Lahut D, Bodur B, Tosun O (2019) Accelerated Junctional Rhythm in Athlete's Heart: An Unusual Presentation. Int J Sports Exerc Med 5:117.


© 2019 Lahut D, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

CASE REPORT | OPEN ACCESS DOI: 10.23937/2469-5718/1510117

Accelerated Junctional Rhythm in Athlete's Heart: An Unusual Presentation

Lahut D1*, Bodur B2 and Tosun O3

1Department of Pediatrics, Medeniyet University, Turkey

2Faculty of Medicine, Medeniyet University, Turkey

3Department of Pediatric Cardiology, Medeniyet University, Turkey


The athlete's heart refers to a heart which has gained physiological adaptation mechanisms due to long term training in various sport activities. Sinus bradycardia, sinus arrhythmia, first degree atrioventricular block and second degree mobitz type I AV blocks are most common electrocardiographic findings in athlete's heart. In our case we observed first degree atrioventricular block with pathological PR interval values second degree mobitz type I (Wenckebach) atrioventricular block and accelerated junctional rhythm at the day time in a 13-year-old athlete playing football, exercising 21 hours a week. The clinical course of our patient indicates that such intense exercise may not always be beneficial to cardiovascular system in children.