THE INFLUENCE OF EARLY LEFT VENTRICLE REMODELING OVER QTC CHANGES IN HIGHLY TRAINED PREADOLESCENT FOOTBALLERS

Aim. To assess the correlation between left ventricle remodeling induced by physical training with QTc duration in preadolescent professional football players.Material and methods. Ninety-four highly trained male footballers (mean aged 12,85±0,84) competing in the Serbian Football League (at least 7...

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Main Authors: Marija Zdravkovic, Branislav Milovanovic, Mirjana Krotin, Sinisa Dimnkovic, Dragan Lovic, Branka Filipovic, Olivera Markovic, Darko Zdravkovic, Sergej Prijic, Vladimir Vukomanovic, Goran Koracevic, Ivan Soldatovic, Tijana Acimovic, Ivana Dizdarevic, Sanja Mazic
Format: Article
Language:Russian
Published: «FIRMA «SILICEA» LLC 2014-07-01
Series:Российский кардиологический журнал
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Online Access:https://russjcardiol.elpub.ru/jour/article/view/618
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author Marija Zdravkovic
Branislav Milovanovic
Mirjana Krotin
Sinisa Dimnkovic
Dragan Lovic
Branka Filipovic
Olivera Markovic
Darko Zdravkovic
Sergej Prijic
Vladimir Vukomanovic
Goran Koracevic
Ivan Soldatovic
Tijana Acimovic
Ivana Dizdarevic
Sanja Mazic
author_facet Marija Zdravkovic
Branislav Milovanovic
Mirjana Krotin
Sinisa Dimnkovic
Dragan Lovic
Branka Filipovic
Olivera Markovic
Darko Zdravkovic
Sergej Prijic
Vladimir Vukomanovic
Goran Koracevic
Ivan Soldatovic
Tijana Acimovic
Ivana Dizdarevic
Sanja Mazic
author_sort Marija Zdravkovic
collection DOAJ
description Aim. To assess the correlation between left ventricle remodeling induced by physical training with QTc duration in preadolescent professional football players.Material and methods. Ninety-four highly trained male footballers (mean aged 12,85±0,84) competing in the Serbian Football League (at least 7 training hours/ week) and 47 age-matched healthy male controls were enrolled in the study. Main outcome measures: They were screened by ECG and echocardiography at a tertiary referral cardio center. The control group had sedentary life style (less than 2 training hours/week). QTc values and left ventricle dimensions were compared in these two groups.Results. In all participants, normal values of QTc interval were registered. Mean QTc in athletes was significantly higher compared to non-athletes (419,89±13,07 msec vs 399,78±13,27 msec) (p<0,001). QTc interval had strong positive correlation to left atrium dilatation, LV dilatation, LV mass and LV mass index. There was no correlation between QTc interval and LV wall thickness, but there were correlations between QTc interval duration and specific LV mass indexes (LVM/BSA 1,5 and LVM/h 2.7).Conclusion. QTc interval prolongation is present in early stage of athlete’s heart remodeling, hence QTc prolongation could be the early ECG marker of physiological LV remodeling in young preadolescent footballers, without any other standard ECG and echocardiographic signs of early LV hypertrophy. This could be explained by a different pattern of left ventricle remodeling in preadolescent period, where LV wall thickness increase cannot usually be seen and the predominant characteristic is left ventricle dilatation.
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spelling doaj-art-ab255d8d86464cd089d5014ad5729dff2025-08-20T03:21:52Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202014-07-0107-eng232710.15829/1560-4071-2014-7-eng-23-27565THE INFLUENCE OF EARLY LEFT VENTRICLE REMODELING OVER QTC CHANGES IN HIGHLY TRAINED PREADOLESCENT FOOTBALLERSMarija Zdravkovic0Branislav Milovanovic1Mirjana Krotin2Sinisa Dimnkovic3Dragan Lovic4Branka Filipovic5Olivera Markovic6Darko Zdravkovic7Sergej Prijic8Vladimir Vukomanovic9Goran Koracevic10Ivan Soldatovic11Tijana Acimovic12Ivana Dizdarevic13Sanja Mazic14University Hospital Medical Center Bezanijska Kosa, Faculty of Medicine, University of BelgradeUniversity Hospital Medical Center Bezanijska Kosa, Faculty of Medicine, University of BelgradeUniversity Hospital Medical Center Bezanijska Kosa, Faculty of Medicine, University of BelgradeUniversity Hospital Medical Center Bezanijska Kosa, Faculty of Medicine, University of BelgradeClinic for Internal Medicine IntermedicaUniversity Hospital Medical Center Bezanijska Kosa, Faculty of Medicine, University of BelgradeUniversity Hospital Medical Center Bezanijska Kosa, Faculty of Medicine, University of BelgradeUniversity Hospital Medical Center Bezanijska Kosa, Faculty of Medicine, University of BelgradeInstitute for Child and Mother Care “Vukan Cupic”, Dept. of Cardiology, Faculty of Medicine, University of BelgradeInstitute for Child and Mother Care “Vukan Cupic”, Dept. of Cardiology, Faculty of Medicine, University of BelgradeClinic for Cardiology, Faculty of Medicine, University of NisInstitute for Medical Statistics, Faculty of Medicine, University of BelgradeInstitute for Physiology, Faculty of Medicine, University of BelgradeClinical Center of Serbia, Faculty of Medicine, University of BelgradeClinic for Internal Medicine IntermedicaAim. To assess the correlation between left ventricle remodeling induced by physical training with QTc duration in preadolescent professional football players.Material and methods. Ninety-four highly trained male footballers (mean aged 12,85±0,84) competing in the Serbian Football League (at least 7 training hours/ week) and 47 age-matched healthy male controls were enrolled in the study. Main outcome measures: They were screened by ECG and echocardiography at a tertiary referral cardio center. The control group had sedentary life style (less than 2 training hours/week). QTc values and left ventricle dimensions were compared in these two groups.Results. In all participants, normal values of QTc interval were registered. Mean QTc in athletes was significantly higher compared to non-athletes (419,89±13,07 msec vs 399,78±13,27 msec) (p<0,001). QTc interval had strong positive correlation to left atrium dilatation, LV dilatation, LV mass and LV mass index. There was no correlation between QTc interval and LV wall thickness, but there were correlations between QTc interval duration and specific LV mass indexes (LVM/BSA 1,5 and LVM/h 2.7).Conclusion. QTc interval prolongation is present in early stage of athlete’s heart remodeling, hence QTc prolongation could be the early ECG marker of physiological LV remodeling in young preadolescent footballers, without any other standard ECG and echocardiographic signs of early LV hypertrophy. This could be explained by a different pattern of left ventricle remodeling in preadolescent period, where LV wall thickness increase cannot usually be seen and the predominant characteristic is left ventricle dilatation.https://russjcardiol.elpub.ru/jour/article/view/618athletescardiologyechocardiographyelectrocardiographyheartfootballers
spellingShingle Marija Zdravkovic
Branislav Milovanovic
Mirjana Krotin
Sinisa Dimnkovic
Dragan Lovic
Branka Filipovic
Olivera Markovic
Darko Zdravkovic
Sergej Prijic
Vladimir Vukomanovic
Goran Koracevic
Ivan Soldatovic
Tijana Acimovic
Ivana Dizdarevic
Sanja Mazic
THE INFLUENCE OF EARLY LEFT VENTRICLE REMODELING OVER QTC CHANGES IN HIGHLY TRAINED PREADOLESCENT FOOTBALLERS
Российский кардиологический журнал
athletes
cardiology
echocardiography
electrocardiography
heart
footballers
title THE INFLUENCE OF EARLY LEFT VENTRICLE REMODELING OVER QTC CHANGES IN HIGHLY TRAINED PREADOLESCENT FOOTBALLERS
title_full THE INFLUENCE OF EARLY LEFT VENTRICLE REMODELING OVER QTC CHANGES IN HIGHLY TRAINED PREADOLESCENT FOOTBALLERS
title_fullStr THE INFLUENCE OF EARLY LEFT VENTRICLE REMODELING OVER QTC CHANGES IN HIGHLY TRAINED PREADOLESCENT FOOTBALLERS
title_full_unstemmed THE INFLUENCE OF EARLY LEFT VENTRICLE REMODELING OVER QTC CHANGES IN HIGHLY TRAINED PREADOLESCENT FOOTBALLERS
title_short THE INFLUENCE OF EARLY LEFT VENTRICLE REMODELING OVER QTC CHANGES IN HIGHLY TRAINED PREADOLESCENT FOOTBALLERS
title_sort influence of early left ventricle remodeling over qtc changes in highly trained preadolescent footballers
topic athletes
cardiology
echocardiography
electrocardiography
heart
footballers
url https://russjcardiol.elpub.ru/jour/article/view/618
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