低体积和高强度的有氧间歇训练可能会减轻心肌梗塞后的功能障碍心室重塑:来自INTERFARCT研究的数据
Gualberto Rodrigo Aispuru-Lanche1,2, Monica Gallego-Muñoz3, Jon Ander Jayo-Montoya4
1Department of Physiology, Faculty of Medicine, University of the Basque Country (UPV/EHU), Leioa, 48940 Bizkaia, Basque Country, Spain.
Reviews in cardiovascular medicine
|July 30, 2024
概括
低体积高强度间歇训练 (HIIT) 是心肌梗塞 (MI) 后患者的时间效率高和安全的策略. 它有助于防止左心室壁变薄,改善心脏功能,为更高的体积提供了有希望的替代品.
科学领域:
- 心脏病学 心脏病学
- 运动生理学 运动生理学
- 康复医学 康复医学 康复医学
背景情况:
- 高强度间歇训练 (HIIT) 在改善心肌梗塞 (MI) 后心室重塑方面表现有前途.
- 在心脏病后的患者中,有氧HIIT的最佳训练量仍未确定.
- 这项研究研究了不同有氧HIIT体积对左心室 (LV) 重塑的影响.
研究的目的:
- 为了比较低体积与高体积有氧HIIT对成年后MI的LV重塑的心声和生化标志物的影响.
- 评估不同HIIT体积与注意力对照组的有效性.
主要方法:
- 一项随机临床试验,涉及心脏病后心脏病患者,心室功能保持.
- 参与者被分配到低体积HIIT (20分钟,每周2次),高体积HIIT (40分钟,每周2次) 或注意力控制 (AC) 组.
- 心声学参数和心脏生物标志物 (NT-proBNP,ST2,Troponin T,肌酸酶) 在基线和16周后进行测量.
主要成果:
- 与AC相比,低体积和高体积HIIT都增加了LV终端-透析直径和体积,同时保持了腹腔间隔膜和后壁厚度.
- 在两组HIIT中都观察到扩张性和收缩性功能的显著改善.
- 这两种HIIT方案都导致NT-proBNP和ST2水平在AC相比显著降低.
- 高容量HIIT显示了肌酸激酶的显著增加.
结论:
- 低体积有氧HIIT是一种临床上可行的,时间效率高和更安全的策略,用于减轻后心脏病患者的功能障碍重塑.
- 这种方法有效地防止了 LV 壁的薄化,并增强了心脏功能.
- 特别是在较低体积的HIIT,为心脏病后心脏恢复提供了有益的干预措施.
更多相关视频
09:37Permanent Ligation of the Left Anterior Descending Coronary Artery in Mice: A Model of Post-myocardial Infarction Remodelling and Heart Failure
Published on: December 2, 2014
27.8K
07:40Impact of High-intensity Interval Exercise and Moderate-Intensity Continuous Exercise on the Cardiac Troponin T Level at an Early Stage of Training
Published on: October 10, 2019
7.3K
相关概念视频
01:20Exercise and Cardiovascular Response
765
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...
765
01:17Exercise and Cardiac Output
967
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...
967