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The Acute Effects of an Ultramarathon on Atrial Function and Supraventricular Arrhythmias in Master Athletes

Background. Endurance sports practice has significantly increased over the last decades, with a growing proportion of master athletes. However, concerns exist regarding the potential proarrhythmic effects induced by ultra-endurance sports. This study aimed to analyse the acute effects of an ultramar...

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Autores principales: Cavigli, Luna, Zorzi, Alessandro, Spadotto, Veronica, Mandoli, Giulia Elena, Melani, Andrea, Fusi, Chiara, D’Andrea, Antonello, Focardi, Marta, Valente, Serafina, Cameli, Matteo, Bonifazi, Marco, D’Ascenzi, Flavio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8836407/
https://www.ncbi.nlm.nih.gov/pubmed/35159979
http://dx.doi.org/10.3390/jcm11030528
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author Cavigli, Luna
Zorzi, Alessandro
Spadotto, Veronica
Mandoli, Giulia Elena
Melani, Andrea
Fusi, Chiara
D’Andrea, Antonello
Focardi, Marta
Valente, Serafina
Cameli, Matteo
Bonifazi, Marco
D’Ascenzi, Flavio
author_facet Cavigli, Luna
Zorzi, Alessandro
Spadotto, Veronica
Mandoli, Giulia Elena
Melani, Andrea
Fusi, Chiara
D’Andrea, Antonello
Focardi, Marta
Valente, Serafina
Cameli, Matteo
Bonifazi, Marco
D’Ascenzi, Flavio
author_sort Cavigli, Luna
collection PubMed
description Background. Endurance sports practice has significantly increased over the last decades, with a growing proportion of master athletes. However, concerns exist regarding the potential proarrhythmic effects induced by ultra-endurance sports. This study aimed to analyse the acute effects of an ultramarathon race on atrial remodelling and supraventricular arrhythmias in a population of master athletes. Methods. Master athletes participating in an ultramarathon (50 km, 600 m of elevation gain) with no history of heart disease were recruited. A single-lead ECG was recorded continuously from the day before to the end of the race. Echocardiography and 12-lead resting ECG were performed before and immediately at the end of the race. Results. The study sample consisted of 68 healthy non-professional master athletes. Compared with baseline, P wave voltage was higher after the race (p < 0.0001), and more athletes developed ECG criteria for right atrial enlargement (p < 0.0001). Most of the athletes (97%) had ≥1 premature atrial beats (PAB) during the 24-h monitoring, also organised in triplets (17%) and non-sustained supraventricular tachycardias (NSSVTs) (19%). In contrast, exercise-induced PABs, triplets, and NSSVTs were rare. One athlete developed acute atrial fibrillation during the race. After the race, no significant differences were found in biatrial dimensions. Biatrial function, estimated by peak atrial longitudinal and contraction strains, were normal both before and after the race. Conclusions. In master athletes running an ultramarathon, acute exercise-induced atrial dysfunction was not detected, and exercise-induced supraventricular arrhythmias were uncommon. These results did not confirm the hypothesis of an acute atrial dysfunction induced by ultra-endurance exercise.
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spelling pubmed-88364072022-02-12 The Acute Effects of an Ultramarathon on Atrial Function and Supraventricular Arrhythmias in Master Athletes Cavigli, Luna Zorzi, Alessandro Spadotto, Veronica Mandoli, Giulia Elena Melani, Andrea Fusi, Chiara D’Andrea, Antonello Focardi, Marta Valente, Serafina Cameli, Matteo Bonifazi, Marco D’Ascenzi, Flavio J Clin Med Article Background. Endurance sports practice has significantly increased over the last decades, with a growing proportion of master athletes. However, concerns exist regarding the potential proarrhythmic effects induced by ultra-endurance sports. This study aimed to analyse the acute effects of an ultramarathon race on atrial remodelling and supraventricular arrhythmias in a population of master athletes. Methods. Master athletes participating in an ultramarathon (50 km, 600 m of elevation gain) with no history of heart disease were recruited. A single-lead ECG was recorded continuously from the day before to the end of the race. Echocardiography and 12-lead resting ECG were performed before and immediately at the end of the race. Results. The study sample consisted of 68 healthy non-professional master athletes. Compared with baseline, P wave voltage was higher after the race (p < 0.0001), and more athletes developed ECG criteria for right atrial enlargement (p < 0.0001). Most of the athletes (97%) had ≥1 premature atrial beats (PAB) during the 24-h monitoring, also organised in triplets (17%) and non-sustained supraventricular tachycardias (NSSVTs) (19%). In contrast, exercise-induced PABs, triplets, and NSSVTs were rare. One athlete developed acute atrial fibrillation during the race. After the race, no significant differences were found in biatrial dimensions. Biatrial function, estimated by peak atrial longitudinal and contraction strains, were normal both before and after the race. Conclusions. In master athletes running an ultramarathon, acute exercise-induced atrial dysfunction was not detected, and exercise-induced supraventricular arrhythmias were uncommon. These results did not confirm the hypothesis of an acute atrial dysfunction induced by ultra-endurance exercise. MDPI 2022-01-20 /pmc/articles/PMC8836407/ /pubmed/35159979 http://dx.doi.org/10.3390/jcm11030528 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Cavigli, Luna
Zorzi, Alessandro
Spadotto, Veronica
Mandoli, Giulia Elena
Melani, Andrea
Fusi, Chiara
D’Andrea, Antonello
Focardi, Marta
Valente, Serafina
Cameli, Matteo
Bonifazi, Marco
D’Ascenzi, Flavio
The Acute Effects of an Ultramarathon on Atrial Function and Supraventricular Arrhythmias in Master Athletes
title The Acute Effects of an Ultramarathon on Atrial Function and Supraventricular Arrhythmias in Master Athletes
title_full The Acute Effects of an Ultramarathon on Atrial Function and Supraventricular Arrhythmias in Master Athletes
title_fullStr The Acute Effects of an Ultramarathon on Atrial Function and Supraventricular Arrhythmias in Master Athletes
title_full_unstemmed The Acute Effects of an Ultramarathon on Atrial Function and Supraventricular Arrhythmias in Master Athletes
title_short The Acute Effects of an Ultramarathon on Atrial Function and Supraventricular Arrhythmias in Master Athletes
title_sort acute effects of an ultramarathon on atrial function and supraventricular arrhythmias in master athletes
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8836407/
https://www.ncbi.nlm.nih.gov/pubmed/35159979
http://dx.doi.org/10.3390/jcm11030528
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