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运动员和非运动员没有心脏病的QRS碎片化的生理变化
Georgios A Christou1,2, Maria A Christou1, Konstantinos A Christou1
1Department of Radiology, Faculty of Medicine, University of Ioannina, 45332 Ioannina, Greece.
没有心脏病的人群中的QRS碎片化与体重指数和呼吸有关. 在运动员中,V1 QRS碎片化可能表明由于训练而导致的心脏适应.
科学领域:
- 心脏病学 心脏病学
- 电力生理学 电力生理学
- 运动心脏病学 运动心脏病学
背景情况:
- 在没有已知的心脏病的个体中,QRS碎片化 (QRSf) 通常与死亡率增加无关.
- 了解该人群中QRSf的生理决定因素对于准确的解释至关重要.
研究的目的:
- 在没有已知的心脏病的无症状个体中调查QRS碎片化的生理决定因素.
- 探索运动员和非运动员之间的QRSf特征和决定因素的差异.
主要方法:
- 研究了163名无症状个体 (54名运动员,109名非运动员) 患有QRS碎片化但没有心脏病.
- 评估QRS碎片化是在卧卧,吸气后和站立后的姿势,以及运动期间.
- 对QRS碎片化变化的后续评估发生在平均2.3年内.
主要成果:
- III是QRSf最常见的,其次是V1和aVF. 在V1中的QRS碎片化在运动员中更为频繁.
- 在运动员中,V1 QRSf是由右心室外流通道近接直径 (RVOTproxi) 的增加独立预测的.
- 深度灵感解决了V1 QRSf,在非运动员中比运动员中更多. 导线II/aVF中的QRSf与较高的BMI相关. 训练年龄预测了运动员的新V1QRSf,而BMI降低与aVF中的QRSf分辨率相关.
结论:
- 与RVOTproxi相关的V1中的QRS碎片化是运动员的特征,可能意味着与运动有关的心脏适应.
- 前面平面QRS碎片化受体质指数 (BMI) 和呼吸阶段的影响.
- 深呼吸后V1 QRS碎片化的持续性可能是运动诱导心脏适应的特定标志物.
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