Brizhatyi A, Ataman Y, Brizhataia I, Moiseenko I, Ovechkin D
Sumy State University, Scientific and Methodical Sports Medicine Center.
Georgian Med News. 2018 Oct(283):72-76.
A syndrome of early repolarization, common in professional athletes, has recently been considered as a possible predictor of acute arrhythmias. It is known that for this category of young people the development of compensatory hypertrophy of the heart is also common. The aim of the study was to investigate the features of early ventricular repolarization in professional athletes, depending on the presence of signs of cardiac hypertrophy. The study included 28 high-level competition athletes who had regular intensive physical activity for at least six months. Syndrome of early repolarization was diagnosed on the basis of ECG registration, in case of elevation of the J-point on 1 mm and more above the isoelectric line in the lower or lateral leads was detected. Diagnosis of cardiac hypertrophy was established by electrocardiography and echocardiography. On the background of high prevalence of early repolarization syndrome in professional athletes, we did not reveal the statistically significant relationship between its presence and cardiac hypertrophy. However, the combination of these two syndromes in the examined athletes was accompanied by a statistically significant shortening of the corrected QT interval, the last, in a case of the presence of certain anamnestic data, may be one of the risk factors for acute arrhythmias. This necessitates a deeper examination of such patients and monitoring of them. Further studies are needed to determine the prognostic value of early repolarization in athletes with cardiac hypertrophy.
早期复极综合征在职业运动员中很常见,最近被认为可能是急性心律失常的一个预测指标。众所周知,对于这类年轻人来说,心脏代偿性肥大的发展也很常见。本研究的目的是根据心脏肥大体征的存在情况,调查职业运动员早期心室复极的特征。该研究纳入了28名高水平竞技运动员,他们至少有六个月的规律高强度体育活动。早期复极综合征是根据心电图记录诊断的,如果在下部或侧壁导联中检测到J点抬高至等电位线以上1毫米及更多。心脏肥大的诊断通过心电图和超声心动图确定。在职业运动员中早期复极综合征高患病率的背景下,我们未发现其存在与心脏肥大之间有统计学意义的关系。然而,在所检查的运动员中,这两种综合征的组合伴随着校正QT间期的统计学显著缩短,在存在某些既往病史数据的情况下,后者可能是急性心律失常的危险因素之一。这就需要对这类患者进行更深入的检查和监测。需要进一步研究以确定心脏肥大运动员早期复极的预后价值。