High g-Force Rollercoaster Rides Induce Sinus Tachycardia but No Cardiac Arrhythmias in Healthy Children

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• 作者：Guido E. Pieles ; Victoria Husk ; Teresa Blackwell ; Deirdre Wilson…
• 关键词：Cardiology ; Arrhythmia ; Rollercoaster ; g ; force
• 刊名：Pediatric Cardiology
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：38
• 期：1
• 页码：15-19
• 全文大小：564KB
• 刊物类别：Medicine
• 刊物主题：Cardiology; Cardiac Surgery; Vascular Surgery;
• 出版者：Springer US
• ISSN：1432-1971
• 卷排序：38

文摘

Theme park operators and medical professionals advise children with heart conditions against using rollercoaster rides, but these recommendations are not evidence-based. The underlying assumption is that the combination of adrenergic stimulation through stress and acceleration might trigger arrhythmias in susceptible individuals. We conducted a cross-sectional observational study to assess heart rate and rhythm in healthy children during commercial rollercoaster rides. Twenty healthy children (9 male) aged 11–15 (mean 13.3 ± 1.4) years underwent continuous heart rate and rhythm monitoring (2-lead ECG) from 5 min before until 10 min after each of 4 high speed (>50 km h−1), high g-force (>4) commercial rollercoaster rides. Total recording time was 13 h 20 min. No arrhythmic events were detected. Resting heart rate was 81 ± 10 b min−1 and increased to 158 ± 20 b·min−1 during rides. The highest mean HR (165 ± 23 b min−1) was observed on the ride with the lowest g-force (4.5 g), but one of the highest speeds (100 km h−1). Anticipatory tachycardia (126 ± 15 b min−1) within 5 min was frequently observed. A 10 min recovery HR (124 ± 17 b min−1) was 56 % greater than resting HR. The speed and g-force experienced on roller coasters induce sinus tachycardia but do not elicit pathological arrhythmias in healthy children.