Electrocardiographic diagnostics of cardiovascular pathology in athletes of youth sports schools
https://doi.org/10.17238/ISSN2223-2524.2019.2.23
Abstract
Objective: to evaluate the data of cardiac screening to identify cardiac pathology and determine sports participation among in athletes of Youth Sports Schools in five districts of St. Petersburg. Materials and methods: 9847 young athletes (average age 13.8 ± 4.9 years, 6127 men) were included in the study during 8 months. Clinical protocol uncluded the collection of complaints, anamnesis, family anamnesis, physical examination, ECG in 12 leads. If necessary, Holter monitoring, echocardiography, and an exercise test were performed. Results: typical ECG changes were registered in 60.4% of athletes, borderline in 0.05% and pathological in 3.69%. All athletes with pathological changes were excluded from the training and competitive process for the period of in-depth medical examination. In the end, two athletes were not allowed to continue participation in sport (2 with stressful ventricular arrhythmias). There was not any lethal outcomes for the entire period of the study. Conclusions: cardiological screening using the routine ECG method remains the main tool for identifying a possible pathological substrate and assessing the risk of sudden cardiac death. Early detection of cardiac arrhythmias and conduction disturbances allow to take measures to prevent sudden cardiac death.
About the Authors
D. Yu. Alekseeva
St. Petersburg Center of Sports Medicine; Almazov National Medical Research Center
Russian Federation
Russian Federation
Darya Yu. Alekseeva, M.D., Cardiologist of the Department of Treatment and Counseling, Scientist of the Department of Electrocardiology
Saint Petersburg
E. S. Vasichkina
Almazov National Medical Research Center
Russian Federation
Russian Federation
Elena S. Vasichkina, M.D., D.Sc. (Medicine), Chief Researcher of the Department of Cardiovascular Diseases in Children, Head of the Department of Children's Diseases
Saint Petersburg
I. Yu. Ivanova
St. Petersburg Center of Sports Medicine
Russian Federation
Russian Federation
Irina Yu. Ivanova, M.D., Functional Diagnostician of the Department of Treatment and Counseling
Saint Petersburg
K. N. Malikov
St. Petersburg Center of Sports Medicine; Almazov National Medical Research Center
Russian Federation
Russian Federation
Kirill N. Malikov, M.D., Ultrasonic Medical Investigation Specialist of the Department of Treatment and Counseling, Ultrasonic Medical Investigation Specialist of the Department of Functional Diagnostic with Ultrasonic Investigation Methods
Saint Petersburg
I. A. Zemskov
St. Petersburg Center of Sports Medicine
Russian Federation
Russian Federation
Ivan A. Zemskov, M.D., Head of the Department of Treatment and Counseling
Saint Petersburg
V. V. Grigoryev
St. Petersburg Center of Sports Medicine
Russian Federation
Russian Federation
Vladimir V. Grigoryev, M.D., Head Physician
Saint Petersburg
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Review
For citations:
Alekseeva D.Yu., Vasichkina E.S., Ivanova I.Yu., Malikov K.N., Zemskov I.A., Grigoryev V.V. Electrocardiographic diagnostics of cardiovascular pathology in athletes of youth sports schools. Sports medicine: research and practice. 2019;9(2):23-29. (In Russ.) https://doi.org/10.17238/ISSN2223-2524.2019.2.23
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