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Benefits and limitations of electrocardiographic and echocardiographic screening in top level endurance athletes

The study was designed to assess the usefulness of routine electrocardiography (ECG) as well as transthoracic echocardiography (TTE) in screening top level endurance athletes. An additional goal was to attempt to identify factors determining occurrence of adaptive and abnormal changes in ECG and TTE...

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Autores principales: Jakubiak, Agnieszka A., Konopka, Marcin, Bursa, Dominik, Król, Wojciech, Anioł-Strzyżewska, Krystyna, Burkhard-Jagodzińska, Krystyna, Sitkowski, Dariusz, Kuch, Marek, Braksator, Wojciech
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Institute of Sport in Warsaw 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7996387/
https://www.ncbi.nlm.nih.gov/pubmed/33795916
http://dx.doi.org/10.5114/biolsport.2020.97670
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author Jakubiak, Agnieszka A.
Konopka, Marcin
Bursa, Dominik
Król, Wojciech
Anioł-Strzyżewska, Krystyna
Burkhard-Jagodzińska, Krystyna
Sitkowski, Dariusz
Kuch, Marek
Braksator, Wojciech
author_facet Jakubiak, Agnieszka A.
Konopka, Marcin
Bursa, Dominik
Król, Wojciech
Anioł-Strzyżewska, Krystyna
Burkhard-Jagodzińska, Krystyna
Sitkowski, Dariusz
Kuch, Marek
Braksator, Wojciech
author_sort Jakubiak, Agnieszka A.
collection PubMed
description The study was designed to assess the usefulness of routine electrocardiography (ECG) as well as transthoracic echocardiography (TTE) in screening top level endurance athletes. An additional goal was to attempt to identify factors determining occurrence of adaptive and abnormal changes in ECG and TTE. The retrospective analysis included basic medical data, ECG and TTE results of 262 athletes (123 rowers, 32 canoeists and 107 cyclists), members of the Polish National Team. The athletes were divided into two age groups: young (≤ 18 years; n = 177) and elite (> 18 years; n = 85). ECG and TTE measurements were analysed according to the International Recommendations from 2017 and 2015, respectively. Adaptive ECG changes were found in 165 (63%) athletes. Abnormal ECG changes were identified in 10 (3.8%) athletes. 98% of athletes exceeded TTE norms for the general population and 26% exceeded norms for athletes. The occurrence of both adaptive ECG findings and abnormalities in the TTE (in norms for athletes) was strongly associated with the years of training, hours of training per week and the age of the athlete. Male gender and the years of training were independent predictors of the ECG and TTE findings. Abnormal ECG changes were not related to the time of sport. Among 10 athletes with ECG changes, only 3 had changes in TTE and no relationship was found between abnormal finding in ECG and TTE (p = 0.45). ECG and TTE screening complement each other in identifying endurance athletes requiring treatment or verification. Unlike abnormal ECG changes, adaptive ECG changes and TTE abnormalities are strongly related to the training duration, which reflects physiological adaptation of the heart to physical exertion in high endurance athletes.
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spelling pubmed-79963872021-03-31 Benefits and limitations of electrocardiographic and echocardiographic screening in top level endurance athletes Jakubiak, Agnieszka A. Konopka, Marcin Bursa, Dominik Król, Wojciech Anioł-Strzyżewska, Krystyna Burkhard-Jagodzińska, Krystyna Sitkowski, Dariusz Kuch, Marek Braksator, Wojciech Biol Sport Original Paper The study was designed to assess the usefulness of routine electrocardiography (ECG) as well as transthoracic echocardiography (TTE) in screening top level endurance athletes. An additional goal was to attempt to identify factors determining occurrence of adaptive and abnormal changes in ECG and TTE. The retrospective analysis included basic medical data, ECG and TTE results of 262 athletes (123 rowers, 32 canoeists and 107 cyclists), members of the Polish National Team. The athletes were divided into two age groups: young (≤ 18 years; n = 177) and elite (> 18 years; n = 85). ECG and TTE measurements were analysed according to the International Recommendations from 2017 and 2015, respectively. Adaptive ECG changes were found in 165 (63%) athletes. Abnormal ECG changes were identified in 10 (3.8%) athletes. 98% of athletes exceeded TTE norms for the general population and 26% exceeded norms for athletes. The occurrence of both adaptive ECG findings and abnormalities in the TTE (in norms for athletes) was strongly associated with the years of training, hours of training per week and the age of the athlete. Male gender and the years of training were independent predictors of the ECG and TTE findings. Abnormal ECG changes were not related to the time of sport. Among 10 athletes with ECG changes, only 3 had changes in TTE and no relationship was found between abnormal finding in ECG and TTE (p = 0.45). ECG and TTE screening complement each other in identifying endurance athletes requiring treatment or verification. Unlike abnormal ECG changes, adaptive ECG changes and TTE abnormalities are strongly related to the training duration, which reflects physiological adaptation of the heart to physical exertion in high endurance athletes. Institute of Sport in Warsaw 2021-08-21 2021-03 /pmc/articles/PMC7996387/ /pubmed/33795916 http://dx.doi.org/10.5114/biolsport.2020.97670 Text en Copyright © 2020 Termedia http://creativecommons.org/licenses/by-nc-sa/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0). License (http://creativecommons.org/licenses/by-nc-sa/4.0/)
spellingShingle Original Paper
Jakubiak, Agnieszka A.
Konopka, Marcin
Bursa, Dominik
Król, Wojciech
Anioł-Strzyżewska, Krystyna
Burkhard-Jagodzińska, Krystyna
Sitkowski, Dariusz
Kuch, Marek
Braksator, Wojciech
Benefits and limitations of electrocardiographic and echocardiographic screening in top level endurance athletes
title Benefits and limitations of electrocardiographic and echocardiographic screening in top level endurance athletes
title_full Benefits and limitations of electrocardiographic and echocardiographic screening in top level endurance athletes
title_fullStr Benefits and limitations of electrocardiographic and echocardiographic screening in top level endurance athletes
title_full_unstemmed Benefits and limitations of electrocardiographic and echocardiographic screening in top level endurance athletes
title_short Benefits and limitations of electrocardiographic and echocardiographic screening in top level endurance athletes
title_sort benefits and limitations of electrocardiographic and echocardiographic screening in top level endurance athletes
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7996387/
https://www.ncbi.nlm.nih.gov/pubmed/33795916
http://dx.doi.org/10.5114/biolsport.2020.97670
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