Carmona PR, Ramos MR, Rabassa López-Calleja MA, Monzón LJ, Pérez GL, Castro TY, Chávez GE

Language: Spanish
References: 16
Page: 155-160
PDF size: 334.69 Kb.

ABSTRACT

Introduction y Objetive: P wave dispersion and its maximum duration have been linked with increased risk for developing atrial fibrillation. These variables have been little studied in elite athletes. Our objective was to characterize the P wave dispersion and its maximum duration in high performance soccer players, and correlate them with other variables.
Method: Cross-sectional study conducted at the end of the preparation period (December 2010), prior to the national championship. 24 athletes of the provincial soccer team of Villa Clara, Cuba were studied. Electrocardiographic variables were measured with manual digital caliper.
Results: Mean age of athletes was 24.04 ± 4.72 years and the average sport practice time was 13.38 years. The athletes studied showed higher values of maximum P wave duration (111.57 ms vs. 96.0 ms, P ‹ 0.001) and P wave dispersion (49.26 ms vs. 38.0 ms, P = 0.006). There was a positive and significant correlation between the disper-sion of such wave and sport practice time (r = 0.52, p = 0.009).
Conclusions: P wave dispersion and its maximum duration are increased in the soccer players studied, so there is a positive linear correlation between the former and sport practice time.

REFERENCES

1. Mont L, Sambola A, Brugada J, Vacca M, Marrrugat J, Elosua R, et al. Long-lasting sports practice and lone atrial fibrillation. Eur Heart J. 2002;23(6):477-482.

2. Dilaveris P, Stefanadis C. P wave dispersion: A valuable non-invasive marker of vulnerability to atrial fibrillation. Proceedings of the 2nd ISHNE

3. Atrial Fibrillation Worldwide Internet Symposium; 2007 April 1-30. London: St. Jude Medical; 2007. Disponible en: http://af-symposium.grupoakros.com.ar/2007/lectures/ing_dilaveris_polychronis.pdf

4. Dilaveris PE, Gialafos EJ, Sideris SK, Theopistou AM, Andrikopoulos GK, Kyriakidis M, et al. Simple elec-trocardiographic markers for the prediction of pa-roxysmal idiopathic atrial fibrillation. Am Heart J. 1998;135(5 Pt 1):733-8.

5. Puerta RC, Aliz EL, Lopez-Calleja MA, Ramirez RR, Peńa GP. Increased P wave dispersion in elite athletes. Indian Pacing Electrophysiol J. 2011;11(3): 73-80.

6. Gialafos EJ, Dilaveris PE, Synetos AG, Tsolakidis GF, Papaioannou TG, Andrikopoulos GK, et al. P-wave analysis indices in young healthy men: data from the digital electrocardiographic study in Hellenic Air Force Servicemen (DEHAS). Pacing Clin Electrophy-siol. 2003;26(1 Pt 2):367-72.

7. Abdulla J, Nielsen JR. Is the risk of atrial fibrillation higher in athletes than in the general population? A systematic review and metaanalysis. Europace. 2009;11(9):1156-9.

8. Elosua R, Arquer A, Mont Ll, Sambola A, Molina L, García-Morán E, et al. Sport practice and the risk of lone atrial fibrillation: a case control study. Int J Cardiol. 2006;108(3):332-7.

9. Sorokin AV, Araujo CG, Zweibel S, Thompson PD. Atrial fibrillation in endurance trained athletes. Br J Sports Med. 2011;45(3):185-8.

10. Bjornstad HH, Bjornstad TH, Urheim S, Hoff PI, Smith G, Maron BJ. Long-term assessment of elec-trocardiographic and echocardiographic findings in Norwegian elite endurance athletes. Cardiology. 2009;112 (3):234-41.

11. 10.Köse S, Aytemir K, Sade E, Can I, Özer N, Amasyali B, et al. Detection of patients with hypertrophic cardiomyopathyat risk for paroxysmal atrial fibrilla-tion during sinus rhythm by P-wave dispersion. Clin Cardiol. 2006;26(9):431- 4.

12. 11.Karakaya O, Saglam M, Barutcu I, Esen AM, Ocak Y, Melek M, et al. Comparison of the predictors for atrial rhythm disturbances between trained athletes and control subjects. Tohoku J Exp Med. 2005;207(2):165-70.

13. 12.Metin G, Yildiz M, Bayraktar B, Yusecir I, Kasap H, Cakar L. Assessement of the P wave dispersion and durations in elite women basketball players. Indian Pacing Electrophysiol J. 2010;10(1):11-20.

14. 13.Yildiz M, Aygin D, Pazarli P, Sayan A, Semiz O, Kahyaoglu O, et al. Assessment of resting electro-cardiogram, P wave dispersion and duration in different genders applying for registration to the school of physical education and sports - results of a single centre Turkish Trial with 2093 healthy subjects. Cardiol Young. 2011;21(5):545-50.

15. 14.Ozdemir O, Soylu M, Demir AD, Topaloğlu S, Alyan O, Geyik B, et al. P-wave durations in patients experiencing atrial fibrillation during exercise tes-ting. Angiology. 2007;58(1):97-101.

16. 15.Yigit Z, Akdur H, Ersanli M, Okcun B, Guven O. The effect of exercise to P wave dispersion and its evaluation as a predictor of atrial fibrillation. Ann Noninvasive Electrocardiol. 2003;8(4):308-12.