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在练习不同体育学科的精英运动员中,超心室额外跳动的决定因素
Giuseppe Di Gioia1,2, Francesca Vespasiano3, Viviana Maestrini1,4
1Institute of Sports Medicine and Science, National Italian Olympic Committee, Largo Piero Gabrielli.
超心室额外跳动 (SVEB) 在老年男性运动员中更常见,并且与较大的左心房体积有关. 这种关联表明,在以后的生活中发展复杂心律失常的风险可能会增加.
科学领域:
- 心脏病学 心脏病学
- 运动医学 运动医学
- 运动生理学 运动生理学
背景情况:
- 上额外跳动 (SVEB) 在运动员中很常见,但其临床意义和对心脏重塑的预后影响尚不清楚.
- 由于SVEB有可能预测更复杂的心律失常,因此需要进一步调查监测需求.
研究的目的:
- 确定各种体育学科奥运会运动员中SVEB的患病率和临床意义.
- 评估SVEB,心脏重塑和精英运动员的特定临床特征之间的相关性.
主要方法:
- 分析了1492名参加奥运会 (2012-2022) 的精英运动员.
- 收集的数据包括体检,血液检查,心声学和运动压力测试.
- 运动员被分为力量,技能,耐力和混合体育学科.
主要成果:
- 在运动压力测试期间,在6.2%的运动员中检测到SVEB,主要是单击.
- 在男性 (77.4%对54.6%) 和老年运动员 (平均年龄27.1对25.7岁) 中,SVEB的患病率更高.
- 患有SVEB的男性运动员表现出较大的左心房体积 (24.2比22.2毫升/米2);体育学科之间没有观察到SVEB率的显著差异.
结论:
- 精英运动员中的SVEB在老年男性中更为普遍,并且与左心房体积增加有关,无论运动类型如何.
- 左心房体积和SVEB的结合可能表明中年患复杂心律失常的风险增加.
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