Department of Cardiology, Faculty of Medicine, Near East University, Nicosia, Cyprus -
Department of Cardiology, Faculty of Medicine, Near East University, Nicosia, Cyprus.
Minerva Cardiol Angiol. 2021 Jun;69(3):244-250. doi: 10.23736/S2724-5683.20.05166-X. Epub 2020 May 29.
The aim of this study was to investigate whether the frontal QRS-T angle was different between the athletes and normal healthy people.
The study included 122 healthy athletes (the mean age was 29.7±7.7 years, of them, were 73.8% male) and a control group consisted of 60 healthy people (the mean age was 29.8±7.8 years, 26% of them were male). Then, the athletes were divided into two groups as who used protein supplements (PS) and those who did not. In the 12-lead ECG, heart rate (HR), P, QRS, QT, corrected QT (QTc) duration, QT and corrected QT dispersion (QTD, QTcD), the sum of V1 or V2S amplitude and V5 or V6R amplitude (V1/2S+V5/6R), frontal QRS-T angle were calculated.
There was no significant difference between the athletes and control groups regarding age, gender, smoking, body mass index, systolic blood pressure (SBP) and diastolic blood pressure (DBP), echocardiographic features, P, PR duration, P, QRS, T axis, QTD and QTcD (P>0.05).HR and QTc were significantly lower (P<0.05) and QRS, QT duration was longer in athletes group (P<0.001). The V1/2S+V5/6R and frontal QRS-T angle values were higher in the athlete's group (P<0.001). There was no significant difference between PS users and non PS users regarding demographic characteristics, duration of sports years, SBP and DBP (P>0.05). However, male gender was dominant in the PS users group (P=0.018). The P axis, PR and QRS duration were longer in the PS users group (P<0.05).It was found that the T axis was negatively correlated (r=-0.431,P<0.001) but the QRS axis was positively correlated (r=0.395,P<0.001) with frontal QRS-T angle.
The frontal QRS-T angle, was found to be wider in athletes compared to normal healthy participants. However, there was no significant difference between who used PS and those who did not.
本研究旨在探讨运动员与健康正常人的额面 QRS-T 夹角是否存在差异。
本研究纳入 122 名健康运动员(平均年龄 29.7±7.7 岁,其中 73.8%为男性)和 60 名健康对照者(平均年龄 29.8±7.8 岁,其中 26%为男性)。然后,将运动员分为使用蛋白质补充剂(PS)组和未使用 PS 组。在 12 导联心电图中,计算心率(HR)、P、QRS、QT、校正 QT(QTc)间期、QT 和校正 QT 离散度(QTD、QTcD)、V1 或 V2S 振幅与 V5 或 V6R 振幅之和(V1/2S+V5/6R)、额面 QRS-T 夹角。
运动员组与对照组在年龄、性别、吸烟、体重指数、收缩压(SBP)、舒张压(DBP)、超声心动图特征、P、PR 间期、P、QRS、T 轴、QTD 和 QTcD 方面无显著差异(P>0.05)。运动员组 HR 和 QTc 明显降低(P<0.05),QRS、QT 间期延长(P<0.001)。运动员组 V1/2S+V5/6R 和额面 QRS-T 夹角值较高(P<0.001)。PS 使用组和非 PS 使用组在人口统计学特征、运动年限、SBP 和 DBP 方面无显著差异(P>0.05)。然而,PS 使用组男性居多(P=0.018)。PS 使用组 P 轴、PR 和 QRS 间期较长(P<0.05)。结果发现 T 轴与额面 QRS-T 夹角呈负相关(r=-0.431,P<0.001),而 QRS 轴与额面 QRS-T 夹角呈正相关(r=0.395,P<0.001)。
与健康正常人相比,运动员的额面 QRS-T 夹角更宽。然而,使用 PS 与未使用 PS 者之间无显著差异。