在一大批练习不同体育学科的精英运动员中,心声图形形态功能参数预测最大氧气吸收和氧气脉冲的指标
Armando Ferrera1, Giuseppe Di Gioia2, Cosimo Damiano Daniello3
1Institute of Sports Medicine and Science, National Italian Olympic Committee, Largo Piero Gabrielli, 1 - 00197 Rome, Italy; Department of Clinical and Molecular Medicine, Sapienza University of Rome, 00189 Rome, Italy; Department of Clinical, Internal, Anesthesiologic and Cardiovascular Sciences, Sapienza University of Rome, Piazzale Aldo Moro, 5 00185 Rome, Italy.
精英运动员表现出心脏重塑,提高心血管性能. 关键的结构性适应,如左心室质量指数 (LVMi),独立预测改善的氧气吸收峰值 (VO2max) 和氧气脉冲 (O2脉冲).
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:
- 运动训练会诱导心脏结构的适应,称为运动员的心脏,在运动期间改善心脏功能.
- 现有有限的数据将这些结构变化与功能指标 (如氧气吸收峰值 (VO2max) 和氧气脉冲 (O2脉冲) 等功能指标) 相关联.
研究的目的:
- 调查精英运动员心脏结构重塑参数和功能性心血管性能指数之间的独立相关性.
- 在一大批奥运运动员中确定VO2max和O2脉冲的特定心声预测因子.
主要方法:
- 在42项体育运动中,1033名精英运动员接受了参加前评估.
- 胸外心声学 (TTE) 评估了心室和心房的大小,质量和功能.
- 心肺运动测试 (CPET) 测量了VO2max和O2脉冲;多变量线性回归确定了预测因素.
主要成果:
- 左心室质量指数 (LVMi) 与VO2max正相关 (p<0.0001).
- E/e'比率与VO2max (p=0.014) 和O2脉冲 (p=0.027) 有负相关.
- LVMi,LAVi,RVEDA和TAPSE对VO2max和O2脉冲有显著的贡献,而喷射分数 (EF) 没有.
结论:
- 精英运动员的结构性心脏改造独立地与增强的功能能力有关.
- 形态适应直接转化为改善心血管性能指标,如VO2max和O2脉冲.
- 特定的回声心脏学参数作为体育心血管表现的重要预测指标.
更多相关视频
09:33Using Near-Infrared Spectroscopy Wearable Devices to Identify Central Versus Peripheral Limitations During Exercise
Published on: December 19, 2024
04:20Integration of Brain Tissue Saturation Monitoring in Cardiopulmonary Exercise Testing in Patients with Heart Failure
Published on: October 1, 2019
相关概念视频
Exercise and Cardiac Output
Sustained exercise increases the muscles' oxygen demand, which can be...
Exercise and Cardiovascular Response
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
Cardiac Output I:Effect of Heart Rate on Cardiac Output
Cardiac output (CO) refers to the total amount of blood ejected by one of the ventricles in liters per minute (L/min). In a resting adult, CO ranges from 5 to 6 L/min, adjusting according to the body's metabolic requirements.
Effect of Heart Rate on Cardiac Output
Cardiac output adapts to metabolic demands during stress, physical activity, or illness. The autonomic nervous system regulates heart rate via the sinoatrial node. The parasympathetic nervous system decreases heart...
Pathophysiology of Cardiac Performance
Imaging Studies for Cardiovascular System I:Echocardiography
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
