冠军残奥运动员心血管风险概况,高风险未经治疗的人群:一个横截面纵向研究
Giuseppe Di Gioia1,2, Francesca Vespasiano3, Federica Mango4
1Department of Cardiology, Institute of Sports Medicine and Science, National Italian Olympic Committee, Largo Piero Gabrielli, 1, 00197, Rome, Italy. dottgiuseppedigioia@gmail.com.
概括
残奥运动员 (PA) 患心血管疾病的风险很高 (CVDR),每次ESC-SCORE的高风险或非常高风险为30%. 脱脂症是常见的,治疗不足,需要针对这一群体制定有针对性的预防策略.
科学领域:
- 心脏病学 心脏病学
- 运动医学 运动医学
- 公共卫生 公共卫生
背景情况:
- 欧洲心脏病学会 (ESC) 开发了ESC-SCORE2模型,用于预测40-60岁的成年人没有先前心血管疾病或糖尿病的10年心血管疾病风险 (CVDR).
- 关于残奥运动员 (PA) 中CVDR的数据有限且不一致.
- 这项研究旨在评估CVDR风险因素,并使用ESC-SCORE2模型估计PAs中的CVDR.
研究的目的:
- 评估残奥运动员心血管疾病风险因素的流行程度.
- 用ESC-SCORE2模型估计残奥运动员10年心血管疾病风险 (CVDR).
- 确定这一群体对预防策略的具体需求.
主要方法:
- 九十九名40岁及以上的残奥运动员参加了2012年至2022年残奥会.
- 运动员按运动类型 (力量,技能,耐力,混合) 和残疾 (脊髓损伤和非脊髓损伤) 分类.
- 收集了心血管疾病风险因素,人体测量和血液样本.
主要成果:
- 在99名PA中 (52.5%患有SCI,54%患有脱脂症,23%吸烟者),29%的CVDR高,1%的CVDR非常高,根据ESC-SCORE2.
- 女性和耐力运动员相比男性和其他运动类型,分别表现出更好的心血管状况.
- 脱脂症很普遍,但未得到充分治疗,尽管发现了风险,但没有患有脱脂症的运动员接受药物治疗.
结论:
- 残奥会运动员代表了一个具有显著高心血管疾病风险 (30%高或非常高CVDR) 患病率的精选群体.
- 脱脂症是最常见的危险因素,在PAS中经常被低估和治疗不足.
- 在残奥运动员中,有极大需要针对性预防策略和心血管风险因素的管理.
相关概念视频
01:20Exercise and Cardiovascular Response
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Exercise significantly impacts cardiovascular response, which is crucial for understanding patient health and designing effective treatment plans.
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
791
01:17Exercise and Cardiac Output
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Regular physical activity is essential for maintaining cardiovascular health, with aerobic exercises being particularly effective. According to the American Heart Association, 150 minutes of moderate to intense aerobic exercise per week is recommended for a healthy heart. Aerobic activities may include brisk walking, running, bicycling, cross-country skiing, and swimming, ideally performed three to five times per week.
Sustained exercise increases the muscles' oxygen demand, which can be...
Sustained exercise increases the muscles' oxygen demand, which can be...
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01:23Assessment of the Cardiovascular System I: Subjective Data
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A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
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Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
320
01:25Blood Studies for Cardiovascular System III: Serum Lipid Profile
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Understanding serum lipids is crucial for maintaining cardiovascular health and preventing heart disease and stroke.
Serum lipids are fats and fatty substances in the blood and are crucial for various bodily functions, including energy storage, cellular structure, and hormone production. Serum lipids consist of cholesterol, triglycerides, and phospholipids.
Cholesterol is a soft, fat-like substance found in all body cells. It is crucial for producing hormones, vitamin D, and substances that aid...
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01:29Pathophysiology of Cardiac Performance
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Typical heart performance is influenced by heart rate, rhythm, myocardial contraction, and metabolism or blood flow. The cardiac muscle exhibits distinct electrophysiological features, including pacemaker activity and calcium channel control, which play a vital role in the heart's response to various drugs. The autonomic nervous system, comprising the sympathetic and parasympathetic branches, regulates heart rate. Sympathetic activation increases heart rate, while parasympathetic activation...
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01:14Decreased pulse rate
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Bradycardia is a medical condition in which the heart rate is slower than normal. It occurs when the heart's natural pacemaker, the sinus node, generates slower electrical impulses than the standard rhythm. In adults, bradycardia is diagnosed when the pulse rate falls below 60 beats per minute, indicating a deviation from the normal heart rate range.
There are specific risk factors that can elevate the likelihood of developing bradycardia. Advanced age is a significant factor, with...
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