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Prevalence of abnormal and borderline electrocardiogram changes in 13, 079 Chinese amateur marathon runners
BACKGROUND: The 12-lead electrocardiogram (ECG) has been adopted as an important component of preparticipation cardiovascular screening. However, there are still controversies in the screening and few studies with a large sample size have reported the results of ECGs of marathon runners. Therefore,...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8056690/ https://www.ncbi.nlm.nih.gov/pubmed/33879236 http://dx.doi.org/10.1186/s13102-021-00268-2 |
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author | Wen, Xu Huang, Yu-min Shen, Tong-Hui Gong, Ying-Lan Dong, Rui-qing Xia, Ling Xie, Tian-sheng |
author_facet | Wen, Xu Huang, Yu-min Shen, Tong-Hui Gong, Ying-Lan Dong, Rui-qing Xia, Ling Xie, Tian-sheng |
author_sort | Wen, Xu |
collection | PubMed |
description | BACKGROUND: The 12-lead electrocardiogram (ECG) has been adopted as an important component of preparticipation cardiovascular screening. However, there are still controversies in the screening and few studies with a large sample size have reported the results of ECGs of marathon runners. Therefore, the purpose of this study was to assess the prevalence of normal, borderline, and abnormal ECG changes in marathon runners. METHODS: The 12-lead ECG data of 13,079 amateur marathon runners between the ages of 18 and 35 years were included for analysis. The prevalence of ECG abnormalities among different gender groups was compared with chi-square tests. RESULTS: In terms of training-related changes, sinus bradycardia, sinus arrhythmia, and left ventricular high voltage were found in approximately 15, 5, and 3.28% of the participants, respectively. The incidence of right axis deviation in the marathon runners was 1.78%, which was slightly higher than the incidence of left axis deviation (0.88%). No more than 0.1% of the amateur marathon runners exhibited ST-segment depression, T wave inversion (TWI), premature ventricular contraction, pathologic Q waves, and prolonged QT interval. CONCLUSIONS: Training-related ECG changes, including sinus bradycardia, sinus arrhythmia, and left ventricular high voltage, were common in amateur marathon runners. Most abnormal ECG changes, including ST-segment depression, TWI, premature ventricular contraction, pathologic Q waves, and prolonged QT interval, were infrequently found in amateur marathon runners. The data also suggested Chinese amateur marathon runners may have a relatively lower prevalence of ECG abnormalities than black and white runners. |
format | Online Article Text |
id | pubmed-8056690 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-80566902021-04-21 Prevalence of abnormal and borderline electrocardiogram changes in 13, 079 Chinese amateur marathon runners Wen, Xu Huang, Yu-min Shen, Tong-Hui Gong, Ying-Lan Dong, Rui-qing Xia, Ling Xie, Tian-sheng BMC Sports Sci Med Rehabil Research Article BACKGROUND: The 12-lead electrocardiogram (ECG) has been adopted as an important component of preparticipation cardiovascular screening. However, there are still controversies in the screening and few studies with a large sample size have reported the results of ECGs of marathon runners. Therefore, the purpose of this study was to assess the prevalence of normal, borderline, and abnormal ECG changes in marathon runners. METHODS: The 12-lead ECG data of 13,079 amateur marathon runners between the ages of 18 and 35 years were included for analysis. The prevalence of ECG abnormalities among different gender groups was compared with chi-square tests. RESULTS: In terms of training-related changes, sinus bradycardia, sinus arrhythmia, and left ventricular high voltage were found in approximately 15, 5, and 3.28% of the participants, respectively. The incidence of right axis deviation in the marathon runners was 1.78%, which was slightly higher than the incidence of left axis deviation (0.88%). No more than 0.1% of the amateur marathon runners exhibited ST-segment depression, T wave inversion (TWI), premature ventricular contraction, pathologic Q waves, and prolonged QT interval. CONCLUSIONS: Training-related ECG changes, including sinus bradycardia, sinus arrhythmia, and left ventricular high voltage, were common in amateur marathon runners. Most abnormal ECG changes, including ST-segment depression, TWI, premature ventricular contraction, pathologic Q waves, and prolonged QT interval, were infrequently found in amateur marathon runners. The data also suggested Chinese amateur marathon runners may have a relatively lower prevalence of ECG abnormalities than black and white runners. BioMed Central 2021-04-20 /pmc/articles/PMC8056690/ /pubmed/33879236 http://dx.doi.org/10.1186/s13102-021-00268-2 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Wen, Xu Huang, Yu-min Shen, Tong-Hui Gong, Ying-Lan Dong, Rui-qing Xia, Ling Xie, Tian-sheng Prevalence of abnormal and borderline electrocardiogram changes in 13, 079 Chinese amateur marathon runners |
title | Prevalence of abnormal and borderline electrocardiogram changes in 13, 079 Chinese amateur marathon runners |
title_full | Prevalence of abnormal and borderline electrocardiogram changes in 13, 079 Chinese amateur marathon runners |
title_fullStr | Prevalence of abnormal and borderline electrocardiogram changes in 13, 079 Chinese amateur marathon runners |
title_full_unstemmed | Prevalence of abnormal and borderline electrocardiogram changes in 13, 079 Chinese amateur marathon runners |
title_short | Prevalence of abnormal and borderline electrocardiogram changes in 13, 079 Chinese amateur marathon runners |
title_sort | prevalence of abnormal and borderline electrocardiogram changes in 13, 079 chinese amateur marathon runners |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8056690/ https://www.ncbi.nlm.nih.gov/pubmed/33879236 http://dx.doi.org/10.1186/s13102-021-00268-2 |
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