在珠穆朗玛峰登山者中心律不整的风险
Kunjang Sherpa1, Pasang Phurba Sherpa2, Tendi Sherpa2
1Department of Cardiology, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal.
JAMA cardiology
|April 3, 2024
概括
超过三分之一的健康登山者在珠穆朗玛峰上经历了心律不整,包括节律不整和腹腔心律不整. 这突显了高海拔对其他健康个体心律的重大影响.
科学领域:
- 心脏病学 心脏病学
- 高度医学 高度医学
- 运动心脏病学 运动心脏病学
背景情况:
- 高空暴露与可能影响心血管功能的生理变化有关.
- 动脉缺氧,电解质不平衡和高海拔地区的定期呼吸增加了心律不整的风险.
研究的目的:
- 调查高海拔上升的健康个体中节拍不良和节拍不良的发病率.
- 探索高度暴露与心律障碍之间的关系.
主要方法:
- 一项前性队列研究对健康的个人进行了登珠穆朗玛峰 (8849米) 的研究.
- 在远征之前,参与者接受了心电图,心声图和运动压力测试.
- 在高海拔探险之前和期间,进行了健行节奏录音.
主要成果:
- 在41名参与者中,有13名 (38.2%) 患有心律不整,主要是肌节律事件 (13人中有43起事件).
- 在2名患者 (5.9%) 中记录了两例心室动脉冲动.
- 心律失常事件的发生率随着海拔高达7300米的增加,大多数事件都发生在没有补充氧气的情况下.
结论:
- 超过三分之一的健康人群在珠穆朗玛峰探险期间经历了心律失常.
- 这项研究证实了高空暴露与心律不整的发病率之间的联系.
- 需要进一步的研究,以了解这些高度诱导的节律障碍的临床影响.
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Definition
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