Vol 6, No 1 (2021)
Review article
Published online: 2021-03-15

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Heart rate monitors used by athletes — from gadget to medical equipment. A decade of own observations

Robert Gajda1, Jacek Gajda1, Miłosz Czuba23, Anita Gębska-Kuczerowska4, Beat Knechtle56
Medical Research Journal 2021;6(1):64-70.

Abstract

Introduction: For many years, many athletes have reported to the Centre for Sports Cardiology in Pułtusk that during endurance training, mainly running and cycling, they found unexpected increases in heart rate (HR) values observed on sports heart rate monitors (HRMs), in the vast majority of cases without the accompanying clinical symptoms. The authors have attempted to answer the question of whether the “arrhythmia” observed on HRMs is a rhythm disturbance or a mere technical artefact. The aim of the study: This article aimed to summarize the authors’ observations in the field of the usefulness of HRMs for the assessment of cardiac arrhythmias in the situation of introducing new technological solutions in the modernized and enriched ones with new functions HRMs.

Material and methods: Over ten years, numerous studies have been carried out and the world literature has been also analysed many times, finally describing the authors’ study results and observations in numerous types of English-language articles published between 2017 and 2021. In this review article, the authors focused only on their publications from the Centre for Sports Cardiology in Pułtusk on the issues of heart rhythm disturbances observed on HRMs by endurance athletes, and on publications in which researchers from CKS participated and the articles themselves were related with the use of HRMs. Only a few references have been cited from other sources.

Conclusions: The HRMs used in the past years were not significant for the treatment of asymptomatic exercise-stimulated arrhythmias. These HRMs, however, in a symptomatic arrhythmia situation, became an effective diagnostic tool confirming its occurrence. The analysis of cases and literature shows that modern sports heart rate monitors used by athletes of endurance disciplines (especially with the possibility of ECG recording) are becoming a useful, important and more and more effective diagnostic tool in the detection and final diagnosis of cardiac arrhythmias stimulated by exercise, both symptomatic and asymptomatic athletes and can significantly contribute to the increase of safety during training. It can be assumed that future HRMs will have comparable diagnostic value in detecting cardiac arrhythmias as the Holter ECG, surpassing them with the possibility of constant data transmission, ease of use and affordable price.

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References

  1. Gajda R, Biernacka EK, Drygas W. Are heart rate monitors valuable tools for diagnosing arrhythmias in endurance athletes? Scand J Med Sci Sports. 2018; 28(2): 496–516.
  2. Gajda R. Relationship Between Arrhythmias and Level Activity of Athlete’s-Role of HRMs. Examines in Physical Medicine & Rehabilitation. 2019; 2(5).
  3. Gajda R. Heart Rate Monitor Instead of Ablation? Atrioventricular Nodal Re-Entrant Tachycardia in a Leisure-Time Triathlete: 6-Year Follow-Up. Diagnostics (Basel). 2020; 10(6).
  4. Terbizan D, Dolezal B, Albano C. Validity of Seven Commercially Available Heart Rate Monitors. Measurement in Physical Education and Exercise Science. 2002; 6(4): 243–247.
  5. Laukkanen RM, Virtanen PK. Heart rate monitors: state of the art. J Sports Sci. 1998; 16 Suppl: S3–S7.
  6. Lavie CJ, Thomas RJ, Squires RW, et al. Exercise training and cardiac rehabilitation in primary and secondary prevention of coronary heart disease. Mayo Clin Proc. 2009; 84(4): 373–383.
  7. Müssigbrodt A, Richter S, Wetzel U, et al. Diagnosis of arrhythmias in athletes using leadless, ambulatory HR monitors. Med Sci Sports Exerc. 2013; 45(8): 1431–1435.
  8. Hunt D, Tanto P. Diagnosis of arrhythmias in athletes wearing heart rate monitors. J R Army Med Corps. 2017; 163(3): 224.
  9. Pulse watch. https://en.wikipedia.org/wiki/Pulse_watch (11 March 2021).
  10. Gajda R. Ventricular Arrhythmias in Endurance Athletes. Are Heart Rate Monitors Suitable Tools for their Diagnostics? Research & Investigations in Sports Medicine. 2019; 5(4).
  11. Gajda R. Atrial Fibrillation in Athletes-Easier to Recognize Today? Research & Investigations in Sports Medicine. 2019; 5(4).
  12. Gajda R, Kowalik E, Rybka S, et al. Evaluation of the Heart Function of Swimmers Subjected to Exhaustive Repetitive Endurance Efforts During a 500-km Relay. Front Physiol. 2019; 10: 296.
  13. Nowak M, Gajda R, Drygas W, et al. Effect of repeated endurance exercise on intraocular pressure in healthy subjects: a prospective pilot study based on a 500-km swim relay. Klinika Oczna. 2020; 2020(2): 54–59.
  14. Giles DA, Draper N. Heart Rate Variability During Exercise: A Comparison of Artefact Correction Methods. J Strength Cond Res. 2018; 32(3): 726–735.
  15. Gajda R. Commotio Cordis at Athletes–Under Recognized Problem. Research & Investigations in Sports Medicine. 2019; 5(3).
  16. Gajda, R, Biernacka, E.K, Drygas, W. The problem of arrhythmias in endurance athletes: are heart rate monitors valuable tools for diagnosing arrhythmias? In Horizons in World Cardiovascular Research. Bennington, H.B. , Eds; Nova Science Publishers: New York, USA, 2009; Volume 15, pp. : 1–64.
  17. Gajda R. Atrial Fibrillation in Athletes-Easier to Recognize Today? Research & Investigations in Sports Medicine. 2019; 5(4).
  18. Gajda R. Is Continuous ECG Recording on Heart Rate Monitors the Most Expected Function by Endurance Athletes, Coaches, and Doctors? Diagnostics (Basel). 2020; 10(11).
  19. Massoomi MR, Handberg EM. Increasing and Evolving Role of Smart Devices in Modern Medicine. Eur Cardiol. 2019; 14(3): 181–186.
  20. Barr, C. Comparison of Accuracy and Diagnostic Validity of a Novel Non-Invasive Electrocardiographic Monitoring Device with a Standard 3 Lead Holter Monitor and an ECG Patch over a 24 hours Period. J Cardiovasc Dis Diagn. 2019; 7: 5.
  21. Gajda R, Klisiewicz A, Matsibora V, et al. Heart of the World's Top Ultramarathon Runner-Not Necessarily Much Different from Normal. Diagnostics (Basel). 2020; 10(2).
  22. Optical HR Armband Shootout: Polar OH1+, Scosche Rhythm 24, Wahoo TICKR FIT. https://www.dcrainmaker.com/2019/04/optical-heart-rate-sensor-armband-shootout-schosche24-polaroh1-wahoo-tickr-fit.html (11 March 2021).
  23. Gajda R, Walasek P, Jarmuszewski M. Right Knee-The Weakest Point of the Best Ultramarathon Runners of the World? A Case Study. Int J Environ Res Public Health. 2020; 17(16).
  24. Gajda R, Samełko A, Czuba M, et al. To Be a Champion of the 24-h Ultramarathon Race. If Not the Heart ... Mosaic Theory? International Journal of Environmental Research and Public Health. 2021; 18(5): 2371.
  25. Bircher S, Enggist A, Jehle T, et al. Effects of an extreme endurance race on energy balance and body composition - a case study. J Sports Sci Med. 2006; 5(1): 154–162.
  26. Garabelli P, Stavrakis S, Po S. Smartphone-based arrhythmia monitoring. Curr Opin Cardiol. 2017; 32(1): 53–57.
  27. Marcadet DM, Pavy B, Bosser G, et al. French Society of Cardiology guidelines on exercise tests (part 1): Methods and interpretation. Arch Cardiovasc Dis. 2018; 111(12): 782–790.
  28. Biffi A, Maron BJ, Di Giacinto B, et al. Relation between training-induced left ventricular hypertrophy and risk for ventricular tachyarrhythmias in elite athletes. Am J Cardiol. 2008; 101(12): 1792–1795.
  29. Szczepańska-Gieracha J, Jóźwik S, Cieślik B, et al. Immersive Virtual Reality Therapy As a Support for Cardiac Rehabilitation: A Pilot Randomized-Controlled Trial. Cyberpsychol Behav Soc Netw. 2021 [Epub ahead of print].
  30. Krych M, Biernacka EK, Ponińska J, et al. Andersen-Tawil syndrome: Clinical presentation and predictors of symptomatic arrhythmias - Possible role of polymorphisms K897T in KCNH2 and H558R in SCN5A gene. J Cardiol. 2017; 70(5): 504–510.
  31. Jagodzińska M, Szperl M, Ponińska J, et al. Coexistence of Andersen-Tawil Syndrome with Polymorphisms in hERG1 Gene (K897T) and SCN5A Gene (H558R) in One Family. Ann Noninvasive Electrocardiol. 2016; 21(2): 189–195.
  32. Doyen B, Matelot D, Carré F. Asymptomatic bradycardia amongst endurance athletes. Phys Sportsmed. 2019; 47(3): 249–252.
  33. Northcote RJ, Canning GP, Ballantyne D. Electrocardiographic findings in male veteran endurance athletes. Br Heart J. 1989; 61(2): 155–160.
  34. Gajda R. Extreme Bradycardia and Bradyarrhythmias at Athletes. What will Technology Development Bring as a Help to Diagnosis Them? Research & Investigations in Sports Medicine. 2019; 5(4).