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Zmiany te mogą jednak być interpretowane jako zmiany patologiczne. Podczas kilku konferencji uzgodnieniowych określono zalecenia dotyczące normalnego EKG sportowców i wyraźnie patologicznych wniosków (kardiomiopatia, kanałopatia).
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The combination of heart and sport has been a topic for over a century. The benefits and risks that are involved in relation to sport have been debated and the ECG has been a constant focus of these discussions. We know with certainty that regular endurance sports activities lead to a physiological increase of the heart's size, accompanied by a regular, eccentric increase in size of all heart chambers, and to a thickening especially of the membranes of the heart chambers accompanied by improved cardiac functions. As a result, ECG alterations can be observed, which are due to this physiological adaptation. However, these alterations can be misinterpreted as pathological changes. During several consensus conferences, recommendations on the normal ECG of athletes and on clearly pathologic findings (cardiomyopathy, channelopathy) have been established.
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Depuis plus d'un siècle, la combinaison du cœur et du sport fait l'objet de nombreuses discussions. Les risques et les avantages associés à la pratique d'un sport sont au cœur de ces discussions et l'ECG en demeure le point central. Nous savons avec certitude que les activités sportives d'endurance entraînent une augmentation de la taille du cœur, accompagnée d'une augmentation excentrique de la taille des cavités cardiaques, ainsi qu'un épaississement des membranes des cavités cardiaques, accompagné par une amélioration des fonctions cardiaques. Ainsi, des modifications de l'ECG résultant d'une telle adaptation physiologique peuvent être observées. Ces modifications, toutefois, peuvent être mal interprétées en tant que changements pathologiques. Les nombreuses discussions ayant eu lieu dans le cadre de conférences de consensus ont permis d'élaborer des recommandations portant sur l'ECG normal des athlètes et sur les résultats de nature explicitement pathologiques (cardiomyopathie, canalopathie).
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Herz und Sport, das ist ein Thema seit über 100 Jahren. Immer wieder wurden Nutzen oder Gefährdung durch Sport diskutiert und das EKG stand und steht meist im Mittelpunkt der Diskussion. Gesichert ist, dass regelmäßiger Ausdauersport zu einer physiologischen Vergrößerung des Herzens führt mit gleichmäßiger, exzentrischer Größenzunahme aller Herzkammern, und Wandverdickung vornehmlich der Herzkammern bei verbesserter kardialer Funktion. Als Folge werden EKG-Veränderungen beobachtet, die Folge der physiologischen Anpassung darstellen. Diese können aber mit krankhaften Veränderungen fehlinterpretiert werden. Mehrere Konsensuskonferenzen haben hier Klarheit geschaffen mit Empfehlungen über das normale EKG bei Sportlern und über eindeutig pathologische Befunde (Kardiomyopathien, Jonenkanalerkrankungen).
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La combinación de corazón y deporte es un tema de actualidad desde hace más de un siglo. Las ventajas y riesgos del deporte son objeto de debate y el ECG es un tema recurrente en todas estas conversaciones. Sabemos con certeza que la práctica regular de actividades deportivas de resistencia da lugar a un aumento fisiológico del tamaño del corazón que va acompañado de un aumento regular y excéntrico del tamaño de todas las cámaras cardíacas. También produce un engrosamiento, especialmente de las membranas de las cámaras, y una mejora de las funciones cardíacas. Como resultado de esta adaptación fisiológica pueden observarse alteraciones en el ECG y estas alteraciones pueden interpretarse erróneamente como cambios patológicos. Durante varias conferencias de consenso se han establecido recomendaciones sobre el ECG normal de los atletas y sobre los hallazgos claramente patológicos (miocardiopatía, canalopatía).
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La combinazione di cuore e sport è stato argomento di discussione per oltre un secolo. I benefici e i rischi relativi allo sport sono oggetto di dibattiti e l'ECG è al centro dell'attenzione costante di tali discussioni. Sappiamo con certezza che le regolari attività sportive di resistenza portano a un incremento fisiologico delle dimensioni del cuore, accompagnato da un aumento eccentrico e regolare delle dimensioni di tutte le camere cardiache e a un ispessimento, in particolare, delle membrane delle camere cardiache associato a funzioni cardiache migliorate. Di conseguenza, è possibile osservare alterazioni dell'ECG, dovute a tale adattamento fisiologico. Tuttavia, tali alterazioni possono essere fraintese come modificazioni patologiche. Nel corso di numerose conferenze di consenso, sono state stabilite raccomandazioni sul normale ECG degli atleti e sui risultati chiaramente patologici (cardiomiopatia, canalopatia).
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The combination of heart and sport has been a topic for over a century. The benefits and risks that are involved in relation to sport have been debated and the ECG has been a constant focus of these discussions. We know with certainty that regular endurance sports activities lead to a physiological increase of the heart's size, accompanied by a regular, eccentric increase in size of all heart chambers, and to a thickening especially of the membranes of the heart chambers accompanied by improved cardiac functions. As a result, ECG alterations can be observed, which are due to this physiological adaptation. However, these alterations can be misinterpreted as pathological changes. During several consensus conferences, recommendations on the normal ECG of athletes and on clearly pathologic findings (cardiomyopathy, channelopathy) have been established.
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The combination of heart and sport has been a topic for over a century. The benefits and risks that are involved in relation to sport have been debated and the ECG has been a constant focus of these discussions. We know with certainty that regular endurance sports activities lead to a physiological increase of the heart's size, accompanied by a regular, eccentric increase in size of all heart chambers, and to a thickening especially of the membranes of the heart chambers accompanied by improved cardiac functions. As a result, ECG alterations can be observed, which are due to this physiological adaptation. However, these alterations can be misinterpreted as pathological changes. During several consensus conferences, recommendations on the normal ECG of athletes and on clearly pathologic findings (cardiomyopathy, channelopathy) have been established.
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The combination of heart and sport has been a topic for over a century. The benefits and risks that are involved in relation to sport have been debated and the ECG has been a constant focus of these discussions. We know with certainty that regular endurance sports activities lead to a physiological increase of the heart's size, accompanied by a regular, eccentric increase in size of all heart chambers, and to a thickening especially of the membranes of the heart chambers accompanied by improved cardiac functions. As a result, ECG alterations can be observed, which are due to this physiological adaptation. However, these alterations can be misinterpreted as pathological changes. During several consensus conferences, recommendations on the normal ECG of athletes and on clearly pathologic findings (cardiomyopathy, channelopathy) have been established.
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