Sporcu elektrokardiyogramlarında hipertrofi kriterlerinin diyastolik disfonksiyon ilişkisi

Year 2025, Volume: 16 Issue: 1, 68 - 75, 25.03.2025

İdris Yakut , Omer Ozkan

https://doi.org/10.18663/tjcl.1618159

Abstract

Amaç: Çalışmamız ile öncelikle Sokolow-Lyon kriterinin sol ventrikül hipertrofisi ve sol ventrikül diyastolik disfonksiyonu
öngördürücülüğü araştırılacaktır ve diğer hipertrofi kriterleri ile karşılaştırılacaktır.
Gereç ve Yöntemler: Ocak 2023 ve Ocak 2024 tarihleri Ankara Gaziler Fizik Tedavi ve Rehabilitasyon Eğitim ve Araştırma Hastanesi'nden 121 profesyonel sporcu ile Bahçelievler Medipol Hastanesi'nden 31 sağlıklı gönüllü katılımcı olarak değerlendirilmiştir. Hastaların elektrokardiyografi ve ekokardiyografi tetkiklerinden veriler elde edilmiştir.
Bulgular: Sporcu grubunun yaş ortalaması 24,83 yıl ve kontrol grubu 28,81 yıl olarak hesaplandı. Sokolow-Lyon voltajı sporcularda anlamlı olarak daha yüksek bulundu. Sol ventrikül kitle indeksi sporcu grubunda 81,66 g/m2 ve kontrol grubunda 76,59 g/m2 olarak ölçüldü gruplar arasında anlamlı fark yoktu(p=0,09). Sol ventrikül geometri değişikliği ve diyastolik disfonksiyon açısından gruplar arasında fark saptanmadı. Sokolow-Lyon voltajının ≥35 mm olması normal dışı geometri, sol ventrikül kitlesi ve diyastolik disfonksiyon ile ilişkili bulunmadı.
Sonuç: Sokolow-Lyon kriterinin sporcularda hipertrofiyi öngörmedeki sınırlı duyarlılığı göz önünde bulundurularak, sporcu EKG’lerinin değerlendirilmesinde daha kapsamlı değerlendirmelerin dikkate alınması gerektiği vurgulanmıştır. Ayrıca, sol ventrikül geometrisinin değerlendirilmesi, patolojik durumların ayrımında önem taşımaktadır. Sporcularda görülen kalp değişikliklerinin büyük ölçüde fizyolojik adaptasyon olduğu sonucuna varılmıştır.

Keywords

Diyastolik disfonksiyon, Elektrokardiyografi, Sokolow-Lyon kriteri, Sporcu

Relatıonshıp between hypertrophy crıterıa and dıastolıc dysfunctıon ın athlete electrocardıograms

Abstract

Aim: Our study aims to investigate the predictive power of the Sokolow-Lyon criterion for left ventricular hypertrophy and
left ventricular diastolic dysfunction and to compare it with other hypertrophy criteria.
Material and Methods: Between January 2023 and January 2024, 121 professional athletes from Ankara Gaziler Physical Therapy and Rehabilitation Training and Research Hospital and 31 healthy volunteers from Bahçelievler Medipol Hospital were evaluated as participants. Data were obtained from electrocardiography and echocardiography examinations of the patients.
Results: The mean age of the athlete group was 24.83 years and the control group was 28.81 years. Sokolow-Lyon voltage was significantly higher in the athletes (p=0.00). Left ventricular mass index was 81.66 g/m2 in the athlete group and 76.59 g/m2 in the control group and there was no significant difference between the groups (p=0.09). There was no difference between the groups in terms of left ventricular geometry change and diastolic dysfunction. Sokolow-Lyon voltage of ≥35 mm was not associated with abnormal geometry, left ventricular mass and diastolic dysfunction.
Conclusion: Considering the limited sensitivity of the Sokolow-Lyon criterion in predicting hypertrophy in athletes, it is emphasized that more comprehensive evaluations should be considered in the evaluation of athlete ECGs. Furthermore, assessment of left ventricular geometry is important in differentiating pathologic conditions. Most of the cardiac changes seen in athletes

Keywords

Athlete, Diastolic dysfunction, Electrocardiography, Sokolow-Lyon criteria

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