CC..png    

Legal and postal addresses of the publisher: office 1336, 17 Naberezhnaya Severnoy Dviny, Arkhangelsk, 163002, Russian Federation, Northern (Arctic) Federal University named after M.V. Lomonosov

Phone: (818-2) 21-61-21
E-mail: vestnik_med@narfu.ru
https://vestnikmed.ru/en/

ABOUT JOURNAL

ECG Amplitude Parameters in Men of Different Ages During Submaximal Performance Testing (Exemplified by Residents of the European North of Russia). P. 255–264

Версия для печати

Section: Biological sciences

UDC

[612.17+612.062]:612.084

DOI

10.37482/2687-1491-Z146

Authors

Alla K. Kudinova* ORCID: https://orcid.org.0000-0001-8376-7570
Nina G. Varlamova* ORCID: https://orcid.org.0000-0003-1444-4684
Evgeniy R. Boyko* ORCID: https://orcid.org.0000-0002-8027-898X
*Institute of Physiology of Komi Science Centre of the Ural Branch of the Russian Academy of Sciences (Syktyvkar, Komi Republic, Russian Federation)
Corresponding author: Alla Kudinova, address: ul. Pervomayskaya 50, GSP-2, Syktyvkar, 167982, Respublika Komi, Russian Federation; e-mail: unbelievably88@gmail.com

Abstract

The purpose of this study was to investigate the effect of submaximal physical activity (PWC170 test) on electrocardiogram (ECG) amplitude parameters in men of different ages. Materials and methods. The research involved apparently healthy men aged 20–29 (n = 27) and 40–49 (n = 27) years living in the European North of Russia. They performed a bicycle ergometer PWC170 test with incrementally increasing 3-minute loads (50, 100 and 150 W) and ECG recording in the Nehb leads. Results. A and D leads showed the most informative dynamics of ECG parameters in the subjects during the exercise test. It was mainly expressed in an increase in P wave amplitude, a decrease in T wave amplitude, a deepening of the S wave, and ST segment depression. The group of 40–49-year-old men, compared to 20–29-year-olds, was characterized by less pronounced T wave (lead D) amplitude changes at the beginning of the test, a less deep S wave (lead I), no shift in the ST segment (lead D) as well as a smaller number of parameters that showed statistically significant changes in the exercise test. ST segment (lead A) depression during the final load was twice as common in the older group of men (13 % in 20–29-year-olds and 25 % in 40–49-year-olds). Heart rate (HR) at all stages of the test, except for the last one, was lower in 40–49-year-olds; however, its more significant increase by the end of the test eliminated the statistical differences in HR at the final stage and in physical work capacity (PWC170) between the groups. The revealed differences in ECG and HR parameters may be associated with morphological changes occurring in the cardiovascular system with age, in particular, with the decrease in left ventricular function. Submaximal physical activity in men of the older age group involves a greater expenditure of myocardial reserves.

Keywords

males, European North of Russia, age-related changes, ECG amplitude parameters, PWC170 test, physical work capacity
Download (pdf, 0.8MB )

References

1. Smarż K., Jaxa-Chamiec T., Bednarczyk T., Bednarz B., Eysymontt Z., Gałaszek M., Jegier A., Korzeniowska-Kubacka I., Mamcarz A., Mawlichanów A., Piotrowicz R., Rubicki J., Straburzyńska-Migaj E., Szalewska D., Wolszakiewicz J. Electrocardiographic Exercise Testing in Adults: Performance and Interpretation. An Expert Opinion of the Polish Cardiac Society Working Group on Cardiac Rehabilitation and Exercise Physiology. Kardiol. Pol., 2019, vol. 77, no. 3, pp. 399–408. DOI: 10.5603/KP.a2018.0241
2. Pelliccia A., Sharma S., Gati S., Bäck M., Börjesson M., Caselli S., Collet J.P., Corrado D., Drezner J.A., Halle M., et al. 2020 ESC Guidelines on Sports Cardiology and Exercise in Patients with Cardiovascular Disease. Eur. Heart J., 2021, vol. 42, no. 1, pp. 17–96. DOI: 10.1093/eurheartj/ehaa605
3. Karpman V.L., Belotserkovskiy Z.B., Gudkov I.A. Issledovanie fizicheskoy rabotosposobnosti u sportsmenov [The Study of Physical Work Capacity in Athletes]. Moscow, 1974. 95 p.
4. Zav’yalov A.I. Klassifikatsiya izmeneniy elektrokardiogrammy u zdorovogo cheloveka v pokoe i vo vremya fizicheskikh nagruzok [Classification of Electrocardiogram Changes of Healthy Man in Rest and During Physical Activities]. Vestnik Krasnoyarskogo gosudarstvennogo pedagogicheskogo universiteta im. V.P. Astaf’eva, 2013, no. 4, pp. 147–151.
5. Vanyushin Yu.S., Khayrullin R.R. Kardiorespiratornaya sistema kak indikator funktsional’nogo sostoyaniya organizma sportsmenov [Cardiorespiratory System as an Indicator of Functional State of Athletes]. Teoriya i praktika fizicheskoy kul’tury, 2015, no. 7, pp. 11–14.
6. Fudin N.A., Klassina S.Y., Pigareva S.N. Relationship Between the Parameters of Muscular and Cardiovascular Systems in Graded Exercise Testing in Subjects Doing Regular Exercises and Sports. Hum. Physiol., 2015, vol. 41, no. 4, pp. 412–419. DOI: 10.1134/S0362119715040088
7. Sharif S., Alway S.E. The Diagnostic Value of Exercise Stress Testing for Cardiovascular Disease Is More Than Just ST Segment Changes: A Review. J. Integr. Cardiol., 2016, vol. 2, no. 4, pp. 341–355. DOI: 10.15761/JIC.1000173
8. Carlén A., Gustafsson M., Åström Aneq M., Nylander E. Exercise-Induced ST Depression in an Asymptomatic Population Without Coronary Artery Disease. Scand. Cardiovasc. J., 2019, vol. 53, no. 4, pp. 206–212. DOI: 10.1080/14017431.2019.1626021
9. Macfarlane P.W. The Influence of Age and Sex on the Electrocardiogram. Adv. Exp. Med. Biol., 2018, vol. 1065, pp. 93–106. DOI: 10.1007/978-3-319-77932-4_6
10. Varlamova N.G., Evdokimov V.G. Vozrastnye markery EKG [The Ageing Markers of the ECG]. Uspekhi gerontologii, 2003, no. 11, pp. 76–79.
11. Sirotin A.B., Belozerova L.M., Shchepina G.M. Vliyanie dvigatel’noy aktivnosti na starenie muzhchin zrelogo vozrasta [The Influence of Motional Activity on the Ageing of Males in the Maturity Age]. Lechebnaya fizkul’tura i sportivnaya meditsina, 2009, no. 6, pp. 21–25.
12. Nakou E.S., Parthenakis F.I., Kallergis E.M., Marketou M.E., Nakos K.S., Vardas P.E. Healthy Aging and Myocardium: A Complicated Process with Various Effects in Cardiac Structure and Physiology. Int. J. Cardiol., 2016, vol. 209, pp. 167–175. DOI: 10.1016/j.ijcard.2016.02.039
13. Frangogiannis N.G. Cardiac Fibrosis: Cell Biological Mechanisms, Molecular Pathways and Therapeutic Opportunities. Mol. Aspects Med., 2019, vol. 65, pp. 70–99. DOI: 10.1016/j.mam.2018.07.001
14. Akasheva D.U., Plokhova E.V., Strazhesko I.D., Dudinskaya E.N., Tkacheva O.N. Serdtse i vozrast (chast’ II): klinicheskie proyavleniya stareniya [Heart and Age (Part II): Clinical Manifestations of Ageing]. Kardiovaskulyarnaya terapiya i profilaktika, 2013, vol. 12, no. 4, pp. 86–90. DOI: 10.15829/1728-8800-2013-4-86-90
15. Nikitin Yu.P., Khasnulin V.I., Gudkov A.B. Sovremennye problemy severnoy meditsiny i usiliya uchenykh po ikh resheniyu [Contemporary Problems of Northern Medicine and Researchers’ Efforts to Solve Them]. Vestnik Severnogo (Arkticheskogo) federal’nogo universiteta. Ser.: Mediko-biologicheskie nauki, 2014, no. 3, pp. 63–72.
16. Hupin D., Edouard P., Oriol M., Laukkanen J., Abraham P., Doutreleau S., Guy J.-M., Carré F., Barthélémy J.-C., Roche F., Chatard J.-C. Exercise Electrocardiogram in Middle-Aged and Older Leisure Time Sportsmen: 100 Exercise Tests Would Be Enough to Identify One Silent Myocardial Ischemia at Risk for Cardiac Event. Int. J. Cardiol., 2018, vol. 257, pp. 16–23. DOI: 10.1016/j.ijcard.2017.10.081
17. Varlamova N.G. Arterial’noe davlenie u muzhchin i zhenshchin Severa [Arterial Pressure in Men and Women of the North]. Izvestiya Komi nauchnogo tsentra UrO RAN, 2011, no. 4, pp. 52–55.
18. Lord R., George K., Somauroo J., Jain N., Reese K., Hoffman M.D., Haddad F., Ashley E., Jones H., Oxborough D. Exploratory Insights from the Right-Sided Electrocardiogram Following Prolonged Endurance Exercise. Eur. J. Sport Sci., 2016, vol. 16, no. 8, pp. 1014–1022. DOI: 10.1080/17461391.2016.1165292
19. La Gerche A., Heidbüchel H., Burns A.T., Mooney D.J., Taylor A.J., Pfluger H.B., Inder W.J., Macisaac A.I., Prior D.L. Disproportionate Exercise Load and Remodeling of the Athlete’s Right Ventricle. Med. Sci. Sports Exerc., 2011, vol. 43, no. 6, pp. 974–981. DOI: 10.1249/MSS.0b013e31820607a3
20. Saltykova M.M. Mechanisms of QRS Voltage Changes on ECG of Healthy Subjects During the Exercise Test. Hum. Physiol., 2015, vol. 41, pp. 62–69. DOI: 10.1134/S0362119714060085
21. van Lien R., Neijts M., Willemsen G., de Geus E.J.C. Ambulatory Measurement of the ECG T-Wave Amplitude. Psychophysiology, 2015, vol. 52, no. 2, pp. 225–237. DOI: 10.1111/psyp.12300
22. Rutherford J.J., Clutton-Brock T.H., Parkes M.J. Hypocapnia Reduces the T Wave of the Electrocardiogram in Normal Human Subjects. Am. J. Physiol. Regul. Integr. Comp. Physiol., 2005, vol. 289, no. 1, pp. R148–R155. DOI: 10.1152/ajpregu.00085.2005
23. Alexopoulos D., Christodoulou J., Toulgaridis T., Sitafidis G., Manias O., Hahalis G., Vagenakis A.G. Repolarization Abnormalities with Prolonged Hyperventilation in Apparently Healthy Subjects: Incidence, Mechanisms and Affecting Factors. Eur. Heart J., 1996, vol. 17, no. 9, pp. 1432–1437. DOI: 10.1093/oxfordjournals.eurheartj.a015079
24. Evdokimov V.G., Varlamova N.G. Vozrast i amplitudno-vremennye kharakteristiki EKG u zhiteley Severa [Age and Amplitude-Temporal Characteristics of ECG in Northerners]. Kardiologiya, 2001, no. 2, p. 75.
25. Vicent L., Martínez-Sellés M. Electrocardiogeriatrics: ECG in Advanced Age. J. Electrocardiol., 2017, vol. 50, no. 5, pp. 698–700. DOI: 10.1016/j.jelectrocard.2017.06.003
26. Rijnbeek P.R., van Herpen G., Bots M.L., Man S., Verweij N., Hofman A., Hillege H., Numans M.E., Swenne C.A., Witteman J.C.M., Kors J.A. Normal Values of the Electrocardiogram for Ages 16–90 Years. J. Electrocardiol., 2014, vol. 47, no. 6, pp. 914–921. DOI: 10.1016/j.jelectrocard.2014.07.022



Make a Submission


INDEXED IN: 

DOAJ_logo-colour.png

Elibrary.ru

logotype.png

infobaseindex

Логотип.png




Лань

OTHER NArFU JOURNALS: 

Vestnik of NArFU.
Series "Humanitarian and Social Sciences"

Forest Journal 
Лесной журнал 

Arctic and North