摘要
背景了解游泳运动员心电图特点可以提高临床医生对该类人群心脏电生理异常的认识,且对有效避免游泳运动员因心脏原因发生运动意外具有重要意义。目的分析北京市某高校高水平运动员静息心电图特点。方法选取2019—2020年北京外国语大学游泳队40名高水平游泳运动员作为运动员组,另选取同期参加排球、网球、足球或田径等比赛的112名普通大学生作为对照组。比较两组受试者一般资料、静息心电图检查结果、异常心电图发生情况及不同性别运动员静息心电图检查结果、异常心电图发生情况。结果两组PR间期、QTc间期比较,差异无统计学意义(P>0.05);运动员组心率低于对照组,QT间期长于对照组(P<0.05)。不同性别运动员心率、PR间期、QT间期及QTc间期比较,差异无统计学意义(P>0.05)。两组电轴右偏、电轴左偏、窦性心动过速、窦性心律不齐、右心室肥大、Ⅰ度房室传导阻滞及不完全右束支传导阻滞发生率比较,差异无统计学意义(P>0.05);运动员组窦性心动过缓、早期复极、左心室高电压发生率高于对照组(P<0.05)。不同性别运动员电轴右偏、电轴左偏、窦性心动过缓、窦性心律不齐、早期复极、左心室高电压及不完全右束支传导阻滞发生率比较,差异无统计学意义(P>0.05)。结论高水平游泳运动员心脏电生理特征存在适应性改变,主要表现为QT间期延长,窦性心动过缓、早期复极、左心室高电压发生风险升高。
Background Understanding the ECG characteristics of swimmers can improve clinicians'understanding of cardiac electrophysiological abnormalities in this kind of population,and it is of great significance to effectively avoid sports accidents of swimmers due to heart reasons.Objective To analyze the resting ECG characteristics of high-level swimming athletes in a university in Beijing.Methods A total of 40 high-level swimming athletes from the swimming team of Beijing Foreign Studies University from 2019 to 2020 were selected as the athlete group,and 112 ordinary college students participating in volleyball,tennis,football or track and field in the same period were selected as the control group.The general data,resting ECG examination results and the incidence of abnormal ECG were compared between the two groups,and the resting ECG examination results,the incidence of abnormal ECG were compared in athletes with different gender.Results There was no significant difference in PR interval and QTc interval between the two groups(P>0.05);the heart rate in the athlete group was lower than that in the control group,QT interval in the athlete group was longer than that in the control group(P<0.05).There was no significant difference in heart rate,PR interval,QT interval and QTc interval between male and female athletes(P>0.05).There was no significant difference in the incidence of right axis deviation,left axis deviation,sinus tachycardia,sinus arrhythmia,right ventricular hypertrophy,first degree atrioventricular block and incomplete right bundle branch block between the two groups(P>0.05);the incidence of sinus bradycardia,early repolarization and left ventricular high voltage in the athlete group was higher than that in the control group(P<0.05).There was no significant difference in the incidence of right axis deviation,left axis deviation,sinus bradycardia,sinus arrhythmia,early repolarization,left ventricular high voltage and incomplete right bundle branch block between male and female athletes(P>0.05).Conclusion Th
作者
王雪
迟小鹏
王立华
于嵩
马滨
WANG Xue;CHI Xiaopeng;WANG Lihua;YU Song;MA Bin(General Practice,Beijing Foreign Studies University Hospital,Beijing 100000,China)
出处
《实用心脑肺血管病杂志》
2021年第10期117-120,共4页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
基金
北京外国语大学中央高校基本科研业务费专项资金资助项目(2020JJ039)。
关键词
游泳
运动员
心电描记术
Swimming
Athletes
Electrocardiography
