Relationship between arm span to height ratio, aortic root diameter, and systolic blood pressure in collegiate athletes
Study objective: Sudden cardiac death is the most common cause of non-traumatic death in collegiate athletes. Marfan syndrome poses a risk for sudden cardiac death secondary to aortic root dilation leading to aortic dissection or rupture. Arm span to height ratio (ASHR) > 1.05 has been proposed a...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-01-01
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| Series: | American Heart Journal Plus |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666602222001598 |
| _version_ | 1797961200371236864 |
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| author | Joshua Altman Cecil A. Rambarat Robert Hamburger Osama Dasa Michelle Dimza Matthew Kelling James R. Clugston Eileen M. Handberg Carl J. Pepine Katherine M. Edenfield |
| author_facet | Joshua Altman Cecil A. Rambarat Robert Hamburger Osama Dasa Michelle Dimza Matthew Kelling James R. Clugston Eileen M. Handberg Carl J. Pepine Katherine M. Edenfield |
| author_sort | Joshua Altman |
| collection | DOAJ |
| description | Study objective: Sudden cardiac death is the most common cause of non-traumatic death in collegiate athletes. Marfan syndrome poses a risk for sudden cardiac death secondary to aortic root dilation leading to aortic dissection or rupture. Arm span to height ratio (ASHR) > 1.05 has been proposed as a screening tool for Marfan syndrome in pre-participation examinations (PPE) for collegiate athletes but limited data exists on the association between ASHR and aortic root diameter (ARD). This study examines the relationship between ASHR and ARD and assesses for predictors of ARD. Design: Retrospective chart review. Setting: National Collegiate Athletic Association Division I University. Participants: 793 athletes across thirteen sports between 2012 and 2022 evaluated with PPE and screening echocardiogram. Interventions: Not applicable. Main outcome measures: (1) Relationships between ASHR, SBP, BSA, and ARD amongst all athletes as well as stratified by ASHR >1.05 or ≤1.05 using univariate analysis. (2) Predictors of ARD using multivariate analysis using linear regression. Results: 143 athletes (18 %) had ASHRs > 1.05. Athletes with ASHR > 1.05 had higher ARD (2.99 cm) than athletes with ASHR ≤ 1.05 (2.85 cm). Weak correlations were noted between ASHR, ARD, and SBP. Multivariate analysis showed that BSA, male sex, and participation in swimming were predictors of ARD. ASHR was not predictive of ARD in regression analysis. Conclusions: These findings showed a tendency towards higher ARD in athletes with ASHR >1.05 but this observation was not statistically significant in multivariate analysis. |
| first_indexed | 2024-04-11T00:55:21Z |
| format | Article |
| id | doaj.art-513a4c9f5598434e9bdc62631ccaac67 |
| institution | Directory Open Access Journal |
| issn | 2666-6022 |
| language | English |
| last_indexed | 2024-04-11T00:55:21Z |
| publishDate | 2023-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | American Heart Journal Plus |
| spelling | doaj.art-513a4c9f5598434e9bdc62631ccaac672023-01-05T04:32:50ZengElsevierAmerican Heart Journal Plus2666-60222023-01-0125100242Relationship between arm span to height ratio, aortic root diameter, and systolic blood pressure in collegiate athletesJoshua Altman0Cecil A. Rambarat1Robert Hamburger2Osama Dasa3Michelle Dimza4Matthew Kelling5James R. Clugston6Eileen M. Handberg7Carl J. Pepine8Katherine M. Edenfield9University of Florida College of Medicine, Department of Emergency Medicine, Department of Orthopaedic Surgery and Sports Medicine, Gainesville, FL, United States of America; Corresponding author at: University of Florida, Department of Emergency Medicine, 1329 SW 16th Street Suite 5270, Gainesville, FL 32610, United States of America.University of Florida College of Medicine, Department of Medicine, Division of Cardiovascular Medicine, Gainesville, FL, United States of AmericaUniversity of Florida College of Medicine, Department of Medicine, Division of Cardiovascular Medicine, Gainesville, FL, United States of AmericaUniversity of Florida, College of Public Health and Health Professions, Gainesville, FL, United States of AmericaUniversity of Florida College of Medicine, Department of Medicine, Division of Cardiovascular Medicine, Gainesville, FL, United States of AmericaUniversity of Florida College of Medicine, Department of Medicine, Division of Cardiovascular Medicine, Gainesville, FL, United States of AmericaUniversity of Florida College of Medicine, Department of Community Health and Family Medicine, Gainesville, FL, United States of AmericaUniversity of Florida College of Medicine, Department of Medicine, Division of Cardiovascular Medicine, Gainesville, FL, United States of AmericaUniversity of Florida College of Medicine, Department of Medicine, Division of Cardiovascular Medicine, Gainesville, FL, United States of AmericaUniversity of Florida College of Medicine, Department of Community Health and Family Medicine, Gainesville, FL, United States of AmericaStudy objective: Sudden cardiac death is the most common cause of non-traumatic death in collegiate athletes. Marfan syndrome poses a risk for sudden cardiac death secondary to aortic root dilation leading to aortic dissection or rupture. Arm span to height ratio (ASHR) > 1.05 has been proposed as a screening tool for Marfan syndrome in pre-participation examinations (PPE) for collegiate athletes but limited data exists on the association between ASHR and aortic root diameter (ARD). This study examines the relationship between ASHR and ARD and assesses for predictors of ARD. Design: Retrospective chart review. Setting: National Collegiate Athletic Association Division I University. Participants: 793 athletes across thirteen sports between 2012 and 2022 evaluated with PPE and screening echocardiogram. Interventions: Not applicable. Main outcome measures: (1) Relationships between ASHR, SBP, BSA, and ARD amongst all athletes as well as stratified by ASHR >1.05 or ≤1.05 using univariate analysis. (2) Predictors of ARD using multivariate analysis using linear regression. Results: 143 athletes (18 %) had ASHRs > 1.05. Athletes with ASHR > 1.05 had higher ARD (2.99 cm) than athletes with ASHR ≤ 1.05 (2.85 cm). Weak correlations were noted between ASHR, ARD, and SBP. Multivariate analysis showed that BSA, male sex, and participation in swimming were predictors of ARD. ASHR was not predictive of ARD in regression analysis. Conclusions: These findings showed a tendency towards higher ARD in athletes with ASHR >1.05 but this observation was not statistically significant in multivariate analysis.http://www.sciencedirect.com/science/article/pii/S2666602222001598Arm span to height ratioAortic root diameterPre-participation examination |
| spellingShingle | Joshua Altman Cecil A. Rambarat Robert Hamburger Osama Dasa Michelle Dimza Matthew Kelling James R. Clugston Eileen M. Handberg Carl J. Pepine Katherine M. Edenfield Relationship between arm span to height ratio, aortic root diameter, and systolic blood pressure in collegiate athletes American Heart Journal Plus Arm span to height ratio Aortic root diameter Pre-participation examination |
| title | Relationship between arm span to height ratio, aortic root diameter, and systolic blood pressure in collegiate athletes |
| title_full | Relationship between arm span to height ratio, aortic root diameter, and systolic blood pressure in collegiate athletes |
| title_fullStr | Relationship between arm span to height ratio, aortic root diameter, and systolic blood pressure in collegiate athletes |
| title_full_unstemmed | Relationship between arm span to height ratio, aortic root diameter, and systolic blood pressure in collegiate athletes |
| title_short | Relationship between arm span to height ratio, aortic root diameter, and systolic blood pressure in collegiate athletes |
| title_sort | relationship between arm span to height ratio aortic root diameter and systolic blood pressure in collegiate athletes |
| topic | Arm span to height ratio Aortic root diameter Pre-participation examination |
| url | http://www.sciencedirect.com/science/article/pii/S2666602222001598 |
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