中国部分大学生运动员早复极发生率及相关导联和形态分析  

Analysis of prevalence,related leads and forms of early repolarization in Chinese college athletes

作　　者：曹晓娜[1] 李瑜[1] 王艳[2] 周琨[1] 崔晓丽 

机构地区：[1]北京体育大学社区卫生服务中心,北京100084 [2]北京体育大学运动康复系,北京100084 [3]北京市120急救中心,北京100031

出　　处：《中国心脏起搏与心电生理杂志》2015年第2期102-105,共4页Chinese Journal of Cardiac Pacing and Electrophysiology

基　　金："十二五"国家科技支撑计划课题:制定有效运动负荷方法与评价等级的研究2012BAK21B02

摘　　要：目的了解大学生运动员早复极（ER）发生率及特点。方法对2011年、2012年、2013年9月进入北京体育大学竞技体育类专业的大学生运动员进行人学健康体检，包括病史询问、体格检查、心电图检查等，对收集到的1215份心电图进行分析。ER诊断：连续2个导联R波降支的顿挫或切迹（正向）≥0．1mV（伴或不伴J点抬高）；或连续2个导联J点抬高（STj）≥0．1mV而不伴R波降支的顿挫或切迹；V1-3导联J点抬高不作为ER的诊断标准。结果共检出ER436例，发生率35．9％，男运动员（874名）的ER发生率高于女运动员（341名）（39．4％VS27．0％，P〈0．05）；下壁导联ER发生率25．8％（314例），下壁伴前壁导联ER发生率6．8％（83例），前壁导联ER发生率3．0％（37例），男运动员多导联ER发生率高于女运动员（P〈0．05）；形态上，顿挫型ER发生率18．9％（230例），切迹型ER发生率7．2％（88例），单纯ST段抬高型发生率9．7％（118例），顿挫型ER中，男运动员伴STj≥0．1mV抬高的发生率高于女运动员（13．5％VS2．3％，P〈0．05）。结论在我国大学生运动员中，ER总发生率35．9％，部位以下壁导联最为多见，形态以顿挫型最多，男女运动员ER发生率及发生部位有所不同。Objective To investigate the prevalence, related leads and forms of early repolarization （ ER ） in college athletes. Methods Electrocardiography （ECG）and physical examination as well as recording medical history were done in athletes from competitive sports major of Beijing Sport University in September of 2011,2012 and 2013. Analysis was performed in 1 215 of the collected ECG. Diagnostic criteria for ER：QRS notching or Slurring in more than 2 consecutive leads （positive）/〉0. lmV inl2-1ead electrocardiography （with or without J-point elevation） ; J-point elevation at least 0. lmV in more than 2 consecutive leads without QRS notching or slurring. J-point elevation in V1-3 leads was not a criteria for the diagnosis of ER. Results There were 436 cases of ER in total. The prevalence was 35.9%, male athletes were higher than female athletes in prevalence of ER（ 39.4% vs 27.0% ,P〈0.05 ） ; The prevalence was 25.8% in inferior leads （ 314 cases） ,6.8% both in inferior leads and anterior leads （ 83 cases） , 3.0% in anterior leads （ 37 cases ）. The preva- lence of male athletes was higher than that of female in multi lead ER（ P〈0.05 ）. The prevalence was 18.9% （230 cases） in notching, 7.2% （88 cases）in slurring, 9.7% （118 cases）in ST segment elevation upward. The prevalence of male athletes with ST segment elevation was higher than that of female athletes in notching（ 13.5% vs 2.3% ,P〈0.05 ）. Conclusion The prevalence of ER in Chinese college athletes is 35.9% based on this investigation, mainly in inferior leads ; The form is mainly notching.

关 键 词：心血管病学 心电图 早复极 大学生运动员 

分 类 号：R540.41[医药卫生—心血管疾病]