Electric Field of the Heart on the Thorax Surface in Highly Trained Athletes during Initial Ventricular Activity

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The article is focused on the study of the electrical remodeling of the “sports heart” using multichannel ECG mapping to make a more detailed and informative analysis of the excitation of the myocardium remodeled by sport activity. The study of the heart electrical activity was carried out from 64 unipolar electrodes on the thorax surface synchronously with standard limb leads in highly trained cross-country skiers (n = 15) and young non-trained men (n = 19) at rest. The amplitude-temporal and spatiotemporal characteristics of the electric field of the heart were measured. By the typical distribution of areas of the negative and positive cardiac potentials the durations of depolarization and its individual phases were estimated. ECGII was used to determine the duration of the R-R, PQ (PR), QRS, QT, QTc intervals; in the unipolar lead V5 the R-wave peak time (RWPTV5) was measured. In athletes, the duration of PQII, QTII, QTcII, RWPTV5 intervals were statistically significantly longer than in non-trained men. Analysis of the electrical field of the heart showed a difference in the ratio of the phases of ventricular depolarization in athletes and non-trained individuals at rest. The onset of ventricular depolarization and the first inversion of cardiac potential in athletes were significantly earlier than in non-trained people, while the completion and total duration of the period of ventricular depolarization did not differ. In skiers, the duration of the first inversion was significantly longer than in non-trained individuals; a tendency to shortening of the second period of stable location of potentials on the thorax surface was also shown. The use of surface ECG mapping made it possible to reveal differences in the spatiotemporal organization of heart ventricular depolarization between cross-country skiers and non-trained men at rest. The results of the study may be useful in the analysis of the electrical remodeling of the heart in athletes training the physical quality of endurance.

Sobre autores

N. Ivonina

Komi Science Centre of the Ural Branch of the Russian Academy of Sciences

Autor responsável pela correspondência
Email: bdr13@mail.ru
Russia, Komi Republic, Syktyvkar

I. Roshchevskaya

Komi Science Centre of the Ural Branch of the Russian Academy of Sciences

Email: bdr13@mail.ru
Russia, Komi Republic, Syktyvkar

Bibliografia

  1. Augustine DX, Howard L (2018) Left ventricular hypertrophy in athletes: differentiating physiology from pathology. Curr Treat Options Cardiovasc Med 20(12): 96. https://doi.org/10.1007/s11936-018-0691-230367318
  2. Palmisano A, Darvizeh F, Cundari G, Rovere G, Ferrandino G, Nicoletti V, Cilia F, De Vizio S, Palumbo R, Esposito A, Francone M (2021) Advanced cardiac imaging in athlete’s heart: unravelling the grey zone between physiologic adaptation and pathology. Radiol Med 126(12): 1518–1531. https://doi.org/10.1007/s11547-021-01411-2
  3. Minina EN, Stepura EE (2022) Aspects of myocardial heterogeneity in assessment its remodelling. RUDN J Med 26(4): 451–460. https://doi.org/10.22363/2313-0245-2022-26-4-451-460
  4. Vakhnenko YV, Dorovskikh IE, Gordienko EN, Chernykh MA (2020) Some topical aspects of the problem of “sports heart” (review). Part I. Bull Physiol Pathol Respirat (78): 147–160. https://doi.org/10.36604/1998-5029-2020-78-147-160
  5. Eijsvogels TM, Fernandez AB, Thompson PD (2016) Are There Deleterious Cardiac Effects of Acute and Chronic Endurance Exercise? Physiol Rev 96(1): 99–125.https://doi.org/10.1152/physrev.00029.201426607287
  6. Задворьев СФ, Крысюк ОБ, Обрезан АГ (2017) Показатели перегрузки сердца и его ремоделирования у представителей различных видов спорта. Спорт мед: наука и практика 7(2): 12–18. [Zadvor’ev SF, Krysjuk OB, Obrezan AG (2017) Markers of cardiac overload and its remodeling in athletes representing different sports. Sport Мed: nauka i praktika 7(2): 12–18. (In Russ)]. https://doi.org/10.17238/ISSN2223-2524.2017.2.12
  7. Garganeeva NP, Taminova IF, Kalyuzhin VV, Kalyuzhina E, Smirnova IN (2021) Predictive factors of cardiovascular changes depending on the type and intensity of physical activity in professional athletes. Rus J Cardiol 26(10): 4647. https://doi.org/10.15829/1560-4071-2021-4647
  8. Drezner JA, Sharma S, Baggish A, Papadakis M, Wilson MG, Prutkin JM, Gerche A, Ackerman MJ, Borjesson M, Salerno JC, Asif IM, Owens DS, Chung EH, Emery MS, Froelicher VF, Heidbuchel H, Adamuz C, Asplund CA, Cohen G, Harmon KG, Marek JC, Molossi S, Niebauer J, Pelto HF, Perez MV, Riding NR, Saarel T, Schmied CM, Shipon DM, Stein R, Vetter VL, Pelliccia A, Corrado D (2017) International criteria for electrocardiographic interpretation in athletes: consensus statemen. Br J Sports Med 51(9): 704–731.
  9. Basu J, Malhotra A (2018) Interpreting the Athlete’s ECG: Current State and Future Perspectives. Curr Treat Options Cardiovasc Med 20(12): 104. https://doi.org/10.1007/s11936-018-0693-0
  10. Maron BJ, Zipes DP (2005) 36th Bethesda Conference: eligibility recommendations for competitive athletes with cardiovascular abnormalities. J Am Coll Cardiol 45: 1312–1375.
  11. Drezner JA, Ackerman MJ, Anderson J, Ashley E, Asplund CA, Baggish AL, Börjesson M, Cannon BC, Corrado D, DiFiori JP, Fischbach P, Froelicher V, Harmon KG, Heidbuchel H, Marek J, Owens DS, Paul S, Pelliccia A, Prutkin JM, Salerno JC, Wilson MG (2013) Electrocardiographic interpretation in athletes: the “Seattle criteria”. Br J Sports Med 47(3): 122–124. https://doi.org/10.1136/bjsports-2012-092067
  12. Van der Wall EE (2015) ECG screening in athletes: optional or mandatory? Neth Heart J 23(7–8): 353–355. https://doi.org/10.1007/s12471-015-0724-3
  13. Горбенко АВ, Скирденко ЮП, Николаев НА, Замахина ОВ, Шерстюк СА, Ершов АВ (2020) Спортивное сердце: норма или патология. Патология кровообращ и кардиохирургия 24(2): 16–25 [Gorbenko AV, Skirdenko JuP, Nikolaev NA, Zamahina OV, Sherstjuk SA, Ershov AV (2020) Sports heart: norm or pathology. Circulat pathol and cardiac surgery 24(2): 16–25. (In Russ)]. https://doi.org/10.21688/1681-3472-2020-2-16-25
  14. Calore C, Melacini P, Pelliccia A, Cianfrocca C, Schiavon M, Di Paolo FM, Bovolato F, Quattrini FM, Basso C, Thiene G, Iliceto S, Corrado D (2013) Prevalence and clinical meaning of isolated increase of QRS voltages in hypertrophic cardiomyopathy versus athlete’s heart: relevance to athletic screening. Int J Cardiol 168(4): 4494–4497. https://doi.org/10.1016/j.ijcard.2013.06.123
  15. Рощевская ИМ (2008) Кардиоэлектрическое поле теплокровных животных и человека. СПб. Наука. [Roshhevskaya IM (2008) Cardioelectric field of warm-blooded animals and humans. SPb. Nauka. (In Russ)].
  16. Bond RR, Finlay DD, Nugent CD, Moore G, Guldenring D (2013) Methods for presenting and visualising electrocardiographic data: From temporal signals to spatial imaging. J Electrocardiol 46(3): 182–196. https://doi.org/10.1016/j.jelectrocard.2013.01.008
  17. Bergquist J, Rupp L, Zenger B, Brundage J, Busatto A, MacLeod RS (2021) Body surface potential mapping: contemporary applications and future perspectives. Hearts 2(4): 514–542. https://doi.org/10.3390/hearts2040040
  18. Medvegy M, Duray G, Pintér A, Préda I (2002) Body surface potential mapping: historical background, present possibilities, diagnostic challenges. Ann Noninvas Electrocardiol 7(2): 139–151.
  19. Opthof T, Remme CA, Jorge E, Noriega F, Wiegerinck RF, Tasiam A, Beekman L, Alvarez-Garcia J, Munoz-Guijosa C, Coronel R, Cinca J (2016) Cardiac activation-repolarization patterns and ion channel expression mapping in intact isolated normal human hearts. Heart Rhythm 14(2): 265–272. https://doi.org/10.1016/j.hrthm.10.010
  20. Strelnikova SV, Panteleeva NI, Roshchevskaia IM (2014) Spatiotemporal characteristics, of the heart electrical field at the period of ventricular depolarization in athletes training endurance and strength. Human Physiol 40(5): 87–92.
  21. Panteleeva NI, Zamenina EV, Roshchevskaya IM, Kaneva IN (2019) The heart electrical activity during ventricular repolarization and types of the remodeling of the athlete’s heart. Int J Biomed 9 (4): 297–299. https://doi.org/10.21103/Article9(4)_OA4
  22. Ivonina NI, Fokin AA, Roshchevskaya IM (2021) Body surface potential mapping during heart ventricular repolarization in male swimmers and untrained persons under hypoxic and hypercapnic hypoxia. High Alt Med Biol 22(3): 308–316. https://doi.org/10.1089/ham.2020.0103
  23. Suslonova OV, Smirnova SL, Roshchevskaya IM (2016) Cardiac body surface potentials in rats with experimental pulmonary hypertension during ventricular depolarization. Bull Exp Biol Med 162(1): 7–10. https://doi.org/10.1007/s10517-016-3531-y
  24. Ivonin AG, Smirnova SL, Roshchevskaya IM (2022) Body surface potential mapping during ventricular depolarization in rats after acute exhaustive exercise. Arquiv Brasil Cardiol 119(5): 766–775. https://doi.org/10.36660/abc.20211058
  25. Lang RM, Bierig M, Devereux RB, Flachskampf FA, Foster E, Pellikka PA, Picard MH, Roman MJ, Seward J, Shanewise J, Solomon S, Spencer KT, St John Sutton M, Stewart W; American Society of Echocardiography’s Nomenclature and Standards Committee; Task Force on Chamber Quantification; American College of Cardiology Echocardiography Committee; American Heart Association; European Association of Echocardiography, European Society of Cardiology (2006) Recommendations for chamber quantification. Eur J Echocardiogr 7(2): 79–108. https://doi.org/10.1016/j.euje.2005.12.014
  26. Sugenoya J (1978) Interpretation of the body surface isopotential maps of patients with right bundle branch block. Determination of the region of the delayed activation within the right ventricle. Jpn Heart J 19(1): 12–27. https://doi.org/10.1536/ihj.19.12
  27. Laszki-Szczachor K, Jagielski J, Rusiecki L, Sobieszczańska M, Janocha A (2006) Changes of ventricular activation time in patients with left anterior fascicle block and bifascicul ar block. Pol Arch Med Wewn 116(6): 1162–1171.
  28. Ramanathan C, Jia P, Ghanem R, Ryu K, Rudy Y (2006) Activation and repolarization of the normal human heart under complete physiological conditions. Proc Natl Acad Sci U S A 103(16): 6309–6314. https://doi.org/10.1073/pnas.0601533103
  29. Taccardi B, Punske BB, Lux RL, MacLeod RS, Ershler PR, Dustman TJ, Vyhmeister Y (1998) Useful lessons from body surface mapping. J Cardiovasc Electrophysiol 9(7): 773–786.
  30. De Ambroggi L, Corlan A. Body Surface Potential Mapping. In: Macfarlane P, van Oosterom A, Pahlm O, Kligfield P, Janse M, Camm J (eds) (2011) Comprehensive Electrocardiology. London. Springer Verlag London Limited.
  31. Талибов АХ, Фадейкин МА, Дмитриева ЕС (2015) Критерии оценки эхокардиографических показателей у спортсменов. Учен записки унив Лесгафта 3(121): 142–146. [Talibov AH, Fadejkin MA, Dmitrieva ES (2015) Criteria for evaluating echocardiographic parameters in athletes. Uchen zapiski univ Lesgafta. (In Russ)].
  32. Павлов ВИ, Орджоникидзе ЗГ, Резепов АС (2019) Регистрация электрокардиограммы спортсмена – практические аспекты. Практ мед 17(2): 71–73. [Pavlov VI, Ordzhonikidze ZG, Rezepov AS (2019) Registration of an athlete’s electrocardiogram – practical aspects. Prakt Med 17(2): 71–73. (In Russ)].
  33. Takala P, Hänninen H, Montone J, Mäkijärvi M, Nenonen J, Oikarinen L, Simeliu K, Toivonen L, Katil T (2001) Magnetocardiographic and electrocardiographic exercise mapping in healthy subjects. Ann Biomed Eng 29: 501–509. https://doi.org/10.1114/1.1376388
  34. Macfarlane P, Lawrie T (2011) The normal electrocardiogram and vectorcardiogram. In: Macfarlane P, van Oosterom A, Pahlm O, Kligfield P, Janse M, Camm J (eds) Comprehensive Electrocardiology. London. Springer Verlag London Limited.
  35. Pérez-Riera AR, de Abreu LC, Barbosa-Barros R, Nikus KC, Baranchuk A (2016) R–peak time: An electrocardiographic parameter with multiple clinical applications. Ann Noninvasiv Electrocardiol 21(1): 10–19. https://doi.org/10.1111/anec.12323

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