{"id":340,"date":"2024-09-06T13:44:17","date_gmt":"2024-09-06T13:44:17","guid":{"rendered":"http:\/\/tdi_42_811"},"modified":"2024-09-30T17:49:29","modified_gmt":"2024-09-30T17:49:29","slug":"ecg-de-atleta","status":"publish","type":"post","link":"https:\/\/centralcardioesporte.com.br\/index.php\/2024\/09\/06\/ecg-de-atleta\/","title":{"rendered":"Conhe\u00e7a algumas altera\u00e7\u00f5es de ECG de atleta!"},"content":{"rendered":"
\n
As principais altera\u00e7\u00f5es encontradas no eletrocardiograma (ECG) de atletas refletem adapta\u00e7\u00f5es fisiol\u00f3gicas ao treinamento intenso e prolongado, conhecidas como “cora\u00e7\u00e3o de atleta”.<\/span>\u00a0Essas altera\u00e7\u00f5es incluem:<\/span><\/div>\n
\u00a0<\/div>\n<\/div>\n
\n
1.\u00a0Bradicardia Sinusal<\/strong>: Frequ\u00eancia card\u00edaca de repouso mais baixa \u00e9 comum devido ao aumento do t\u00f4nus vagal.[1-3]<\/a><\/span><\/span><\/div>\n<\/div>\n
\n
2.\u00a0Aumento da Voltagem das Ondas R e T<\/strong>: Atletas frequentemente apresentam maior amplitude das ondas R e T, refletindo hipertrofia ventricular esquerda (HVE) e aumento da massa ventricular.[2]<\/a>[4]<\/a><\/span><\/span><\/div>\n<\/div>\n
\n
3.\u00a0Intervalos PR e QT Prolongados<\/strong>: O prolongamento do intervalo PR e QT \u00e9 observado, possivelmente devido ao aumento do tamanho das c\u00e2maras card\u00edacas e ao efeito do treinamento sobre a condu\u00e7\u00e3o el\u00e9trica.[2]<\/a>[4]<\/a><\/span><\/span><\/div>\n<\/div>\n
\n
4.\u00a0Bloqueio Incompleto do Ramo Direito (BIRD)<\/strong>: O BIRD \u00e9 mais prevalente em atletas, especialmente em mulheres, e pode ser uma manifesta\u00e7\u00e3o de remodela\u00e7\u00e3o el\u00e9trica.[2]<\/a><\/span><\/span><\/div>\n<\/div>\n
\n
5.\u00a0Repolariza\u00e7\u00e3o Precoce<\/strong>: A eleva\u00e7\u00e3o do segmento ST, conhecida como repolariza\u00e7\u00e3o precoce, \u00e9 comum e geralmente benigna em atletas.[3]<\/a>[5]<\/a><\/span><\/span><\/div>\n<\/div>\n
\n
6.\u00a0Invers\u00e3o da Onda T<\/strong>: A invers\u00e3o da onda T, especialmente nas deriva\u00e7\u00f5es precordiais direitas, \u00e9 mais comum em atletas de resist\u00eancia e pode refletir remodela\u00e7\u00e3o ventricular direita.[6-7]<\/a><\/span><\/span><\/div>\n<\/div>\n
\n
7.\u00a0Hipertrofia Ventricular Direita (HVD)<\/strong>: A HVD \u00e9 mais prevalente em atletas de resist\u00eancia, possivelmente devido ao aumento da carga de trabalho sobre o ventr\u00edculo direito.[6]<\/a><\/span><\/span><\/div>\n<\/div>\n
\n
Essas altera\u00e7\u00f5es s\u00e3o geralmente benignas e refletem adapta\u00e7\u00f5es fisiol\u00f3gicas ao exerc\u00edcio.<\/span>\u00a0No entanto, \u00e9 crucial diferenciar essas mudan\u00e7as de condi\u00e7\u00f5es patol\u00f3gicas, como a cardiomiopatia hipertr\u00f3fica, que pode apresentar achados semelhantes no ECG.[8]<\/a><\/span><\/span>\u00a0A interpreta\u00e7\u00e3o correta do ECG em atletas deve considerar o tipo de esporte, a intensidade do treinamento e as caracter\u00edsticas individuais, incluindo sexo e etnia.[2-3]<\/a>[7]<\/a><\/span><\/span><\/div>\n<\/div>\n\n\n
    \n
  1. A Comprehensive Electrocardiographic Analysis for Young Athletes<\/a>. Yan\u0131k H, De\u011firmenci E, B\u00fcy\u00fckak\u0131ll\u0131 B. Medical & Biological Engineering & Computing. 2021;59(9):1865-1876. doi:10.1007\/s11517-021-02401-2.Details<\/li>\n<\/ol>\n\n\n\n

    2. Electrical and Structural Remodelling in Female Athlete’s Heart: A Comparative Study in Women vs Men Athletes and Controls.<\/a> D’Ascenzi F, Cavigli L, Marchese A, et al. International Journal of Cardiology. 2024;400:131808. oi:10.1016\/j.ijcard.2024.131808.<\/p>\n\n\n\n

    3. Electrocardiographic Findings in Professional Male Athletes.<\/a> Raman KS, Vyselaar JR. Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine. 2022;32(5):e513-e520. doi:10.1097\/JSM.0000000000001006.Details<\/p>\n\n\n\n

    4. Electrocardiographic Manifestations in Female Team Handball Players: Analyzing ECG Changes in Athletes.<\/a> Malmgren A, Tr\u00e4g\u00e5rdh E, Gudmundsson P, et al. Frontiers in Sports and Active Living. 2024;6:1384483. doi:10.3389\/fspor.2024.1384483.<\/p>\n\n\n\n

    5. Digitized Electrocardiography Measurements Support the Biological Plausibility of the Pathological Significance of ST Segments in Athletes.<\/a> Montalvo S, Froelicher VF, Hadley D, Wheeler MT. Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine. 2024;34(4):362-369. doi:10.1097\/JSM.0000000000001199.<\/p>\n\n\n\n

    6. Comparison of Frequency of Significant Electrocardiographic Abnormalities in Endurance Versus Nonendurance Athletes.<\/a> Brosnan M, La Gerche A, Kalman J, et al. The American Journal of Cardiology. 2014;113(9):1567-73. doi:10.1016\/j.amjcard.2014.01.438.Details<\/p>\n\n\n\n

    7. Electrocardiographic and Echocardiographic Findings in Black Athletes: A General Review.<\/a> Pambo P, Scharhag J. Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine. 2021;31(3):321-329. doi:10.1097\/JSM.0000000000000754.Details<\/p>\n\n\n\n

    8. Electrocardiographic Abnormalities in Elite High School Athletes: Comparison to Adolescent Hypertrophic Cardiomyopathy.<\/a> Thompson AJ, Cannon BC, Wackel PL, et al. British Journal of Sports Medicine. 2016;50(2):105-10. doi:10.1136\/bjsports-2015-094880.<\/p>\n","protected":false},"excerpt":{"rendered":"

    As principais altera\u00e7\u00f5es encontradas no eletrocardiograma (ECG) de atletas refletem adapta\u00e7\u00f5es fisiol\u00f3gicas ao treinamento intenso e prolongado, conhecidas como “cora\u00e7\u00e3o de atleta”.\u00a0Essas altera\u00e7\u00f5es incluem: \u00a0 1.\u00a0Bradicardia Sinusal: Frequ\u00eancia card\u00edaca de repouso mais baixa \u00e9 comum devido ao aumento do t\u00f4nus vagal.[1-3] 2.\u00a0Aumento da Voltagem das Ondas R e T: Atletas frequentemente apresentam maior amplitude das […]<\/p>\n","protected":false},"author":1,"featured_media":681,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[82,85],"tags":[106],"class_list":{"0":"post-340","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-eletrocardiograma","8":"category-exames-em-cardioesporte","9":"tag-ecg"},"acf":[],"yoast_head":"\nConhe\u00e7a algumas altera\u00e7\u00f5es de ECG de atleta! 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