This study was designed to evaluate effects of long-term swimming training on maximal aerobic capacity and sernm lipid and lipoprotein profile of postmenopausal women. In the first study, 12 swimming-trained postmenopausal women (age: 58±3 yrs, BMI : 22± 2 kg/m², training distance : 3.6±1.6 km/wk, mean±SD) were compared cross-sectionally with 50 age-matched untrained women (58±5 yrs, 23±2 kg m²) . Swimming-trained women had higher maximal oxygen uptake (Vo2max) than untrained (34± 5 vs. 30± 5 ml/kg/min, P<0.05) . Serum total- and HDL-cholesterol (T-C and HDL-C) and triglyceride (TG) concentrations in swimmers were similar to those in untrained (T-C: 232±23 vs. 220±44 mg/dl, HDL-C : 69±15 vs. 72±17 mg/dl, TG : 83±21 vs. 99±67 mg/dl) . On the other hand, swimmers had higher serum LDL-cholesterol concentrations (LDL-C) than untrained women (161±28 vs. 138±25 mg/dl, P<0.05) . The second study was conducted to test the effects of a 2-year swimming program on Vo2max and serum lipid and lipoprotein concentrations of postmenopausal untrained women. After the swimming program 10 trained women (age : 59±7 yrs, BMI : 23±3 kg/m², Vo2max : 30± 3 mlikg/min at baseline, training condition : one hour session, frequency: 1.5±0.4 times/week during the program) and 12 untrained women (60± 5 yrs, 23± 3 kg/m², 29± 5 ml/kg/min at baseline) were retested. No change in BMI was observed in the two groups. At the 2-year follow-up, the trained women increased Vo2max (34± 5 ml/kg/min, P<0.05), whereas no change in Vo2max was observed in the untrained women (30± 5 ml/kg/min) . No changes occurred in concentrations of T-C (Trained : 238±25 233±21 mg/dl, Untrained : 236±20 236±32mg/dl), HDL-C (Trained : 70 ± 15→74 ± 16 mg/dl, Untrained: 69 ± 15→69 ± 14 mg/dl), LDL-C (Trained : 150 ±29 144±27mg/dl, Untrained : 144±15→145±23mg/dl), and TG (Trained : 90±32 74±25 mg/dl, Untrained : 115±81 106±52mg/dl) . These results suggest that although a long-term swimming program can increase maximal aerobic capacity, favorable changes in sernm lipids or lipoproteins can not be expected for postmenopausal women.

This case report describes our first experience performing percutaneous epicardial catheter ablation for Burugada syndrome in our hospital. We describe the good results achieved in this case. The patient was a man in his 30s with no remarkable medical history. However, his family history was notable for the sudden death of his grandfather at age 37 years and his father at age 27 years. While asleep, the patient experienced convulsions and lost consciousness. During emergency transportation, defibrillation was performed 7 times by the ambulance crew. When the patient arrived at our hospital, sinus rhythm was observed on ECG. During resuscitation, Burugada syndrome was diagnosed based on ECG findings. On hospital day 6, an internal cardioverter defibrillator was implanted. After discharge, the defibrillator operated 10 times, so we opted for ablation treatment. Fractionated potential of over 150 ms was confirmed in the right ventricular outflow tract. A low voltage zone of <1 mV could be mapped, and the same site was cauterized a total of 46 times. As a result, ST segment amplitude decreased significantly in lead V1 on ECG. Percutaneous epicardial catheter ablation performed with reference to Nademanee’s report achieved good results in this case of Burugada syndrome.