Author + information
- David Carruthersa,b,
- Parag Joshia,b,
- Christopher Maroulesa,b,
- Colby Ayersa,b,
- James Gentrya,b,
- Philip Aagaarda,b,
- Rory Hachamovitcha,b,
- Reginald Dunna,b,
- Andrew Lincolna,b,
- Andrew Tuckera,b,
- Kezia Alexandera,b and
- Dermot Phelana,b
Background: The performance of the ACC/AHA pooled cohort equation (PCE) 10-year risk of atherosclerotic cardiovascular disease (ASCVD) has not been evaluated in elite former athletes.
Methods: In this cross-sectional study, we compared 104 former National Football League (NFL) players with a sample of 618 Caucasian or African American men aged 40-75 years old with BMI>20 from the population based Dallas Heart Study (DHS). Coronary artery calcium (CAC) scoring was performed in all participants at baseline. We estimated 10 year ASCVD risk using the 2013 ACC/AHA PCE. To evaluate discordance, we compared the proportions of NFL and DHS participants with CAC=0 and CAC>100 across categories of estimated ASCVD risk.
Results: Retired NFL players had higher body mass indices and systolic blood pressure, but otherwise a more favorable risk factor profile (Table). There was a trend toward lower median ASCVD risk among NFL players (Table). There was no significant difference in the prevalence of CAC >0. Comparing NFL players to DHS, there was no significant difference in the odds of having CAC=0 among high ASCVD risk participants (OR 1.37; 95% CI: 0.36, 5.17) nor in the odds of having high CAC (CAC >100) among low ASCVD risk participants (OR 1.28; 95% CI: 0.64, 2.54)
Conclusions: Overall, the 10 year ASCVD risk calculator performed similarly between former NFL players and the DHS. Clinically relevant discordance between ASCVD risk estimate and CAC burden was similar in the two groups.
Poster Hall, Hall C
Friday, March 17, 2017, 10:00 a.m.-10:45 a.m.
Session Title: Imaging the Athlete's Heart
Abstract Category: 31. Non Invasive Imaging: Sports and Exercise
Presentation Number: 1119-217
- 2017 American College of Cardiology Foundation