超级马拉松对心脏缩和心脏缩功能的急性影响:系统综述和元分析
Francisco Veríssimo Perrout Lima1, Diana de Medeiros Andrade1, José Elias Filho2
1Cardiovascular Research Unit and Exercise Physiology, Federal University of Juiz de Fora, Brazil. José Lourenço Kelmer, s/n, Martelos, Juiz de Fora 36036-900, Brazil.
International journal of cardiology
|May 5, 2024
概括
超级马拉松跑步会严重损害心脏功能,影响心缩和心缩量. 这一系统性审查强调了比赛后左心室和右心室功能的显著减少.
科学领域:
- 心脏病学 心脏病学
- 运动医学 运动医学
- 身体生理学 身体生理学
背景情况:
- 超级马拉松跑步带来了相当大的生理压力.
- 心脏功能尤其受到极端耐力赛事的影响.
- 了解急性心脏变化对于运动员健康至关重要.
研究的目的:
- 系统地审查和分析单阶段超级马拉松跑步对心脏功能的急性影响.
- 在超级马拉松后量化左心室 (LV) 和右心室 (RV) 参数的变化.
- 评估对心脏缩和放心功能的影响.
主要方法:
- 遵守系统审查和元分析 (PRISMA) 准则的首选报告项目.
- 在七个主要数据库 (Medline,Embase,CINAHL,SPORTDiscus,Web of Science,Central Cochrane,Scopus) 进行了全面的文献搜索.
- 进行随机效应元分析以确定心脏变量平均差异 (MD) 和95%置信区间 (CI).
主要成果:
- 包括17项涉及6972名参与者的研究.
- 在超级马拉松后观察到的LV终端-透析直径,LV终端-透析体积,LV中风体积,LV喷射率和LV全球纵向应变的显著下降.
- 在心率增加的同时,还观察到腹功能 (E/A, .E) 和RV功能 (RV小区面积变化,TAPSE,RV全球纵向应变) 的损伤.
结论:
- 超级马拉松跑步会导致心脏缩和放缩功能立即受到损害.
- 这些发现强调了与极端耐力跑步相关的急性心脏应变.
- 进一步的研究可能会探索长期影响和恢复模式.
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