Electrocardiographic findings in a group of physically active young adults who reside at 2,600 meters above the sea level: an exploratory study

Purpose: The physiological adaptations to regular physical activity and hypobaric hypoxia associated with high-altitude res-idence are related to a series of cardiovascular adaptations thatcan generate electrocardiographic modifications. This study aimed todescribe the principal findings and determi...

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Autores:
Rojas-Valencia, Jaime Tomás
Higuera Dagovett, Elkin
Vega LLamas, Rodolfo
Prieto Mondragon, Laura del Pilar
Buitrago Espitia, Jorge Enrique
Rodríguez Buitrago, Jeansy Alonso
Tipo de recurso:
Article of investigation
Fecha de publicación:
2024
Institución:
Universidad de Ciencias Aplicadas y Ambientales U.D.C.A
Repositorio:
Repositorio Institucional UDCA
Idioma:
eng
OAI Identifier:
oai:repository.udca.edu.co:11158/6041
Acceso en línea:
https://repository.udca.edu.co/handle/11158/6041
https://doi.org/10.47197/retos.v59.103145
Palabra clave:
610 - Medicina y salud
Electrocardiografía
Hipoxia
Ejercicio Físico
Gran altura
Rights
openAccess
License
hhh
Description
Summary:Purpose: The physiological adaptations to regular physical activity and hypobaric hypoxia associated with high-altitude res-idence are related to a series of cardiovascular adaptations thatcan generate electrocardiographic modifications. This study aimed todescribe the principal findings and determine the mean values of the electrocardiographic parameters in a group of physicallyactive young adults who reside at 2600 meters above sea level. Methods: 49 young, physically active subjects (11 women) in a SportsSciences program participated in the study. Each participant was subjected to a medical interview, a physical examination, and a resting elec-trocardiogram. Two physicians analyzed the electrocardiogram,searching for criteria of anatomical or physiological abnormalities;a descriptive analysis of the duration of waves and intervals and the amplitude of the Pand Twaves was also carried out. Results: The mean values of the electrocardiographic parameters were between the expected values. The principal findings involve sinus bradycardia and changes associated with the right side of the heart: incomplete right bundle branch block, right QRS axis deviation, and right ventricular hypertrophy. Conclusions: The findings of this study are related to other studies that describe changes in the right side of the heart in inhabitants of high altitude and sinus bradycardia in physically active subjects and, in some cases, in high-altitude residents. Every young dweller of the altitude whoengages in physical activity should be submitted to a resting electrocardiogram, considering thehigh probability of finding changes in the electrocardiogramof asymptomatic patientsthat mayrequire further exploration.