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Advances in Gerontology

, Volume 9, Issue 1, pp 91–97 | Cite as

Effect of Personal History of Athletic Activity on the Clinical Course of Cardiovascular Diseases in Former Athletes

  • S. F. ZadvorevEmail author
  • O. B. KrysiukEmail author
  • A. G. ObrezanEmail author
  • A. A. Yakovlev
Article

Abstract

This paper analyzes the prevalence and specifics of cardiac arrhythmias and conduction disorders in former athletes with diagnosed cardiovascular diseases as compared to the cohort of nonathletic cardiological patients with a comparable demographic profile and prevalence of hypertension and atherosclerosis. It is shown that the group of former athletes had a higher prevalence of hemodynamically significant pauses of asystole (RR 2.94, p = 0.044) and SA nodal blocks (RR 5.51, p = 0.02), and they required permanent pacemaker implantation more frequently (RR 5.14, p = 0.017). A higher level of athletic performance and experience in sports are associated with higher risk of atrial fibrillation, and a longer career in sports is associated with intracardiac conduction disorders and dilated atria. The frequency of eccentric hypertrophy increased with longer athletic experience and was inversely linked with the period of deconditioning. The changes were most pronounced in elite athletes, mandating the screening of arrhythmias and conduction disturbances in this subpopulation.

Keywords:

former athletes cardiac rhythm and conduction disorders personalized medicine athlete’s heart cardiac pacemaker 

Notes

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Copyright information

© Pleiades Publishing, Ltd. 2019

Authors and Affiliations

  1. 1.Municipal Multifield Hospital No. 2St. PetersburgRussia
  2. 2.Lesgaft National State University of Physical Education, Sport, and HealthSt. PetersburgRussia
  3. 3.St. Petersburg State UniversitySt. PetersburgRussia
  4. 4.International Medical Center SogazSt. PetersburgRussia

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