The algorithm of examination athletes with prolongation QT interval in ECG
https://doi.org/10.47529/2223-2524.2026.1.3
Abstract
The aim of the study: to developed the algorithm for the examination of the young athletes with prolongation of the QT interval on a standard ECG.
Materials and methods: based on the analysis of literature and our own experience, an algorithm for examining athletes with a prolongation of the QT interval on an ECG has been developed.
Results. The algorithm of examination includes sequential examination and sport admission of the athletes with prolongation of QT interval (QTc on an ECG more than 460 ms) in order to differentiate diagnosis of its prolongation.
Conclusion. The proposed algorithm for examining athletes with QT prolongation on an ECG can be used for the differential diagnosis of long QT syndrome and secondary prolongation caused by overtraining. Its use will optimize the cost of the examination and avoid unjustified expensive examinations in athletes with secondary or stress-induced prolongation of the QT interval.
Supporting agencies: The scientific research was carried out on the basis of fulfillment of the State task: “Development of a personalized approach in the management of young athletes of sports teams of the Russian Federation”(code “Children in sports -25/27”). Registration number. No. 125050605765-8.
About the Authors
V. N. Komoliatova
Federal Scientific and Clinical Center for Children and Adolescents; Russian Medical Academy of Continuing Professional Education
Russian Federation
Russian Federation
Vera N. Komoliatova, Dr. Sci. (Med.), physician, Center for Syncope and Cardiac Arrhythmias; Professor of Department of Pediatrics
20 Moskvorechye str., Moscow, 115409;
2/1 bldg. 1 Barrikadnaya str., Moscow, 125993
L. M. Makarov
Federal Scientific and Clinical Center for Children and Adolescents; Russian Medical Academy of Continuing Professional Education
Russian Federation
Russian Federation
Leonid M. Makarov, Dr. Sci. (Med.), Head of Center for Syncope and Cardiac Arrhythmias; Professor of Department of Pediatrics
20 Moskvorechye str., Moscow, 115409;
2/1 bldg. 1 Barrikadnaya str., Moscow, 125993
A. G. Akopyan
Federal Scientific and Clinical Center for Children and Adolescents; Institution of State Research Center of Russian Federation – FMBC after A.I. Burnazyan of FMBA of Russia
Russian Federation
Russian Federation
Anush G. Akopyan, physician, Center for Syncope and Cardiac Arrhythmias
20 Moskvorechye str., Moscow, 115409;
46 bldg. 8, Zhivopisnaya str., Moscow, 123098
D. A. Basportochnii
Federal Scientific and Clinical Center for Children and Adolescents
Russian Federation
Russian Federation
Dmitriy A. Besportochnii, doctor, Center for Syncope and Cardiac Arrhythmias
20 Moskvorechye str., Moscow, 115409
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Review
For citations:
Komoliatova V.N., Makarov L.M., Akopyan A.G., Basportochnii D.A. The algorithm of examination athletes with prolongation QT interval in ECG. Sports medicine: research and practice. 2026;16(1):5-11. (In Russ.) https://doi.org/10.47529/2223-2524.2026.1.3
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