Abstract
The structural-functional characteristics of the cardiovascular system in 527 trained athletes were studied. The study has been performed for 10–15 years. All athletes were divided into two groups. Group A (437 persons) included athletes with normal electrocardiogram (ECG) pattern; group B (90 persons), athletes with atypical signs of ventricular repolarization. The results of this study suggest that the characteristic features of the cardiovascular system of the athletes with atypical patterns of ventricular repolarization, as well as that of the athletes with normal ECG patterns, include bradycardia, hypotension, regulated myocardial hypodynamia syndrome, heart chamber dilation, increased weight of the left ventricular myocardium (with an increased functional capability of an arbitrary unit of its chamber and myocardium), an increased stoke volume, more economical cardiac contraction at rest, and an increased physical working capacity. The degree of changes in these parameters was the same as in athletes with normal ECG. This fact allowed us to define the entire complex of characteristics of the blood circulation system in either group (A and B) as a physiological athlete’s heart.
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References
Reindell, H., Klepzig, H., Stein, H., et al., Herz-Kreislaufkrankheiten und Sport, Munchen, 1960.
Venerando, A., Electrocardiography in Sports Medicine, J. Sports Med., 1979, vol. 19, p. 107.
Letunov, S.P. and Motylyanskaya, R.E., Vrachebnyi kontrol’ v fizicheskom vospitanii (Medical Control in Physical Education), Moscow: Fizkul’tura i Sport, 1951.
Dembo, A.G., Syndrome of Left Ventricular Overload in Healthy Subjects, Kardiologiya, 1962, issue 3, C. 70.
Butchenko, L.A., Electrocardiography in Sports Medicine, Leningrad: Medgiz, 1963.
Letunov, S.P., Motylyanskaya, R.E., Korobochkin, L.M., et al., Clinical Evaluation of Myocardial Lesions in Athletes, Teor. Prakt. Fiz. Kul’t., 1968, issue 9, p. 24.
Shkhvatsabaya, Yu.K., Phase Syndrome of Myocardium Overload in Athletes, Mater. Sr. OVI Vsesoyuz. Nauchn. Konf. po sportivnoi meditsine (Proc. OVI All-Union Sci. Conf. on Sports Medicine), Moscow, 1969, p. 188.
Levina, L.I. and Surov, E.N., Clinical Evaluation of Alterations in the Terminal Part of the Ventricular Complex of ECG of Athletes with High Physical Working Capacity, Teor. Prakt. Fiz. Kul’t., 1972, issue 5, p. 35.
Graevskaya, N.D., Vliyanie sporta na serdechno-sosudistuyu sistemu (Effect of Sports on the Cardiovascular System), Moscow: Meditsina, 1975.
Dibner, R.D. and Fitingof, V.P., Characteristics of Changes in the Hemodynamics of Athletes at the Initial Stage of Chronic Myocardial Overload, Teor. Prakt. Fiz. Kul’t., 1975, issue 8, p. 25.
Nekrusov, S.I. and Dushanin, S.A., Proportion between Some Parameters of Hemodynamics and Heart Volume in Athletes with Myocardial Dystrophy, Teor. Prakt. Fiz. Kul’t., 1977, issue 6, C. 28.
Kogan-Yasnyi, V.V., Fatyugova, L.N., Gitel’, I.B., and Pustovit, L.N., Some Results of Long-term Observations of Athletes with the So-called Chronic Myocardial Overload, in Meditsinskie problemy sporta (Medical Problems of Sports), Moscow: Fizkul’tura i sport, 1979.
Pogosyan, Yu.M. and Amatuni, V.G., Myocardial Dystrophy as a Result of Chronic Myocardial Overload in Athletes, Kardiologiya, 1980, vol. 20,issue 11, p. 64.
Khrushchev, S.V. and Shvarts, Yu.G., The Role of Heredity in the Development of Myocardial Dystrophy in Athletes, Teor. Prakt. Fiz. Kul’t., 1988, issue 8, p. 54.
Dembo, A.G. and Zemtsovskii, E.V., Sportivnaya kardiologiya (Sports Cardiology), Lenigrad: Meditsina, 1989.
De Luna, A.B., Rukovodstvo po klinicheskoi elektrokardiografii (A Guide to Clinical Electrocardiography), Moscow: Meditsina, 1993.
Landyr’, A.P., Electrocardiographic Functional Tests in Differential Diagnostics of Myocardial Repolarization Disturbances in Athletes, Vestn. Sport. Med. Rossii, 1993, issues 2–3, no. 4, p. 28.
Agadzhanyan, M.G., Electrocardiographic Manifestations of Chronic Physical Overload in Athletes, Fiziol. Chel., 2005, vol. 31, no. 6, p. 60.
Zemtsovskii, E.V., Sportivnaya kardiologiya (Sports Cardiology), St. Petersburg: Gippokrat, 1995.
Kogan-Yaskyi, V.V. and Romm, N.V., Electrocardiographic Studies with Chronically Overloaded Heart, in Meditsinskie problemy sporta (Medical Problems of Sports), Moscow: Fizkul’tura i sport, 1979.
Butchenko, L.A., Kushakovskii, M.S., and Zhuravleva, N.B., Distrofiya miokarda u sportsmenov (Myocardial Dystrophy in Athletes), Moscow: Meditsina, 1980.
Sinyakov, A.F. and Stepanova, S.V., Vrachebnye nablyudeniya za tyazhelostletami (Medical Observations of Weightlifters), Moscow, 1985.
Karpman, V.L. and Lyubina, B.G., Dinamika krovoobrashcheniya u sportsmenov (Blood Circulation Dynamics in Athletes), Moscow: Fizkul’tura i sport, 1982.
Spataro, A., Pelliccia, A., Casellim G., et al., Ventricular Repolarisation Disturbances and Hypertrophy in Athletes, J. Sports Card., 1986, issue 3, p. 17.
Zeppilli, P., Pelliccia, A., Pirrami, M.M., et al., Etiopathogenetic and Clinical Spectrum of Ventricular Disturbances in Athletes, J. Sports Card., 1984, issue 1, p. 41.
Costa, O., Maciel, L., Sepulveda, F., et al., Ventricular Repolarisation Abnormalities in Athletes, J. Sports Card., 1986, vol. 3, no. 1, p. 1.
Fagart, R., Athlete’s Heart, Heart, 2003, vol. 89, p. 1455.
Letunov, S.P., Elektrokardiografiya vo vrachebno-sportivnoi praktike (Electrocardiography in Medical and Sports Practice), Lenigrad: Fizkul’tura i sport, 1950.
Lang, G.F., Rukovodstvo po vnutrennim mboleznyam (Internal Diseases: A Manual), Moscow: Medgiz, 1957.
Martynov, I.V., Alekseev, G.K., Vorob’ev, A.I., et al., Bolezni organov krovoobrashcheniya (Diseases of Circulatory Organs), Vorob’ev, A.I., Ed., Moscow: Meditsina, 1982.
Paleev, N.R. and Levina, L.I., Noncoronary Heart Diseases: Myocardites, Cardiomyopathies, and Myocardium Dystrophies, in Diagnostika i lechenie vnutrennikh boleznei (Diagnosing and Treatment of Internal Diseases), Komarov, F.I., Ed., Moscow: Meditsina. 1991, vol. 1.
Huston, T.P., Puffer, J.C., and Rodney, W.M., The Athletic Heart Syndrome, N. Engl. J. Med., 1985, vol. 313, no. 1, p. 24.
Oakley, D., The Athlete’s Heart, Heart, 2001, vol. 86, p. 722.
Balady, G.J., Cadigan, J.B., and Ryan, T.J., Electrocardiogram of the Athlete: An Analysis of 289 Professional Football Players, Am. J. Cardiol., 1984, vol. 53, p. 1339.
Serra-Grima, J.R., Carrio, I., Estorch, M., et al., ECG Alterations in the Athlete Type “Pseudoischemia”, J. Sports Cardiol. 1986, vol. 3, no. 1, p. 9.
Serra-Grima, R., Estorch, M., Carrio, I., et al., Marked Ventricular Repolarization Abnormalities in Highly Trained Athletes Electrocardiograms: Clinical and Prognostic Implications, J. Am. Coll. Cardiol., 2000, vol. 36, no. 4, p. 1310.
Zateishchikov, D.A., Modern Capabilities to Reveal Cardiological Contraindications to Going in for Sports, Data of Minneapolis Heart Institute Foundation: Causes of Sudden Death in Young Athletes (http://www.formmed.ru)
Maron, B.J., Epstein, S.E., and Roberts, W.C., Causes of Sudden Death in Competitive Athletes, J. Am. Coll. Cardiol., 1986, issue 7, p. 204.
Smolenskii, A.V. and Lyibina, B.G., Sudden Death in Sports: Myths and Reality, Teor. Prakt. Fiz. Kul’t., 2002, issue 10, p. 39.
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Original Russian Text © Z.B. Belotserkovskii, B.G. Lyubina, G.A. Koidinova, 2009, published in Fiziologiya Cheloveka, 2009, Vol. 35, No. 1, pp. 90–100.
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Belotserkovskii, Z.B., Lyubina, B.G. & Koidinova, G.A. Cardiac function and physical working capacity of athletes with altered ventricular repolarization. Hum Physiol 35, 80–89 (2009). https://doi.org/10.1134/S0362119709010137
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DOI: https://doi.org/10.1134/S0362119709010137