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Atrial automaticity and atrioventricular conduction in athletes: contribution of autonomic regulation.
Stein, R; Moraes, R S; Cavalcanti, A V; Ferlin, E L; Zimerman, L I; Ribeiro, J P.
Afiliação
  • Stein R; Cardiology Division, Hospital de Clínicas de Porto Alegre, RS, Brazil.
Eur J Appl Physiol ; 82(1-2): 155-7, 2000 May.
Article em En | MEDLINE | ID: mdl-10879458
Little is known about the sinoatrial automatism and atrioventricular conduction of trained individuals who present a normal resting electrocardiogram. We used transesophageal atrial stimulation, a minimally invasive technique, to evaluate aerobically trained athletes (n = 10) and sedentary individuals (n = 10) with normal resting electrocardiograms, to test the hypothesis that parasympathetic tone, as detected by heart rate variability, could be associated with changes in sinoatrial automatism and atrioventricular conduction. Corrected sinus node recovery time tended to be longer in athletes than in sedentary individuals, but this difference did not reach statistical significance. The Wenckebach point occurred at a lower rate in athletes than in the controls. Over a 24-h period of measurement, the mean RR interval was longer in the athletes than in the sedentary individuals. The mean square root of successive differences (rMSSD) tended to be higher in athletes than in controls, but this difference did not reach statistical significance. There was a moderate correlation (r = 0.48, P < 0.05) between the index of atrioventricular conduction, the rate at the Wenckebach point, and the logarithmically transformed rMSSD. Thus, as a corollary to its effects on the sinus node, where increased parasympathetic tone, decreased sympathetic tone, and non-autonomic components may contribute to sinus bradycardia, it is possible that athletic training may also induce intrinsic adaptations in the conduction system, which could contribute to the higher prevalence of atrioventricular conduction abnormalities observed in athletes.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Nó Atrioventricular / Sistema Nervoso Autônomo / Esportes / Coração Tipo de estudo: Risk_factors_studies Limite: Adult / Humans / Male Idioma: En Revista: Eur J Appl Physiol Assunto da revista: FISIOLOGIA Ano de publicação: 2000 Tipo de documento: Article País de afiliação: Brasil País de publicação: Alemanha
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Nó Atrioventricular / Sistema Nervoso Autônomo / Esportes / Coração Tipo de estudo: Risk_factors_studies Limite: Adult / Humans / Male Idioma: En Revista: Eur J Appl Physiol Assunto da revista: FISIOLOGIA Ano de publicação: 2000 Tipo de documento: Article País de afiliação: Brasil País de publicação: Alemanha