运动员的透缩功能和功能障碍.
Havard Dalen1,2,3, Jon Magne Letnes1,2, Morten A Hoydal1
1Department of Circulation and Medical Imaging, Norwegian University of Science and Technology, Faculty of Medicine and Health Sciences, Box 8905, NO-7491 Trondheim, Norway.
European heart journal. Cardiovascular Imaging
|July 18, 2024
概括
精英耐力运动员经常表现出心脏重塑,包括左心室 (LV) 扩大. 心声扫描显示LV扩张功能增强,对于他们的高性能至关重要,精英运动员的具体发现.
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:
- 心脏重塑,其特点是腔室扩大和缩,在男性耐力运动员中明显.
- 左心室 (LV) 透静填充是一个复杂的生理过程,受到肌肉心脏特性,填充压力和心率的影响.
研究的目的:
- 通过心声学研究精英耐力运动员使用心声回声学来研究LV扩张功能的特征.
- 与运动训练和表现相关联回声心脏图的发现.
主要方法:
- 声心成像被用来评估耐力运动员的LV透静功能.
- 分析包括LV尺寸,射出分数 (EF),左心房 (LA) 尺寸和腹转移填充参数 (E/A比率,早期腹转移中枢环状速度).
主要成果:
- 耐力运动员通常表现出扩张的LV与正常或轻微减少EF.
- 显著扩大的LA和高的E/A比率是常见的发现.
- 早期的透支中枢环状速度和E波峰值速度通常是正常的.
结论:
- 在精英耐力运动员中, LV 扩张功能通常会得到增强,从而促进改善心室填充和高性能.
- 运动员心声学发现必须在临床背景下解释,考虑训练类型,避免误解生理适应是病理.
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