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LUNG DIFFUSION CAPACITY FOR CARBON MONOXIDE (DLCO), SPIROMETRY VALUES AND ECG ABNORMALITIES IN ELITE ATHLETES: THE LATEST FINDINGS AND LITERATURE REVIEW /

DIFUZIJSKI KAPACITET PLUĆA ZA UGLJEN MONOKSID, SPIROMETRIJSKI PARAMETRI I PROMENE NA EKG-U KOD VRHUNSKIH SPORTISTA: NAJNOVIJA SAZNANJA I PREGLED LITERATURE

Authors

 

Mersudin Mulić1 , Biljana Lazović2 , Radmila Dmitrović2 , Džemail A. Detanac1 , Isidora Simonović2 , Dženana Detanac1 ,Nevena Jovičić3 , Mehmed Mujdragić1

1General Hospital Novi Pazar, State University Novi Pazar, Serbia
2University clinical center "Zemun", Belgrade, Serbia
3University Children's Hospital, Belgrade, Serbia

 

UDK: 612.24


The paper was received / Rad primljen: 25.09.2020.

Accepted / Rad prihvaćen: 29.09.2020.

 


Correspondence to:


Biljana Lazović
University Clinical Center "Zemun", Belgrade, Serbia
Vukova 9, Zemun, 11080 Belgrade
cell phone +381 62212040

 

 

Abstract

 

The more intensive development of modern sports medicine is related to the period after the Second World War and anthropological, functional, and radiological examinations of athletes as early as the beginning of the 20th century. Performing a DLCO test today is a common diagnostic procedure, immediately after spirometry as a  „gold standard“ while ECG changes are not yet clearly defined. We have searched Pubmed and Cochrane with Mesh terms: 'DLCO', 'spirometry', 'ECG', 'history', 'mechanism of lung diffusion', 'endurance sports', 'sports medicine'. We searched, in detail, 30 scientific research papers of which 24 were included in the review. Conclusion: Through this literature review, we can observe that DLCO test values decrease with age and that there is a strong correlation between body height and DLCO parameters especially in athletes exposed to training under anaerobic conditions. Of particular interest are changes in the ECG that are mainly due to concentric remodeling of the left ventricle and have a significant impact on the prevalence of ECG abnormalities in top athletes.

 

 

 

Key words:

DLCO, spirometry, ECG, endurance, elite athletes

 

 

Sažetak

 

Intenzivan razvoj moderne sportske medicine se vezuje za period posle Drugog svetskog rata, a antropološka, funkcionalna i radiološka ispitivanja kod sportista su počela da se razvijaju početkom 20-og veka. Izvođenje DLCO testa danas predstavlja uobičajenu dijagnostiku, odmah posle spirometrija koja je okarakterisana kao „zlatni standar“ dok promene na EKG još uvek nisu jasno definisane. Pretražili smo Pubmed i Cochrane baze podataka sa ključnim rečima: 'DLCO', 'spirometrija', 'EKG', 'istorija', 'mehanizam difuzionog kapaciteta pluća', 'sportovi izdržljivosti', 'sportska medicina'. Do detalja smo pregledali više od 30 naučno-istraživačkih radova od kojih smo 24 uključili u istraživanje. Zaključak: Kroz ovaj pregled literature možemo primetiti da se vrednosti DLCO testa smanjuju s godinama i da postoji snažna povezanost između telesne visine i DLCO parametara, posebno kod sportista koji su izloženi treningu u anaerobnim uslovima. Posebno su zanimljive promene na EKG-u koje su uglavnom posledice koncentričnog remodelovanja leve komore i imaju značajan uticaj na prevalencu EKG promena kod vrhunskih sportista.

 

 

Ključne reči:

DLCO, spirometrija, EKG, izdržljivost, vrhunski sportisti

 

 

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PDF Mulić M. et al • MD-Medical Data 2020;12(3) 129-132

 

 

 

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