Autor: |
Lord, Rachel, George, Keith, Somauroo, John, Jain, Nikhil, Reese, Kristin, Hoffman, Martin D., Haddad, Francois, Ashley, Euan, Jones, Helen, Oxborough, David |
Předmět: |
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Zdroj: |
European Journal of Sport Science; Nov2016, Vol. 16 Issue 8, p1014-1022, 9p, 2 Color Photographs, 2 Charts, 1 Graph |
Abstrakt: |
Background: Prolonged strenuous exercise has a profound effect on cardiac function. The right heart may be more susceptible to this imposition; yet, right-sided chest leads have not been utilised in this setting.Methods: Thirty highly trained athletes at the 2014 Western States 100-mile Endurance Run from Squaw Valley to Auburn, California (body mass 68 ± 12 kg, age 45 ± 10 years, 57 ± 15 miles per week) were recruited for the study. Pre- and post-race, a right-sided 12-lead ECG was obtained and data were extracted for P, R and S waves, J point, ST segment and T wave amplitude. Data were compared using StudentsT-test and statistical significance set asP < .05.Results: There was a significant increase in P wave amplitude (29%) and QTc interval (4%) pre- to post-race from standard 12-lead ECG. From the right-sided12-lead ECG, a 23% (P = .01) and 38% (P = .03) increase in J point amplitude in V1R and V2R and a 22% (P = .05) increase in ST segment integral in V2R and V3R were evident. T wave inversion was evident in leads V2R–V6R in 50–90% of athletes, respectively. Close examination revealed marked heterogeneity in individual ECGs.Conclusions: Completion of a 100-mile ultra-marathon resulted in significant changes in the right-sided ECG alongside more marked responses in specific individuals. P wave, ST segment and T wave changes post-race are indicative of acute exercise-induced right heart electrical adaptation. [ABSTRACT FROM PUBLISHER] |
Databáze: |
Complementary Index |
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