ISSN 2415-3060 (print), ISSN 2522-4972 (online)
  • 34 of 60
Up
УЖМБС 2019, 4(6): 234–238
https://doi.org/10.26693/jmbs04.06.234
Sports medicine

Peculiarities of Electrical Heart Systola in Professional Athletes with Signs of Myocardial Hypertrophy and Early Repularization Syndrome

Ataman Yu. O., Zharkova A. V., Dudko Yu. S., Roshchupkin A. A.
Abstract

A syndrome of early repolarization, common in professional athletes, has recently been considered a possible predictor of acute fatal arrhythmias. It is known that for this category of young people the development of compensatory cardiac is common as well. The purpose of the study was to investigate the features of early ventricular repolarization in professional athletes, depending on the presence of signs of cardiac hypertrophy. Material and methods. The study involved 28 high-level competition athletes who had regular intensive physical activity for at least six months. Syndrome of early repolarization was diagnosed by the electrocardiogram registration, detected in case of elevation of the J-point on 1 mm and more above the isoelectric line in the lower or lateral leads. Results and discussion. The cardiac hypertrophy diagnosis was established by electrocardiography and echocardiography. We did not reveal the statistically significant relationship between high prevalence of early repolarization syndrome and cardiac hypertrophy in professional athletes. However, the combination of these two syndromes in the examined athletes was accompanied by a statistically significant shortening of the corrected QT interval. The latter may be one of the risk factors for acute fatal arrhythmias in case of certain anamnestic data presence. Conclusion. This necessitates a deeper examination of such patients and their monitoring. Further studies are needed to determine the prognostic value of early repolarization in athletes with cardiac hypertrophy.

Keywords: early repolarization syndrome, short QT syndrome, cardiac hypertrophy, professional athletes

Full text: PDF (Ukr) 310K

References
  1. Schnohr P, O'Keefe JH, Marott JL, Lange P, Jensen JB. Dose of Jogging and Long-Term Mortality: The Copenhagen City Heart Study. Journal of the American College of Cardiology. 2015; 65(5): 411-9. https://www.ncbi.nlm.nih.gov/pubmed/25660917. https://doi.org/10.1016/j.jacc.2014.11.023
  2. Sharma S, Merghani A, Mont L. Exercise and the heart: the good, the bad, and the ugly. European Heart Journal. 2015; 36: 1445-53.
  3. https://www.ncbi.nlm.nih.gov/pubmed/25839670. https://doi.org/10.1093/eurheartj/ehv090
  4. Montagnana M, Lippi G, Franchini M, Banfi G, Guidi GC. Sudden cardiac death in young athletes. Internal Medicine. 2008; 47: 1373-8. https://www.ncbi.nlm.nih.gov/pubmed/18670141. https://doi.org/10.2169/internalmedicine.47.1242
  5. Haїssaguerre M, Derval N, Sacher F, Jesel L. Deisenhofer I, et al. Sudden cardiac arrest associated with early repolarization. The New England Journal of Medicine. 2008; 358(19): 2016-23. https://www.ncbi.nlm.nih.gov/pubmed/18463377. https://doi.org/10.1056/NEJMoa071968
  6. Serra-Grima R, Donate M, Alvarez-Garcia J, Barradas-Pires A, Ferrero A, et al. Long-term follow-up of early repolarization pattern in elite athletes. The American Journal of Medicine. 2015; 128(2); 192e 1-9. https://www.ncbi.nlm.nih.gov/pubmed/24979742. https://doi.org/10.1016/j.amjmed.2014.06.017
  7. Panhuyzen-Goedkoop NM, Jorstad HT, Smeets JLRM. A new consensus document on electrocardiographic interpretation in athletes: does it help to prevent sudden cardiac death in athletes. Netherlands Heart Journal. 2018; 26: 127-32. https://www.ncbi.nlm.nih.gov/pubmed/29392521. https://www.ncbi.nlm.nih.gov/pmc/articles/5818375. https://doi.org/10.1007/s12471-018-1076-6
  8. Wu S-H, Lin X-X, Cheng Y-J, Qiang CC, Zhang J. Early repolarization pattern and risk for arrhythmia death: a meta-analysis. Journal of the American College of Cardiology. 2013; 61: 645-50. https://www.ncbi.nlm.nih.gov/pubmed/23290543. https://doi.org/10.1016/j.jacc.2012.11.023
  9. Rosso R, Glikson E, Belhassen B, Katz A, Halkin A. Distinguishing "benign" from "malignant early repolarization": the value of the ST-segment morphology. Heart Rhythm. 2012; 9(2): 225-9. https://www.ncbi.nlm.nih.gov/pubmed/21914497. https://doi.org/10.1016/j.hrthm.2011.09.012
  10. Watanabe H, Makiyama T, Koyama T, Kannankeril PJ, Seto S, et al. High prevalence of early repolarization in short QT syndrome. Heart Rhythm. 2010; 7(5): 647-52. https://www.ncbi.nlm.nih.gov/pubmed/20206319. https://doi.org/10.1016/j.hrthm.2010.01.012
  11. Rabkin SW. Criteria for short QT interval based on a new QT-heart rate adjustment formula. Journal of Arrhythmia. 2017; 33(5): 525-7. https://www.ncbi.nlm.nih.gov/pubmed/29021866. https://www.ncbi.nlm.nih.gov/pmc/articles/5634756. https://doi.org/10.1016/j.joa.2017.04.004