大动脉根直径和血管功能的关联与精英运动员对运动的过度血压反应
Astrid Most1, Vincent Groesser1, Sophie Hoelscher1
1Department of Cardiology and Angiology, Justus Liebig University Giessen, 35390, Giessen, Germany.
概括
在运动期间血压反应过度的精英运动员 (eBPR) 显示出大动脉根直径变化与左心室终端-透气直径比率. 这些发现表明,eBPR运动员有潜在的大动脉重塑,需要进一步调查.
科学领域:
- 心脏病学 心脏病学
- 运动医学 运动医学
- 生理学 生理学 生理学
背景情况:
- 缩血压/工作负载 (SBP/MET) 斜率是确定过度血压反应 (eBPR) 的验证标记.
- 在精英运动员中研究大动脉根直径 (AoD) 和eBPR之间的相关性对于理解血管适应至关重要.
研究的目的:
- 确定大动脉根直径 (AoD) 是否与精英运动员的过度血压反应 (eBPR) 和血管功能相关.
- 分析运动员的AoD,左心室末端透气直径 (LVEDD) 和SBP/MET斜率之间的关系.
主要方法:
- 一组652名健康的男性精英运动员接受了标准化的最大运动测试.
- 中心血压和血管功能的测量是非侵入性的.
- 计算了SBP/MET斜率,其中eBPR定义为>6.2 mmHg/MET. 评估了AoD,LVEDD和SBP/MET斜率之间的关联.
主要成果:
- 与没有eBPR的运动员相比,eBPR的运动员 (29%) 表现出较高的缩中心血压和较大的AOD.
- 研究小组之间的AoD/LVEDD和LVEDD/AoD比率存在显著差异.
- 在带有和没有eBPR的运动员之间,没有发现指数为身体表面积 (BSA) 的AOD有显著差异.
结论:
- 患有eBPR的精英运动员表现出大动脉根和左心室尺寸的改变,具体比例变化表明了这一点.
- 对BSA索引的AoD在不同组之间没有差异,这表明这种规范化可能会掩盖潜在的适应.
- 建议进行纵向研究,以探索这些指标及其在运动员大动脉重塑中的作用.
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