运动干预改善心脏功能,减少非永久性心房的复发:系统性审查和元分析
Editya Fukata1, Rivaldo Hardani2, Nabilah Mukti3,4
1Faculty of Medicine, Universitas Negeri Malang, Malang, Indonesia.
Journal of the Saudi Heart Association
|November 13, 2025
概括
身体炼改善左心室喷射率 (LVEF),并减少心房 (AF) 在非永久性AF患者中复发. 然而,运动不会显著改变心脏结构或重塑,益处因运动类型而异.
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:
- 运动对心房动 (AF) 患者的运动能力和生活质量产生积极影响.
- 运动对心脏功能,逆心脏重塑和非永久性AF患者的AF复发风险的影响尚不清楚.
研究的目的:
- 评估运动干预对心脏功能和结构的影响.
- 评估运动对非永久性AF患者AF复发风险的影响.
主要方法:
- 随机对照试验 (RCT) 的系统审查和元分析,遵循PRISMA指南.
- 在主要数据库 (PubMed,Scopus等) 进行的搜索. 对于比较运动干预措施与标准AF治疗的RCT.
- 分析的结果包括LVEF,左心室索引体积 (LAVi),E/e'比率,左心室末端透气直径 (LVDd) 和AF复发.
主要成果:
- 十个带有1013名参与者的RCT显示,运动显著增加了LVEF (MD = 2.16%).
- 没有观察到LAVi,LVDd或E/e'比率的显著变化,这表明对心脏重塑没有影响.
- 运动干预与AF复发风险降低有关 (RR = 0.82),间隔训练显示出更大的益处.
结论:
- 运动干预增强LVEF,并减少非永久性AF患者的AF复发.
- 运动干预不会显著影响心脏重塑.
- 运动干预措施对LVEF和AF复发的有效性取决于具体的运动方案,间隔训练对减少复发特别有益.
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