超级马拉松步道在海平面和海拔高度运行对膜毛细血管功能和肺部扩散的影响
Glenn M Stewart, Caitlin C Fermoyle, Courtney M Wheatley-Guy1
1Department of Cardiovascular Diseases, Mayo Clinic, Scottsdale, AZ.
Medicine and science in sports and exercise
|April 10, 2024
概括
超级马拉松跑步会导致暂时的心脏紧张和肺部扩散障碍,主要是由于毛细血管血液体积减少和膜毛细血管招募问题. 这些效应在各种比赛距离和高度上都被观察到.
科学领域:
- 运动生理学 运动生理学
- 肺部医学 肺部医学
- 心血管健康 心血管健康
背景情况:
- 高空的耐力运动可以显著地压力心肺系统.
- 高心力输出和肺血管压力可能会挑战膜-毛细血管单元的完整性.
研究的目的:
- 为了研究超级马拉松在不同高度的赛道赛跑对膜-毛细血管招募和肺部扩散的影响.
- 评估赛后心脏生物标志物,肺液积累和肺扩散能力的变化.
主要方法:
- 67名超级马拉松选手在比赛前后评估心脏和肺功能.
- 测量了心脏生物标志物 (cTnI,BNP),肺液 (彗星尾),中风体积 (SV) 和心脏输出量 (Q).
- 肺部对一氧化碳 (DLco) 的扩散能力,气泡膜导电性 (Dm) 和毛细血管血液体积 (Vc) 通过单呼吸方法确定.
主要成果:
- 赛后心脏生物标志物 (cTnI,BNP) 和肺液的增加.
- 静止中风体积 (SV) 减少和心脏静止输出量 (Q) 增加.
- 减小休息和运动时的肺扩散能力 (DLco) 和毛细血管血液体积 (Vc);运动期间的Dm减少.
结论:
- 超级马拉松比赛诱导过渡性心脏损伤标志物和轻微的肺液积累.
- 赛后DLco的减少主要是由于Vc降低和潜在的毛细血管退役.
- 运动性DLco损伤涉及膜毛细管招募和Dm,在各种比赛条件中明显.
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