内侧鼻节/心房节功能障碍需要心脏起器植入:前职业体育运动活动的作用
Sergei Bondarev1, Evgeny Achkasov2, Alessandro Zorzi1
1Department of Cardiac, Thoracic and Vascular Sciences and Public Health, University of Padova, 35128 Padova, Italy.
Journal of clinical medicine
|January 11, 2024
概括
前耐力运动员可能比其他运动员或久坐不动的人更早地发展出病理性胸和心房门 (AV) 阻塞. 强烈的耐力运动可能并不总是导致良性心脏适应.
科学领域:
- 心脏病学 心脏病学
- 运动医学 运动医学
- 电力生理学 电力生理学
背景情况:
- 运动员的鼻肌梗塞和心房 (AV) 阻塞通常被认为是适应性的.
- 然而,这些情况可能会持续下去,在停止训练后变得病态.
- 这项研究调查了需要植入心脏起器的前职业运动员.
研究的目的:
- 为了比较前职业运动员需要起器与久坐控制器.
- 在这个队列中识别鼻节 (SN) 功能障碍或AV阻塞的特征.
- 评估运动训练是否影响这些疾病的发展.
主要方法:
- 2022年接受心脏起器 (PM) 植入的患者的回顾性分析.
- 18名前职业运动员 (第一组) 与20名久坐者 (第二组) 以及323名其他患者 (第三组) 的比较.
- 分析诊断时的年龄,PM植入,和布拉迪亚心律失常的类型.
主要成果:
- 在前运动员和久坐控制者之间,PM植入的年龄没有显著差异.
- 前耐力运动员在较年轻的年龄被诊断并接受PM.
- 耐力运动员表现出第二或第三级AV阻塞的更高患病率 (78%) 与力量/混合运动员相比 (44%).
结论:
- 异常性SN功能障碍/AV阻塞在前耐力运动员中较早发生.
- 强烈的,长时间的耐力运动可能会导致非良性胸肌梗塞和AV阻塞.
- 这些发现挑战了在精英耐力运动员中仅存在适应性心脏变化的假设.
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