A novel marker to determine arrhytmia risk in elite cyclists: T peak T end

In athletes, left ventricular hypertrophy is a physiological response upon routine active sports. If the hypertrophic cardiomyopathy is not diagnosed and treated, it can lead to sudden deaths in athletes. Not so much data is known whether or not it is favorable to use of Tp-e values in order to refl...

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Main Authors: Bulent Isık, Z. İsik Solak Gormus, Huseyin Aslan, Abdullah Iclı, Galip Bilen Kurklu, Ozgur Cıftcı, Turhan Togan
Format: Article
Language:English
Published: Selcuk University Press 2017-12-01
Series:Türk Spor ve Egzersiz Dergisi
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Online Access:https://dergipark.org.tr/tr/download/article-file/394010
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author Bulent Isık
Z. İsik Solak Gormus
Huseyin Aslan
Abdullah Iclı
Galip Bilen Kurklu
Ozgur Cıftcı
Turhan Togan
author_facet Bulent Isık
Z. İsik Solak Gormus
Huseyin Aslan
Abdullah Iclı
Galip Bilen Kurklu
Ozgur Cıftcı
Turhan Togan
author_sort Bulent Isık
collection DOAJ
description In athletes, left ventricular hypertrophy is a physiological response upon routine active sports. If the hypertrophic cardiomyopathy is not diagnosed and treated, it can lead to sudden deaths in athletes. Not so much data is known whether or not it is favorable to use of Tp-e values in order to reflect the arrhythmia risks in asymptomatic elite cyclists. The aim of this study is to examine the risks of regular bike sport on potential arrhythmia in healthy active elite cyclists and veterans by using non-invasive cardiac tests. Study groups were: healthy volunteers (group 1, n=28, mean age 35.8±4.6), active cyclists (group 2, n=27, mean age 21±3.0), veteran cyclists (group 3, n=27, mean age 29.5±7.1 yr). All groups were underwent cardiological examinations, 12 derivation ECG records, transthoracic echocardiography investigations. Tp-e interval, Tp-e dispersion, corrected Tp-e interval, QT interval and Tp-e/QT ratio were calculated from ECG records. Tp-e intervals were measured with Tangent method, corrected Tp-e interval were measured with Bazett formula. Mean Tp-e interval results were as follows according to groups 1, 2, 3; 75.0±9.3, 88.1±7.0, 83.2±8.8 ms, respectively. The Tp-e interval, cTp-e interval, Tp- dispersion, QT interval, and SLI values were significantly higher in active cyclists than the veteran cyclists and the control group (p lt;0.05). Both cyclist groups had also significantly higher Tp-e interval, cTp-e interval, QT interval, Tp-e/QT, QRS time and SLI values than the control group (p lt;0.05). Furthermore, there were significant differences in Tp-e interval, cTp-e interval, Tp-e dispersion, QT interval and SLI values between the active and veteran cyclists (p lt;0.05). There were significant differences in Tp-e dispersion between active cyclists and control group or veteran cyclists (p lt; 0.01). Arrythmia related to Tp-e interval, Tp-e dispersion, corrected Tp-e interval and Tp-e/QT ratio are associated with long-term, intense bike sport training either in active cyclists or veterans. This can also be associated with left ventricular hypertrophy in active cyclists and remnant left ventricular hpertrophy in veterans.
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series Türk Spor ve Egzersiz Dergisi
spelling doaj-art-72f912d82d7e479c898b1e2d5349aac82025-01-03T01:24:14ZengSelcuk University PressTürk Spor ve Egzersiz Dergisi2147-56522017-12-0119331332110.15314/tsed.369620154A novel marker to determine arrhytmia risk in elite cyclists: T peak T endBulent Isık0Z. İsik Solak Gormus1Huseyin Aslan2Abdullah Iclı3Galip Bilen Kurklu4Ozgur Cıftcı5Turhan Togan6Departments of Ambulance Service, Provincial Health Directorate, Konya, TurkeyDepartments of Physiology, Meram Medical School, University of Necmettin Erbakan, Konya, TurkeyDepartment of Sports Academy, Selçuk University, Konya, TurkeyDepartments of Cardiology, Meram Medical School, University of Necmettin Erbakan, Konya, TurkeyDepartments of Sports Medicine, Meram Medical School, University of Necmettin Erbakan, Konya, TurkeyDepartments of Cardiology, Private Akademi Hospital, İzmit, TurkeyDepartments of Infectious Diseases, Private Can Hospital, Manisa, TurkeyIn athletes, left ventricular hypertrophy is a physiological response upon routine active sports. If the hypertrophic cardiomyopathy is not diagnosed and treated, it can lead to sudden deaths in athletes. Not so much data is known whether or not it is favorable to use of Tp-e values in order to reflect the arrhythmia risks in asymptomatic elite cyclists. The aim of this study is to examine the risks of regular bike sport on potential arrhythmia in healthy active elite cyclists and veterans by using non-invasive cardiac tests. Study groups were: healthy volunteers (group 1, n=28, mean age 35.8±4.6), active cyclists (group 2, n=27, mean age 21±3.0), veteran cyclists (group 3, n=27, mean age 29.5±7.1 yr). All groups were underwent cardiological examinations, 12 derivation ECG records, transthoracic echocardiography investigations. Tp-e interval, Tp-e dispersion, corrected Tp-e interval, QT interval and Tp-e/QT ratio were calculated from ECG records. Tp-e intervals were measured with Tangent method, corrected Tp-e interval were measured with Bazett formula. Mean Tp-e interval results were as follows according to groups 1, 2, 3; 75.0±9.3, 88.1±7.0, 83.2±8.8 ms, respectively. The Tp-e interval, cTp-e interval, Tp- dispersion, QT interval, and SLI values were significantly higher in active cyclists than the veteran cyclists and the control group (p lt;0.05). Both cyclist groups had also significantly higher Tp-e interval, cTp-e interval, QT interval, Tp-e/QT, QRS time and SLI values than the control group (p lt;0.05). Furthermore, there were significant differences in Tp-e interval, cTp-e interval, Tp-e dispersion, QT interval and SLI values between the active and veteran cyclists (p lt;0.05). There were significant differences in Tp-e dispersion between active cyclists and control group or veteran cyclists (p lt; 0.01). Arrythmia related to Tp-e interval, Tp-e dispersion, corrected Tp-e interval and Tp-e/QT ratio are associated with long-term, intense bike sport training either in active cyclists or veterans. This can also be associated with left ventricular hypertrophy in active cyclists and remnant left ventricular hpertrophy in veterans.https://dergipark.org.tr/tr/download/article-file/394010arrhythmiaelectrocardiographic predictorelite cyclistst peak- t end interval
spellingShingle Bulent Isık
Z. İsik Solak Gormus
Huseyin Aslan
Abdullah Iclı
Galip Bilen Kurklu
Ozgur Cıftcı
Turhan Togan
A novel marker to determine arrhytmia risk in elite cyclists: T peak T end
Türk Spor ve Egzersiz Dergisi
arrhythmia
electrocardiographic predictor
elite cyclists
t peak- t end interval
title A novel marker to determine arrhytmia risk in elite cyclists: T peak T end
title_full A novel marker to determine arrhytmia risk in elite cyclists: T peak T end
title_fullStr A novel marker to determine arrhytmia risk in elite cyclists: T peak T end
title_full_unstemmed A novel marker to determine arrhytmia risk in elite cyclists: T peak T end
title_short A novel marker to determine arrhytmia risk in elite cyclists: T peak T end
title_sort novel marker to determine arrhytmia risk in elite cyclists t peak t end
topic arrhythmia
electrocardiographic predictor
elite cyclists
t peak- t end interval
url https://dergipark.org.tr/tr/download/article-file/394010
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