大动脉根扩张在训练有素的竞争运动员中的患病率和临床意义
Antonio Pelliccia1, Fernando M Di Paolo, Elvira De Blasiis
1Institute of Sports Medicine and Science, Largo Piero Gabrielli, 1, 00197 Rome, Italy. ant.pelliccia@libero.it
Circulation
|August 4, 2010
概括
在运动员中大动脉根扩大不常见. 男性的尺寸超过40毫米,女性的尺寸超过34毫米,可能表明病理,而不仅仅是运动条件,需要医疗监测.
科学领域:
- 心脏病学 心脏病学
- 运动医学 运动医学
- 生理学 生理学 生理学
背景情况:
- 关于运动训练如何影响大动脉根大小的数据有限.
- 研究了精英运动员中大动脉根尺寸的患病率,原因和临床重要性.
研究的目的:
- 在一大批训练有素的运动员中确定大动脉根大小的分布和决定因素.
- 在这个人群中评估大动脉根尺寸的临床意义.
主要方法:
- 在28项体育运动中的2317名运动员中评估横向大动脉尺寸.
- 收集有关人口统计,人体统计和心血管健康的数据.
- 在8年内进行了纵向随访.
主要成果:
- 大动脉根尺寸为男性32.2±2.7毫米,女性27.5±2.6毫米.
- 在1.3%的男性和0.9%的女性中发现大动脉根扩大 (男性≥40毫米,女性≥34毫米).
- 大动脉尺寸主要受到体重,身高,左心室质量和年龄的影响,体育类型的影响较小.
结论:
- 在男性运动员中,大动脉根尺寸超过40毫米,在女性运动员中超过34毫米是罕见的.
- 这些尺寸不太可能仅仅是由于生理适应运动.
- 这种发现表明潜在的病理状况需要密切的临床监测.
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