Erschienen in:
01.08.2014 | Original Article
Characterization of electrocardiogram changes throughout a marathon
verfasst von:
Vanessa Franco, Clifton Callaway, David Salcido, Serina McEntire, Ronald Roth, David Hostler
Erschienen in:
European Journal of Applied Physiology
|
Ausgabe 8/2014
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Abstract
Purpose
There are few data examining cardiovascular physiology throughout a marathon. This study was devised to characterize electrocardiographic activity continuously throughout a marathon.
Methods
Cardiac activity was recorded from 19 subjects wearing a Holter monitor during a marathon. The 19 subjects (14 men and 5 women) were aged 39 ± 16 years (mean ± SD) and completed a marathon in 4:32:16 ± 1:23:35. Heart rate (HR), heart rate variability (HRV), T-wave amplitude, T-wave amplitude variability, and T-wave alternans (TWA) were evaluated continuously throughout the marathon.
Results
Averaged across all subjects, HRV, T-wave amplitude variability, and TWA increased throughout the marathon. Increased variability in T-wave amplitude occurred in 86 % of subjects, characterized by complex oscillatory patterns and TWA. Three min after the marathon, HR was elevated and HRV was suppressed relative to the pre-marathon state.
Conclusion
HRV and T-wave amplitude variability, especially in the form of TWA, increase throughout a marathon. Increasing TWA as a marathon progresses likely represents a physiologic process as no arrhythmias or cardiac events were observed.