对运动和心室节律失常的异常血压反应:在运动员中可疑的关联
Giuseppe Di Gioia1,2, Armando Ferrera1,3, Viviana Maestrini1,4
1Institute of Sport Medicine and Science, National Italian Olympic Committee.
Journal of hypertension
|December 3, 2024
概括
在精英运动员中,对运动的异常血压反应 (ABPR) 与心血管风险增加和腹腔失常的更高患病率有关. 这种情况也与运动员更显著的心脏重塑有关.
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:
- 运动员对运动的异常血压反应 (ABPR) 是发展高血压和相关心血管问题的潜在危险因素.
- 了解ABPR运动员的临床特征对于风险分层至关重要.
研究的目的:
- 描述经历ABPR的精英运动员的心血管特征.
- 调查ABPR与运动诱导的腹腔异位跳动 (VEBs) 的发生之间的关系.
主要方法:
- 1460名精英运动员接受了临床检查,心声学和运动压力测试.
- 在男性和女性的运动期间,ABPR的定义是基于特定的静缩和静缩血压值.
- 心血管风险因素和VEBs的患病率在具有和没有ABPR的运动员中进行了评估.
主要成果:
- 8%的精英运动员表现出ABPR,呈现出更高的心血管风险因素,包括肥胖和家族心血管疾病病史.
- 患有ABPR的运动员表现出明显更高的运动诱导VEB的患病率,特别是那些有异常形态的运动员.
- 在患有ABPR和VEB的运动员中,心声扫描显示左心室尺寸和质量增加.
结论:
- 精英运动员中有很大比例表现出ABPR,这与心血管风险概况升高和运动期间心室心律不整增加有关.
- 运动员中ABPR和心室节律失常的组合与更实质性的心脏重塑有关.
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