Document Detail


Atrial automaticity and atrioventricular conduction in athletes: contribution of autonomic regulation.
MedLine Citation:
PMID:  10879458     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
R Stein; R S Moraes; A V Cavalcanti; E L Ferlin; L I Zimerman; J P Ribeiro
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  European journal of applied physiology     Volume:  82     ISSN:  1439-6319     ISO Abbreviation:  Eur. J. Appl. Physiol.     Publication Date:  2000 May 
Date Detail:
Created Date:  2000-10-03     Completed Date:  2000-10-03     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  100954790     Medline TA:  Eur J Appl Physiol     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  155-7     Citation Subset:  IM    
Affiliation:
Cardiology Division, Hospital de Clínicas de Porto Alegre, RS, Brazil.
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MeSH Terms
Descriptor/Qualifier:
Adult
Atrioventricular Node / physiology*
Autonomic Nervous System / physiology*
Electric Stimulation
Electrocardiography
Exercise / physiology
Heart / innervation*,  physiology*
Heart Rate
Humans
Male
Oxygen Consumption
Sinoatrial Node / physiology
Sports*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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