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中的碎片化QRS复合体 V1:是时候更新运动员的心电图了吗?
Marco Vecchiato1, Giulia Quinto1, Nicola Borasio1
1Sports and Exercise Medicine Division, Department of Medicine, University Hospital of Padova, Via Giustiniani 2, 35128, Padua, Italy.
Journal of cardiovascular translational research
|October 31, 2023
概括
在年轻运动员中,碎片化QRSV1 (fQRSV1) 是常见的,与训练适应有关. 这种心电图发现并不能预测运动引起的心律失常,即使在训练有素的人身上也是如此.
科学领域:
- 运动心脏病学 运动心脏病学
- 心血管生理学心血管生理学
- 电心电图是指心电图.
背景情况:
- 使用心电图将运动员的心脏与病理区分开来是一项挑战.
- 在运动员中碎片化QRS的作用尚不清楚.
研究的目的:
- 在年轻运动员中评估V1 (fQRSV1) 中碎片化的QRS.
- 确定fQRSV1与心脏适应和心律失常之间的关联.
主要方法:
- 对684名接受参与前查的年轻运动员进行了回顾性分析.
- 进行了最大限度的运动测试和胸前心脏回声学.
- 评估了fQRSV1的患病率及其与心脏参数和心律失常的相关性.
主要成果:
- fQRSV1在33%的年轻运动员中存在.
- 在训练有素的运动员中,fQRSV1与更高的运动能力,右心室功能/重塑和左心室壁厚度相关.
- 没有发现fQRSV1与运动引起的心律失常之间存在关联.
结论:
- 年轻运动员中的fQRSV1与训练诱导的心脏适应有关.
- 在这个人群中,fQRSV1不是运动诱导腹腔失常的预测因子.
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