在马拉松跑者中过度血压升高和心血管重塑
Hye Bin Gwag1, Young-Joo Kim2, Kyoung-Min Park3
1Division of Cardiology, Department of Internal Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea (the Republic of).
International journal of sports medicine
|May 21, 2024
概括
马拉松跑步者的运动诱导高血压 (EIH) 与更高的心脏质量有关. 在运动期间监测过度血压反应对于预防心血管适应不良至关重要.
科学领域:
- 心脏病学 心脏病学
- 运动医学 运动医学
- 生理学 生理学 生理学
背景情况:
- 运动引起的高血压 (EIH) 是对心血管 (CV) 健康的关注.
- 以前的研究还没有全面研究EIH对没有心脏病风险因素的马拉松选手心脏病适应的影响.
研究的目的:
- 调查EIH对马拉松跑者的心血管适应的影响.
- 通过24小时的门诊血压监测和运动应激心声学 (ESE) 来比较带有EIH和没有EIH的跑步者之间的心血管参数.
主要方法:
- 没有心血管风险因素的35-64岁的马拉松选手被纳入.
- 参与者接受了24小时的门诊血压监测和ESE.
- EIH被定义为最大运动系统血压≥210 mmHg.
主要成果:
- 与非EIH组 (n=23) 相比,EIH组 (n=19) 的训练历史较短,运动强度更高.
- 在EIH组中观察到较高的平均缩血压,左心室大小和左心室质量 (LVM).
- 在ESE期间的最大血压与左心室大小和LVM正相关.
结论:
- 马拉松跑步者的EIH与明显的心血管适应有关,包括心脏腔大小增加和LVM.
- 运动期间血压反应过度,需要进行监测,以防止慢性心血管适应不良.
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