Journals / Türk Spor ve Egzersiz Dergisi / 2017 / Cilt: 19 - Sayı: 3

A novel marker to determine arrhytmia risk in elite cyclists: T peak T end

Pages
313–321
Publication Date
2017-12-30
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

This can also be associated with left ventricular hypertrophy in active cyclists and remnant left ventricular hpertrophy in veterans.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:In athletes, left ventricular hypertrophy is a physiological response upon routine active sports.
📊
Key Findings & Data:Study groups were: healthy volunteers (group 1, n=28, mean age 35.8±4.6), active cyclists (group 2, n=27, mean age 21±3.0), veteran cyclists (group 3, n=27, mean age 29.5±7.1 yr).
💡
Conclusion & Impact:This can also be associated with left ventricular hypertrophy in active cyclists and remnant left ventricular hpertrophy in veterans.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Arrhythmia · electrocardiographic predictor · elite cyclists

Abstract

In athletes, left ventricular hypertrophy is a physiological response upon routine active sports. If the hypertrophic cardiomyopathy is not diagnosed and treated, it can lead to sudden deaths in athletes. Not so much data is known whether or not it is favorable to use of Tp-e values in order to reflect the arrhythmia risks in asymptomatic elite cyclists. The aim of this study is to examine the risks of regular bike sport on potential arrhythmia in healthy active elite cyclists and veterans by using non-invasive cardiac tests. Study groups were: healthy volunteers (group 1, n=28, mean age 35.8±4.6), active cyclists (group 2, n=27, mean age 21±3.0), veteran cyclists (group 3, n=27, mean age 29.5±7.1 yr). All groups were underwent cardiological examinations, 12 derivation ECG records, transthoracic echocardiography investigations. Tp-e interval, Tp-e dispersion, corrected Tp-e interval, QT interval and Tp-e/QT ratio were calculated from ECG records. Tp-e intervals were measured with Tangent method, corrected Tp-e interval were measured with Bazett formula. Mean Tp-e interval results were as follows according to groups 1, 2, 3; 75.0±9.3, 88.1±7.0, 83.2±8.8 ms, respectively. The Tp-e interval, cTp-e interval, Tp- dispersion, QT interval, and SLI values were significantly higher in active cyclists than the veteran cyclists and the control group (p<0.05). Both cyclist groups had also significantly higher Tp-e interval, cTp-e interval, QT interval, Tp-e/QT, QRS time and SLI values than the control group (p<0.05). Furthermore, there were significant differences in Tp-e interval, cTp-e interval, Tp-e dispersion, QT interval and SLI values between the active and veteran cyclists (p<0.05). There were significant differences in Tp-e dispersion between active cyclists and control group or veteran cyclists (p< 0.01). Arrythmia related to Tp-e interval, Tp-e dispersion, corrected Tp-e interval and Tp-e/QT ratio are associated with long-term, intense bike sport training either in active cyclists or veterans. This can also be associated with left ventricular hypertrophy in active cyclists and remnant left ventricular hpertrophy in veterans.

🔖

Cite This Article

ISIK, B., GORMUS, Z. İ. S., ASLAN, H., ICLI, A., KURKLU, G. B., CIFTCI, O., TOGAN, T. (2017). A novel marker to determine arrhytmia risk in elite cyclists: T peak T end. Türk Spor ve Egzersiz Dergisi, Cilt: 19 - Sayı: 3, 313–321. https://ajindex.com/articles/206073

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (11)

  1. Akıllı NB, Akıncı E, Akıllı H, Dündar ZD, Köylü R, Polat M, Cander B. A new marker for myocardial injury in carbonmonoxide poisoning: T peak–T end. American Journal of Emergency Medicine, 2013; 31: 1651–1655.
  2. Alizade E, Avcı, A, Fidan S, Tabakçı M, Bulut M, Zehir R, Akçakoyun M. The effect of chronic anabolic–androgenic steroid use on Tp‐E interval, Tp‐E/Qt ratio, and Tp‐E/Qtc ratio in male bodybuilders. Annals of Noninvasive Electrocardiology, 2015; 20(6): 592-600. Antzelevitch C. Tpeak–Tend interval as an index of transmural dispersion of repolarization. European journal of clinical investigation, 2001; 31(7): 555-557.
  3. Baldesberger S, Bauersfeld U, Candinas R Seifert B, Zuber M, Ritter M, Jenni R, Oechslin E, Luthi P, Scharf C, Marti B, Attenhofer Jost CH. Sinus node disease and arrhythmias in the long-term follow-up of former professional cyclists. Eur Heart J, 2008; 29 (1): 71–78.
  4. Braschi A, Francavilla VC, Abrignani MG, Todaro L, Francavilla G. Behavior of repolarization variables during exercise test in the athlete's heart. Annals of Noninvasive Electrocardiology, 2012; 17(2): 95-100.
  5. Buchheıt M, Gındre C. Cardiac parasympathetic regulation: Respective associations with cardiorespiratory fitness and training load. Am J Physiol Heart Circ Physiol, 2006; 291(1): 451-458.
  6. Devereux RB, Reichek N. Echocardiographic determination of left ventricular mass in man. Anatomic validation of the method. Circulation, 1977; 55: 613–618. Fagard R. Athlete’s heart. Heart, 2003; 89(12): 1455-1461.
  7. Florescu M, Vınereanu D. How to differentiate athletes heart from pathological cardiac hypertrophy? Mædica A Journal of Clinical Medicine, 2006; 1: 19-26.
  8. Gupta P, Patel C, Patel H, Narayanaswamy S, Malhotra B, Green JT, Yan GX. Tp-e/QT ratio as an index of arrhythmogenesis. Journal of Electrocardiology, 2008; (41): 567–574. Hart G. Exercise induced hypertrophy: a substrate for sudden death in athletes? Experimental Physiology, 2003; 88(05): 639-644.
  9. Heineke J, Molkentin JD. Regulation of cardiac hypertrophy by intracellular signalling pathways. Nature reviews Molecular cell biology, 2006; 7(8): 589-600.
  10. Hevia JC, Antzelevitch C, Bárzaga FT, Sánchez MD, Balea FD, Molina RZ, Rodríguez, YF. T peak-T end and T peak-T end dispersion as risk factors for ventricular tachycardia/ventricular fibrillation in patients with the Brugada syndrome. Journal of the American College of Cardiology, 2006; 47(9): 1828-1834.
  11. Hlaing T, Guo D, Zhao X, Di Mino T, Greenspon L, Kowey PR, Yan GX. The