in Covid-19 Times: Heart Alert

Introduction

World soccer cup as a trigger of cardiovascular events

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Electronic Document Format (Vancouver)

Electronic Document Format (ABNT)

Electronic Document Format (APA)

Electronic Document Format (ISO)

Electronic Document Format (Vancouver)

Electronic Document Format (ABNT)

Electronic Document Format (APA)

Electronic Document Format (ISO)