体育活动对非复杂双动脉膜的影响:长期纵向心声图学研究
Massimiliano Bianco1, Fabrizio Sollazzo1, Gloria Modica2
1Unità Operativa Complessa di Medicina dello Sport e Rieducazione Funzionale, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.
Journal of cardiovascular development and disease
|September 27, 2024
概括
运动员有双主动脉 (BAV) 的高水平体育训练不会加速疾病的进展. 这项研究发现,在训练有素和未训练有素的BAV运动员中,门功能或心脏大小没有显著恶化.
科学领域:
- 心脏病学 心脏病学
- 遗传性心脏病是一种先天性心脏病.
- 运动心脏病学 运动心脏病学
背景情况:
- 双动脉 (BAV) 是一种常见的先天性心脏缺陷.
- BAV可以导致严重的并发症,如大动脉狭窄和扩张.
- 胸外心声学 (TTE) 对于BAV诊断和监测至关重要.
研究的目的:
- 为了研究体育训练对双主动脉的自然史的影响.
- 为了确定高训练量是否会在没有并发症的BAV的运动员中加速疾病的进展.
主要方法:
- 对47名没有并发症的BAV运动员 (年龄在18-50岁) 的回顾性队列研究.
- 参与者接受了至少两次TTE,并进行了至少5年的随访.
- 运动员根据身体活动水平被分为"未训练"和"训练"的类别.
主要成果:
- 在训练和未训练的组之间,大动脉或左心室生长率没有显著差异.
- 没有观察到主动脉狭窄或吐的显著恶化.
- 没有发现训练量和心脏大小或功能的心声心脏学参数之间的相关性.
结论:
- 在没有并发症的BAV运动员中,高训练量不会导致更快的恶化.
- 在这个人群中,体育活动不会显著增加大动脉或心脏腔的大小.
- 对于患有双主动脉的运动员来说,定期炼似乎是安全的,没有重大并发症.
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