在训练有素的运动员中异常心电图谱模式的临床意义
A Pelliccia1, B J Maron, F Culasso
1Institute of Sports Science, Department of Medicine, Italian National Olympic Committee, Rome, Italy. ISS_Medicina@coni.it
Circulation
|July 19, 2000
概括
大多数运动员的心电图正常或略有变化. 然而,40%的人表现出异常模式,通常是由于生理心脏重塑,但小组可能会在没有心脏结构变化的情况下有关心电图.
科学领域:
- 心脏病学 心脏病学
- 运动医学 运动医学
- 运动生理学 运动生理学
背景情况:
- 在训练有素的运动员中,心电图 (ECG) 异常模式的患病率和意义尚不清楚.
- 确定这些心电图发现的原因和影响对于准确的运动员评估至关重要.
研究的目的:
- 在一大批训练有素的运动员中调查异常心电图模式的流行率,临床意义和决定因素.
- 为了比较心电图发现与心脏形态通过心声学评估.
主要方法:
- 在38项体育运动中的1005名运动员中,比较了心电图与心声图的心脏形态.
- 分析了与性别,年龄和运动学科有关的心电图异常.
主要成果:
- 14%的运动员有明显异常的心电图,26%有轻微异常,60%的正常/轻微变化.
- 异常心电图与更大的心脏尺寸,男性性别,年龄较小和耐力运动相关.
- 一小部分人 (5%) 呈现出奇怪的心电图图案,没有心脏结构异常.
结论:
- 大多数运动员 (60%) 的心电图变化是正常的或轻微的,其中40%的运动员表现出显示生理心脏重塑的模式.
- 一个小组具有惊人的心电图异常,但没有结构变化可能代表"运动员心脏综合征"或假阳性.
- 运动员心电图异常可能是准备查的限制,可能表明良性适应而不是疾病.
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