Key PointsQuestionWhat are the physiologic and clinical features of the Paralympic athlete's heart? FindingsThis cohort study included 252 consecutive Paralympic athletes who underwent cardiac evaluation. Cardiac remodeling in Paralympic athletes significantly differs, both in male and female athletes, depending on the type of injury and type of sport, with non–spinal cord injuries and endurance sports associated with the highest prevalence of training-associated electrocardiogram changes, the largest left ventricular cavity and mass, and the greatest peak oxygen uptake. MeaningThis report provides characterization of the Paralympic athlete’s heart according to the type of lesion and type of sport, which may find immediate implementation in the setting of preparticipation cardiovascular evaluation of these athletes.
JAMA Cardiology – American Medical Association
Published: Jan 23, 2021