Athletic dysrhythmias. A case report and review of the phenomenon of the athletés heart

A 36-year-old athlete was anaesthetised for a minor surgical procedure. His heart rate fell to 30 beats/minute during the operation, the electrocardiogram showed A-V junctional rhythm. Sinus rhythm of 58 beats/minute was restored by atropine 1.2 mg. His resting 12-lead electrocardiogram showed sinus...

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Bibliographic Details
Published in:Anaesthesia 1985-07, Vol.40 (7), p.647-650
Main Authors: BULLOCK, R. E, HALL, R. J. C
Format: Article
Language:English
Subjects:
Adult
Anesthesia
Anesthesia depending on patient's condition
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Arrhythmia, Sinus - etiology
Biological and medical sciences
Bradycardia - etiology
Electrocardiography
Humans
Intraoperative Complications
Male
Medical sciences
Running
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Summary:A 36-year-old athlete was anaesthetised for a minor surgical procedure. His heart rate fell to 30 beats/minute during the operation, the electrocardiogram showed A-V junctional rhythm. Sinus rhythm of 58 beats/minute was restored by atropine 1.2 mg. His resting 12-lead electrocardiogram showed sinus bradycardia and features consistent with a diagnosis of 'athlete's heart'. A review is presented of the physiological and electrocardiographical features of this phenomenon. The current popularity of running as a leisure pursuit makes it important that anaesthetists recognise the peculiarities of the trained athletic heart.
ISSN:0003-2409
1365-2044
DOI:10.1111/j.1365-2044.1985.tb10942.x