Prevalence of Different Electrocardiographic Patterns in Iranian Athletes

To explore the abnormalities in Iranian athletes' electrocardiogram and find any relation with body fat. 239 international athletes were involved in this cross sectional study. Body-fat percentage and resting 12-lead ECGs were recorded from all participants. Of 239 participant athletes, 212...

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Main Authors: Behzad Farahani, Mehrshad Poursaeid Esfahani, Mohammad Amin Abbasi, Farhad Moradi, Ata Abbasi
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2012-08-01
Series:Acta Medica Iranica
Subjects:
Online Access:http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/22156.pdf&manuscript_id=22156
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author Behzad Farahani
Mehrshad Poursaeid Esfahani
Mohammad Amin Abbasi
Farhad Moradi
Ata Abbasi
author_facet Behzad Farahani
Mehrshad Poursaeid Esfahani
Mohammad Amin Abbasi
Farhad Moradi
Ata Abbasi
author_sort Behzad Farahani
collection DOAJ
description To explore the abnormalities in Iranian athletes' electrocardiogram and find any relation with body fat. 239 international athletes were involved in this cross sectional study. Body-fat percentage and resting 12-lead ECGs were recorded from all participants. Of 239 participant athletes, 212 were male and 27 female. 60% of participants had sinus bradycardia. A total of 84% of the athletes demonstrated at least 1 abnormal ECG finding. Average values for the PR, QRS and QT intervals, P-wave duration and QRS axis were in normal range. Frequencies of various ECG abnormal findings in all athletes were as follows: right axis deviation 4.2%, left ventricular hypertrophy 6.2%, sinus arrhythmia 5.8%, right bundle branch block (RBBB) 24.2% (incomplete RBBB 16.8%, complete RBBB 7.4%), ST elevation 72.5%, prolonged QT interval 1.7%, T inversion 3.1% and Mobitz type I 1.2%. The athletes' ECG response to treadmill stress test was normal with no ischemia or arrhythmia. The means of BMI and body-fat percentage were 24.04 ± 3.5 kg/m² and 9.15 ± 2.12%, respectively. Pearson correlation coefficient between body-fat percentage and ST changes was 0.65 (P=0.008) in anterior leads and 0.198 (P=0.017) in lateral leads. Also, the correlation coefficient between the body fat percentage and right bundle branch block was 0.36 (P=0.013). The results of current study support the inclusion of ECG in athletes' cardiac screening before they engage in vigorous exercises in order to detect the potentially fatal arrhythmias.
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spelling doaj.art-5e8c7041619d4cbe84a36bbac7fbf3a82022-12-22T00:45:42ZengTehran University of Medical SciencesActa Medica Iranica0044-60250173-59692012-08-01508560564Prevalence of Different Electrocardiographic Patterns in Iranian AthletesBehzad FarahaniMehrshad Poursaeid EsfahaniMohammad Amin AbbasiFarhad MoradiAta AbbasiTo explore the abnormalities in Iranian athletes' electrocardiogram and find any relation with body fat. 239 international athletes were involved in this cross sectional study. Body-fat percentage and resting 12-lead ECGs were recorded from all participants. Of 239 participant athletes, 212 were male and 27 female. 60% of participants had sinus bradycardia. A total of 84% of the athletes demonstrated at least 1 abnormal ECG finding. Average values for the PR, QRS and QT intervals, P-wave duration and QRS axis were in normal range. Frequencies of various ECG abnormal findings in all athletes were as follows: right axis deviation 4.2%, left ventricular hypertrophy 6.2%, sinus arrhythmia 5.8%, right bundle branch block (RBBB) 24.2% (incomplete RBBB 16.8%, complete RBBB 7.4%), ST elevation 72.5%, prolonged QT interval 1.7%, T inversion 3.1% and Mobitz type I 1.2%. The athletes' ECG response to treadmill stress test was normal with no ischemia or arrhythmia. The means of BMI and body-fat percentage were 24.04 ± 3.5 kg/m² and 9.15 ± 2.12%, respectively. Pearson correlation coefficient between body-fat percentage and ST changes was 0.65 (P=0.008) in anterior leads and 0.198 (P=0.017) in lateral leads. Also, the correlation coefficient between the body fat percentage and right bundle branch block was 0.36 (P=0.013). The results of current study support the inclusion of ECG in athletes' cardiac screening before they engage in vigorous exercises in order to detect the potentially fatal arrhythmias.http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/22156.pdf&manuscript_id=22156ECGAthletesBradycardiaSudden cardiac death
spellingShingle Behzad Farahani
Mehrshad Poursaeid Esfahani
Mohammad Amin Abbasi
Farhad Moradi
Ata Abbasi
Prevalence of Different Electrocardiographic Patterns in Iranian Athletes
Acta Medica Iranica
ECG
Athletes
Bradycardia
Sudden cardiac death
title Prevalence of Different Electrocardiographic Patterns in Iranian Athletes
title_full Prevalence of Different Electrocardiographic Patterns in Iranian Athletes
title_fullStr Prevalence of Different Electrocardiographic Patterns in Iranian Athletes
title_full_unstemmed Prevalence of Different Electrocardiographic Patterns in Iranian Athletes
title_short Prevalence of Different Electrocardiographic Patterns in Iranian Athletes
title_sort prevalence of different electrocardiographic patterns in iranian athletes
topic ECG
Athletes
Bradycardia
Sudden cardiac death
url http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/22156.pdf&manuscript_id=22156
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AT mohammadaminabbasi prevalenceofdifferentelectrocardiographicpatternsiniranianathletes
AT farhadmoradi prevalenceofdifferentelectrocardiographicpatternsiniranianathletes
AT ataabbasi prevalenceofdifferentelectrocardiographicpatternsiniranianathletes