在男性精英运动员中右和左心室功能和质量:受控对比增强的心血管磁共振研究
Philipp Bohm1, Günther Schneider2, Lutz Linneweber2
1From Institute of Sports and Preventive Medicine, Saarland University, Saarbrücken, Germany (P.B., L.L., N.K., W.K., T.M., J.S.); Clinic of Diagnostic and Interventional Radiology, Saarland University Medical Center, Homburg, Germany (G.S.); and Clinic of Pediatric Cardiology, Saarland University Medical Center, Homburg, Germany (A.R., H.A.-K.). philipp.bohm@gmx.de.
Circulation
|April 14, 2016
概括
在高水平运动员中, 强烈的耐力运动不太可能导致慢性右心损伤. 这项研究质疑运动引起的右心室心肌病假说.
科学领域:
- 心脏病学
- 运动医学
- 运动生理学
背景情况:
- 关于强度耐力运动是否会导致慢性心脏损伤,特别是右心脏, 存在争议.
- 精英耐力运动员一生都会进行大量的训练,
研究的目的:
- 研究长期精英耐力运动员的心脏结构和功能.
- 通过对比增强的心血管磁共振 (CE-CMR) 具体评估右心室的状况.
主要方法:
- 对比33名精英男性耐力运动员 (30-60岁,训练29±8年) 与33名年龄/身高/体重匹配的对照.
- 使用心肺运动测试,心声学 (组织多普勒,斑点追踪) 和CE-CMR.
- 测量了指数化的心室质量和体积,喷射分数,并评估了病态晚期增强.
主要成果:
- 与对照组相比,运动员的左心室和右心室质量和体积显著增加.
- 在运动员和对照人群中,右心室喷射率相似 (52±8% vs 54±6%,P=0. 26).
- 仅在一名运动员中发现了病态晚期增强;所有受试者心脏生物标志物均为阴性.
结论:
- 在终身高训练量的精英耐力大师运动员中,慢性右心室损伤似乎不太可能.
- 这些发现挑战了运动引起的右心室心肌病的假设.
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