儿童和青少年足球运动员的心电图特征

IF 2.3 Q2 SPORT SCIENCES Sports Medicine and Health Science Pub Date : 2023-12-15 DOI:10.1016/j.smhs.2023.12.004
Maria Doumparatzi, Panagiota Sotiriou, Asterios Deligiannis, Evangelia Kouidi
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引用次数: 0

摘要

儿童和青少年的心电图特征与成年人相比存在差异。我们的工作旨在研究足球男运动员从童年到青春期后期的心电图,并研究心电图参数是否会受到系统锻炼的影响。154 名足球运动员参加了这项研究,并组成了四个小组。A 组包括 89 名 5-7 岁的球员,B 组包括 353 名 8-11 岁的球员,C 组包括 355 名 12-15 岁的足球运动员,D 组包括 257 名 16-18 岁的球员。所有参与者都接受了赛前检查,包括 12 导联表面心电图。计算了心率(HR)、PR、RR、QRS、QT、QTc 间期、QT 离散(QTdisp)和 QRS 轴。所有心电图都是根据现行的参赛前心脏筛查指南进行评估的,该指南适用于 12-35 岁的运动员,不包括儿童运动员。11%的参赛者出现了心电图异常。D 组的心率和 QTc 值最低,PR、RR、QRS、QT 间期和 QTdisp 值最高,而 QRS 轴无差异。不完全右束支传导阻滞(RBBB)是最常见的心电图特征,在 7.3% 的参与者中发现。培训年限与心率、PR、RR、QRS 和 QT 间期在统计学上有显著相关性。总之,需要为儿童期、青春期早期和晚期的运动员制定心电图解读指南。
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Electrocardiographic characteristics of pediatric and adolescent football players

Electrocardiographic characteristics of children and adolescents present differences compared to adults. The aim of our work was to study electrocardiograms (ECGs) of football male players from childhood to late adolescence and examine if the ECG parameters are influenced by systematic exercise. One thousand fifty-four football players participated and formed four groups. Group A included 89 players aged 5–7 years, group B 353 players aged 8–11 years, group C consisted of 355 football players 12-15 yearsold and group D of 257 players with 16–18 years of age. All participants underwent preparticipation screening, including 12-lead surface ECG. Heart rate (HR), PR, RR, QRS, QT, QTc intervals, QT dispersion (QTdisp) and QRS axis were calculated. All ECGs were evaluated according to the current preparticipation cardiac screening guidelines, that refer to athletes aged 12–35 years and do not include pediatric players. Eleven percent of the participants presented an ECG finding. Group D obtained the lowest values of HR, QTc and the highest of PR, RR, QRS, QT intervals and QTdisp, whereas no differences in QRS axis were reported. Incomplete Right Bandle Branch Block (RBBB) was the most frequent ECG peculiarity, detected in 7.3% of the participants. Years of training were statistically significantly correlated to HR, PR, RR, QRS and QT intervals. In conclusion, guidelines for ECG interpretation of athletes in childhood, early and late adolescence are needed.

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来源期刊
Sports Medicine and Health Science
Sports Medicine and Health Science Health Professions-Physical Therapy, Sports Therapy and Rehabilitation
CiteScore
5.50
自引率
0.00%
发文量
36
审稿时长
55 days
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