| About the author: |
Y. O. Ataman, I. A. Brizhata, V. S. Lychko, T. M. Oleshko, L. V. Pryimenko, N. Y. Volnushkina |
| Heading |
CLINICAL MEDICINE |
| Type of article |
Scentific article |
| Annotation |
It was found that athletes with prehypertension have a higher parameter of left ventricular hypertrophy Romhilt-Estes index, according to other parameters (Sokolov-Lyon index, Cornell voltage index, Gubner index, Perugia index, prevalence of arrhythmias and early ventricular repolarization syndrome) no differences were found. Echocardiogram analysis revealed a significant increase of the left ventricular myocardium mass index: 103.73±18.93 g/m2 for prehypertensive athletes and 86.70±20.55 g/m2 for the persons with normal optimal blood pressure; р=0.012), Tei index did not differ strongly between both groups. We also found a moderate positive correlation between pulse blood pressure and Romhilt-Estes index, r = 0.745, p <0.001. The higher prevalence of dysautonomic symptoms in athletes with prehypertension and higher exercise intensity, may indicate that increased blood pressure and electrical remodeling of the myocardium in this group are manifestations of maladaptation disorders, which develops on the background of chronic nonfunctional overreaching and overtraining. |
| Tags |
myocardial remodeling,electrocardiography,blood pressure,professional athletes,prehypertension |
| Bibliography |
- Аtaman Y, Brizhata І, Korzh V, Pryimenko L, Volnushkina N. Zviazok danykh sportyvnoho anamnezu profesiinykh lehkoatletiv zi stiikoiu prehipertenziieiu v pidhotovchomu periodi richnoho makrotsyklu. Ukrainskyi zhurnal medytsyny, biolohii ta sportu. 2020; 5(27):371–376. [in Ukrainian]
- Maliar EI. Zahalna teoriia pidhotovky sportsmeniv. Ternopil: TNEU; 2019. 36–37 s. [in Ukrainian]
- Platonov VМ. Peretrenovanist u sporti. Nauka v Olimpiyskomu sporti. 2015; 1:19–34. [in Ukrainian]
- Beck D, Casey D, Martin J, Emerson B, and Braith R. Exercise training improves endothelial function in young prehypertensives. Exp Biol Med (Maywood). 2013 Apr; 238(4):433–41.
- Carbone A, D'Andrea A, Riegler L, Scarafile R, Pezzullo E, Martone F, et al. Cardiac damage in athlete's heart: When the “supernormal” heart fails! World J Cardiol. 2017 Jun 26; 9(6):470–480.
- Faselis C, Doumas M, Kokkinos J, Panagiotakos D, Kheirbek R, Sheriff H, et al. Exercise Capacity and Progression From Prehypertension to Hypertension // Hypertension. 2012 Aug; 60(2):333–8.
- Kreher JB. Diagnosis and prevention of overtraining syndrome: an opinion on education strategies. Open Access J Sports Med. 2016; 7:115–122.
- Merck manual. Romhilt-Estes Criteria for Left Ventricular Hypertrophy [Internet]. Available from: https://www.merckmanuals.com/medical-calculators/RomhiltEstes.htm .
- Pewsner D, Egger P, Battaglia M, Sundstrom J, Bachmann L. Accuracy of electrocardiography in diagnosis of left ventricular hypertrophy in arterial hypertension: systematic review. BMJ. 2007; 335(7622):711.
- Shaposhnyk OA, Prykhodko NP, Savchenko LV, Shevchenko TI, Sorokina SI, Yakymyshyna LI, Kudria IP. Clinical and diagnostic aspects of managing patients with valvular heart disease. World of medicine and biology. 2022; 2(80):178–183.
- Sharma S., Merghani A., Mont L. Exercise and the heart: the good, the bad, and the ugly. Eur Heart J. 2015 Jun 14; 36(23):1445–53.
- Williams B, Mancia G, Spiering W, Rosei E, Azizi M, Burnier M. et al. 2018 ESC/ESH Guidelines for the management of arterial hypertension: The Task Force for the management of arterial hypertension of the European Society of Cardiology (ESC) and the European Society of Hypertension (ESH). Eur Heart Journ. 2018; 39(33):3021–3104.
- World health organization: regional office for Europe. Physical activity strategy for the WHO European Region 2016–2025 [Internet]; 2016. Available from:https://www.euro.who.int/__data/assets/pdf_file /0010/282961/65wd09e_ PhysicalActivityStrategy_150474.pdf.
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| Publication of the article |
«World of Medicine and Biology» №1(87), 2024 year, 021-024 pages, index UDK 616.12-007.61:616.127 |
| DOI |
10.26724/2079-8334-2024-1-87-21-24 |
