Left ventricular false tendons and electrocardiogram repolarization abnormalities in healthy young subjects
Zlatan Lazarevic1, Emanuela Ciminelli1, Federico Quaranta1
1Zlatan Lazarevic, Federico Quaranta, Fabio Sperandii, Emanuele Guerra, Fabio Pigozzi, Paolo Borrione, University Foundation Foro Italico, 00135 Rome, Italy.
World Journal of Cardiology
|November 17, 2016
Summary
Left ventricular false tendons, often found in young athletes, are linked to repolarization abnormalities on electrocardiograms. These ECG changes typically resolve with increased heart rate during exercise tests.
Area of Science:
- Cardiology
- Sports Medicine
- Diagnostic Imaging
Background:
- Left ventricular false tendons are common anatomical variations.
- Ventricular repolarization abnormalities can be associated with cardiac conditions.
Purpose of the Study:
- To characterize left ventricular false tendons using echocardiography.
- To investigate the correlation between false tendons and repolarization abnormalities in young athletes.
Main Methods:
- Echocardiography and 12-lead electrocardiograms (ECG) were performed on 316 young athletes.
- Athletes with abnormal T-waves underwent further echocardiogram and exercise testing.
- Heart rate and blood pressure were monitored during exercise.
Main Results:
- False tendons were identified in 6.9% of athletes, predominantly in the inferior septum to lateral wall.
- Ventricular repolarization abnormalities, mainly T-wave changes (V1-V3), were found in 52.38% of those with false tendons.
- ECG abnormalities resolved with increased heart rate during step and maximal exercise tests.
Conclusions:
- Left ventricular false tendons are frequently located between the inferior septum and lateral wall.
- A statistical association exists between left ventricular false tendons and ventricular repolarization abnormalities in young athletes.
Keywords:
EchocardiographyFalse chordae tendineaeRepolarization anomaliesT wave inversionYoung athletesMore Related Videos
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