Ausland Ådne, Sandberg Edvard Liljedahl, Jortveit Jarle, Seiler Stephen
Department of Sport Science and Physical Education, Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Norway.
Department of Cardiology, Sorlandet Hospital, Arendal, Norway.
Front Sports Act Living. 2022 Jul 25;4:937525. doi: 10.3389/fspor.2022.937525. eCollection 2022.
Arrhythmias also occur among elite endurance athletes. Conventional diagnostic tools for assessment of arrhythmias suffer from limited availability and usability challenges, particularly under the demanding training conditions of an elite athlete. Among endurance athletes, there is a need for out-of-hospital monitoring to enhance detection of arrhythmias under conditions that are relevant and potentially provocative of underlying pathology. The Norwegian patch ECG247 Smart Heart Sensor has been developed to simplify the assessment of heart rhythm disorders. The current study aimed to evaluate the ECG247 Smart Heart Sensor function and usability in an elite athlete environment.
A total of 13 professional cyclists from the UNO-X Pro Cycling Team were examined with the ECG247 Smart Heart Sensor during training camp in Spain, December 2021. All ECG data were analyzed by cardiologists at Sorlandet Hospital Arendal, Norway. The athletes also completed a brief questionnaire registering their training (from on-bike monitoring units) and provided self-assessment of usability parameters after the test.
In 8 of 13 athletes (69% male, age 23 ± 4 years), two test periods were performed with different ECG patches, resulting in a total of 21 tests with continuous ECG monitoring. Average total ECG test duration per athlete was 144 ± 47 h (89 ± 24 h/patch). Athletes performed an average of 15 ± 5 training h during each test. The ECG quality from all tests was considered satisfactory for rhythm analysis-also during exercise. The reported usability of the ECG247 Smart Heart Sensor was high, and no athletes reported trouble sleeping or training with the sensor. The automatic arrhythmia algorithm reported episodes of possible arrhythmias in 5 (24%) tests; 2 atrial flutter, 2 supraventricular tachycardia and 1 bradycardia (heart rate <30/min). Manual assessment by physicians verified the episode of bradycardia but revealed normal sinus rhythm in all other tests. No false negative events were identified in over 1,800 h of ECG collection.
The ECG247 Smart Heart Sensor allowed for high quality ECG monitoring with high usability during intensive exercise in athletes.
心律失常在优秀耐力运动员中也会出现。用于评估心律失常的传统诊断工具存在可用性和实用性有限的问题，尤其是在优秀运动员苛刻的训练条件下。在耐力运动员中，需要院外监测以在相关且可能引发潜在病理状况的条件下加强心律失常的检测。挪威的贴片式ECG247智能心脏传感器已被开发出来，以简化心律紊乱的评估。本研究旨在评估ECG247智能心脏传感器在优秀运动员环境中的功能和可用性。
2021年12月，来自UNO-X职业自行车队的13名职业自行车运动员在西班牙训练营期间使用ECG247智能心脏传感器进行了检查。所有心电图数据均由挪威阿伦达尔索兰讷特医院的心脏病专家进行分析。运动员们还完成了一份简短问卷，记录他们的训练情况（来自自行车上的监测设备），并在测试后对可用性参数进行了自我评估。
13名运动员中的8名（69%为男性，年龄23±4岁）使用不同的心电图贴片进行了两个测试期，共进行了21次连续心电图监测测试。每位运动员的平均心电图总测试时长为144±47小时（每个贴片89±24小时）。每次测试期间，运动员平均进行15±5小时的训练。所有测试的心电图质量在运动期间对于心律分析而言均被认为是令人满意的。报告显示，ECG247智能心脏传感器的可用性很高，没有运动员报告使用该传感器时睡眠或训练出现问题。自动心律失常算法在5次（24%）测试中报告了可能的心律失常发作；2次心房扑动、2次室上性心动过速和1次心动过缓（心率<30次/分钟）。医生的人工评估证实了心动过缓发作，但在所有其他测试中均显示为正常窦性心律。在超过1800小时的心电图采集过程中未发现假阴性事件。
ECG247智能心脏传感器能够在运动员高强度运动期间实现高质量的心电图监测，且可用性高。
