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[Anesthesia in high class athletes].

L Dominici1, S Dubos, R Gondret

  • 1Département d'Anesthésie-Réanimation, Hôpital Tenon, Paris.

Annales Francaises D'Anesthesie Et De Reanimation
|January 1, 1989
PubMed
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This case report highlights general anesthesia considerations for elite athletes with sinus bradycardia. Preoperative atropine and avoiding negative chronotropic drugs are recommended for safe anesthesia in athletes.

Area of Science:

  • Cardiology
  • Anesthesiology
  • Sports Medicine

Background:

  • Elite athletes often exhibit cardiac adaptations, including sinus bradycardia, which can mimic pathological conditions.
  • Preoperative assessment is crucial to differentiate athlete's heart from underlying cardiac disease.

Observation:

  • A 49-year-old male triathlete presented with sinus bradycardia (45 bpm) and ECG anomalies (ST elevation, inverted T wave, prolonged QT).
  • These ECG findings resolved with exercise, suggesting an athletic adaptation rather than pathology.
  • Chest X-ray revealed cardiac enlargement, common in highly trained individuals.

Findings:

  • General anesthesia was successfully administered using propofol, alfentanil, vecuronium, and isoflurane.
  • Atropine was administered to manage persistent sinus bradycardia during anesthesia.

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  • The patient's heart rate and blood pressure normalized post-anesthesia.

    • Implications:

    • Anesthesia management in athletes requires careful consideration of physiological differences.
    • Prophylactic atropine (1-2 mg) may be beneficial for athletes with bradycardia undergoing anesthesia.
    • Avoidance of negative chronotropic agents is crucial to prevent excessive bradycardia during anesthetic procedures in athletes.