24-Stunden-Blutdruckmessung und 24-Stunden-EKG in der Beurteilung der kardiovaskulären Gefährdung von Ausdauertrainierten im Breitensport
| Englischer übersetzter Titel: | Relationship of 24-h blood pressure profile and 24-h ECG to cardiovascular risk in trained amateur marathon runners |
|---|---|
| Autor: | Schulte, K.-L.; Meyer-Sabellek, Wolfgang; Ketelhut, R.; Liederwald, K.; Eisenhut, C.; Gotzen, R. |
| Erschienen in: | Sport und Medizin pro und contra / 32. Deutscher Sportärzte-Kongress, München 1990 |
| Veröffentlicht: | München: Zuckschwerdt (Verlag), 1991, S. 868-870, Lit. |
| Format: | Literatur (SPOLIT) |
| Publikationstyp: | Sammelwerksbeitrag |
| Medienart: | Gedruckte Ressource |
| Sprache: | Deutsch |
| ISBN: | 3886034208 |
| Schlagworte: | |
| Online Zugang: | |
| Erfassungsnummer: | PU199604107518 |
| Quelle: | BISp |
Abstract des Autors
This is a running prospective study in 59 well-trained amateur marathon runners (13 women, 46 men; 41+/-1 years). The participants were healthy and without symptoms of coronary artery disease. Left ventricular hypertrophy without signs of cardiomyopathy was detected by echo-cardiography in 22 runners (37%). In 19 (32%) persons, ventricular extrasystoles (Lown class >/=3) were found by 24-h ECG, and in 10 persons (17%) we were able to detect elevated BP (diastolic BP at rest >/=95-110 mmHg) by BP measurement at rest and over 24 h, which was a significantly higher percentage compared to ergometric work load. The rate of arrhythmias (Lown class >/=3) was significantly higher in hypertensives. Thus our results demonstrate that marathon runners can be at risk of sudden cardiac death. This subset of patients can be identified already by a basic diagnostic procedure. Verf.-Referat