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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...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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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. |
format | Online Article Text |
id | pubmed-8836407 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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