Acasă | PHYSIOLOGICAL AND PATHOLOGICAL ASPECTS OF INVERTED T-WAVES IN HIGH-PERFORMANCE ATHLETES
PHYSIOLOGICAL AND PATHOLOGICAL ASPECTS OF INVERTED T-WAVES IN HIGH-PERFORMANCE ATHLETES

PHYSIOLOGICAL AND PATHOLOGICAL ASPECTS OF INVERTED T-WAVES IN HIGH-PERFORMANCE ATHLETES Diana PRODAN, Gheorghe STEFANET

         ”Atletmed„ National Centre of Sports Medicine, Republic of Moldova

Introduction. Assessment and monitoring of the state of health of those people, who are engaged in regular physical activities, is of maximum importance for keeping and promoting safe sports activities, with optimal functioning of the organism. A clinical sign is the disorder of the repolarisation processes, which are recorded in the electrocardiogram in the form of inverted T-waves. Hence, the goal of our study was the early diagnosis of clinical aspects of overloading of the cardiovascular system, of premorbid states and of certain heart pathologies in athletes.

Material and methods. Aiming to implement the goal and objectives of research, there was carried on a transversal, descriptive and narrative study. The functional test of the heart system was realised as based on the electrocardiogram (device – Mindray BeneHeart R12), with load, this including three electrocardiograms: one was made in the course of rest (in the lying position), one was made after loads (controlled or uncontrolled loads), and one was made in the third minute of recovery (in the lying position).

Results. As of the total number of 3,966 athletes, who were examined in 2021, 11 athletes presented deviations of the electrocardiogram, in the form of inverted T-waves; 8 athletes of those mentioned above had the symptoms of transitory nature, and 3 people had the symptoms of permanent nature. There was stated that 6 of 11 people were primarily identified with inverted T-waves in the electrocardiogram. They were recorded, on a medical basis, a National Centre of Sports Medicine from the age of 5 till the age of 12, in average, upon 6.2±3.67 years of monitoring. The objective medical examination pointed out that 9 of those 11 people had no abnormalities, 1 person had the thoracic kyphosis of the 1st degree, and 1 person had the excess weight (IMC = 26.9).

Conclusions. The knowledge of peculiarities of electrocardiogram interpretation in athletes, in compliance with the international criteria, may reduce the ungrounded exclusion of athletes from sports activities and, at the same time, may allow to identify, in due time, certain subclinical heart pathologies. However, overloading of the cardiovascular system, which was not diagnosticated and treated in due time, may entail irreversible structural disorders, which have a negative impact on athletes’ life and health.