T-wave morphology analysis of competitive athletes

L Hong; Lars Juel Andersen; Claus Graff; Esben Vedel-Larsen; Fan Wang; Johannes J. Struijk; Peter Søgaard; Peter Riis Hansen; Y Z Yang; M. Christiansen; Egon Toft; Jørgen K. Kanters

doi:10.1016/j.jelectrocard.2014.10.011

T-wave morphology analysis of competitive athletes

L Hong, Lars Juel Andersen, Claus Graff, Esben Vedel-Larsen, Fan Wang, Johannes J. Struijk, Peter Søgaard, Peter Riis Hansen, Y Z Yang, M. Christiansen, Egon Toft, Jørgen K. Kanters

10 Citations (Scopus)

Abstract

Background T-wave morphology has been shown to be more sensitive than QT and QTc interval to describe repolarization abnormalities. The electrocardiogram (ECG) performed in athletes may manifest abnormalities, including repolarization alterations. The aim of this study was to investigate the characteristics of T-wave morphology features in athletes. Methods Eighty male elite athletes, consisting of 40 Tour de France cyclists (age 27 ± 5 years), 40 soccer players (age 26 ± 6 years) and 40 healthy men (age 27 ± 5 years) were included. Results Sinus bradycardia, left ventricular (LV) hypertrophy, incomplete right bundle branch block and early repolarization were documented in 25 %, 20%, 13% and 14% of athletes, respectively. ECG criteria for LV hypertrophy in 12-lead ECG were more common in cyclists (35%) than in soccer players (5%), P < 0.0001. Cyclists and soccer players had significantly longer RR interval, and repolarization features than the control group. Conclusions T-wave morphology of athletes is different from non-athletes, depending of the sport. Decreased potassium current in cardiomyocytes associated with LVH may contribute to these changes.

Original language	English
Journal	Journal of Electrocardiology
Volume	48
Issue number	1
Pages (from-to)	35-42
Number of pages	8
ISSN	0022-0736
DOIs	https://doi.org/10.1016/j.jelectrocard.2014.10.011
Publication status	Published - 1 Jan 2015

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10.1016/j.jelectrocard.2014.10.011

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@article{9b41c247c4a34cfd90cd69dbd5f133df,

title = "T-wave morphology analysis of competitive athletes",

abstract = "Background T-wave morphology has been shown to be more sensitive than QT and QTc interval to describe repolarization abnormalities. The electrocardiogram (ECG) performed in athletes may manifest abnormalities, including repolarization alterations. The aim of this study was to investigate the characteristics of T-wave morphology features in athletes. Methods Eighty male elite athletes, consisting of 40 Tour de France cyclists (age 27 ± 5 years), 40 soccer players (age 26 ± 6 years) and 40 healthy men (age 27 ± 5 years) were included. Results Sinus bradycardia, left ventricular (LV) hypertrophy, incomplete right bundle branch block and early repolarization were documented in 25 %, 20%, 13% and 14% of athletes, respectively. ECG criteria for LV hypertrophy in 12-lead ECG were more common in cyclists (35%) than in soccer players (5%), P < 0.0001. Cyclists and soccer players had significantly longer RR interval, and repolarization features than the control group. Conclusions T-wave morphology of athletes is different from non-athletes, depending of the sport. Decreased potassium current in cardiomyocytes associated with LVH may contribute to these changes.",

author = "L Hong and Andersen, {Lars Juel} and Claus Graff and Esben Vedel-Larsen and Fan Wang and Struijk, {Johannes J.} and Peter S{\o}gaard and Hansen, {Peter Riis} and Yang, {Y Z} and M. Christiansen and Egon Toft and Kanters, {J{\o}rgen K.}",

year = "2015",

month = jan,

day = "1",

doi = "10.1016/j.jelectrocard.2014.10.011",

language = "English",

volume = "48",

pages = "35--42",

journal = "Journal of Electrocardiology",

issn = "0022-0736",

publisher = "Churchill Livingstone",

number = "1",

}

TY - JOUR

T1 - T-wave morphology analysis of competitive athletes

AU - Hong, L

AU - Andersen, Lars Juel

AU - Graff, Claus

AU - Vedel-Larsen, Esben

AU - Wang, Fan

AU - Struijk, Johannes J.

AU - Søgaard, Peter

AU - Hansen, Peter Riis

AU - Yang, Y Z

AU - Christiansen, M.

AU - Toft, Egon

AU - Kanters, Jørgen K.

PY - 2015/1/1

Y1 - 2015/1/1

N2 - Background T-wave morphology has been shown to be more sensitive than QT and QTc interval to describe repolarization abnormalities. The electrocardiogram (ECG) performed in athletes may manifest abnormalities, including repolarization alterations. The aim of this study was to investigate the characteristics of T-wave morphology features in athletes. Methods Eighty male elite athletes, consisting of 40 Tour de France cyclists (age 27 ± 5 years), 40 soccer players (age 26 ± 6 years) and 40 healthy men (age 27 ± 5 years) were included. Results Sinus bradycardia, left ventricular (LV) hypertrophy, incomplete right bundle branch block and early repolarization were documented in 25 %, 20%, 13% and 14% of athletes, respectively. ECG criteria for LV hypertrophy in 12-lead ECG were more common in cyclists (35%) than in soccer players (5%), P < 0.0001. Cyclists and soccer players had significantly longer RR interval, and repolarization features than the control group. Conclusions T-wave morphology of athletes is different from non-athletes, depending of the sport. Decreased potassium current in cardiomyocytes associated with LVH may contribute to these changes.

AB - Background T-wave morphology has been shown to be more sensitive than QT and QTc interval to describe repolarization abnormalities. The electrocardiogram (ECG) performed in athletes may manifest abnormalities, including repolarization alterations. The aim of this study was to investigate the characteristics of T-wave morphology features in athletes. Methods Eighty male elite athletes, consisting of 40 Tour de France cyclists (age 27 ± 5 years), 40 soccer players (age 26 ± 6 years) and 40 healthy men (age 27 ± 5 years) were included. Results Sinus bradycardia, left ventricular (LV) hypertrophy, incomplete right bundle branch block and early repolarization were documented in 25 %, 20%, 13% and 14% of athletes, respectively. ECG criteria for LV hypertrophy in 12-lead ECG were more common in cyclists (35%) than in soccer players (5%), P < 0.0001. Cyclists and soccer players had significantly longer RR interval, and repolarization features than the control group. Conclusions T-wave morphology of athletes is different from non-athletes, depending of the sport. Decreased potassium current in cardiomyocytes associated with LVH may contribute to these changes.

U2 - 10.1016/j.jelectrocard.2014.10.011

DO - 10.1016/j.jelectrocard.2014.10.011

M3 - Journal article

C2 - 25465868

SN - 0022-0736

VL - 48

SP - 35

EP - 42

JO - Journal of Electrocardiology

JF - Journal of Electrocardiology

IS - 1

ER -

T-wave morphology analysis of competitive athletes

Abstract

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