运动的血压反应并没有区分耐力运动员与心脏动
Kristel Janssens1,2, Turid Apelland3,4, Amy M Mitchell1,5
1Heart, Exercise and Research Trials (HEART) laboratory, St. Vincent's Institute of Medical Research, Melbourne, Australia.
European journal of preventive cardiology
|March 10, 2026
概括
在耐力运动员中,较高的运动血压 (BP) 与心房动 (AF) 或左心房扩大无关. 这项研究没有发现运动期间过度高血压反应与该人群中AF风险之间的关联.
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:
- 心房动 (AF) 在耐力运动员中更为常见.
- 运动期间血压 (BP) 反应过度可能会增加AF风险.
- 运动BP与运动员心房重塑之间的关系尚未完全理解.
研究的目的:
- 调查运动BP反应与左心房扩大 (LAE) 和耐力运动员的AF患病率之间的关联.
- 为了测试这个假设,更高的运动BP与LAE和AF在这个群体中有关.
主要方法:
- 178名耐力运动员 (89人患有心肌梗塞,89人没有心肌梗塞) 接受了心声和运动测试.
- 不包括患有高血压的运动员.
- 在各组之间比较休息BP,最大运动BP和BP相对于工作负载 (斜率和比率) 的反应.
主要成果:
- 与没有AF的运动员相比,患有AF的运动员左心房体积 (LAVi) 更大,静止血压更高.
- 两组之间在最大运动时的缩压或腹缩压BP中没有发现显著差异.
- 与工作负载相对的运动BP反应在AF和没有AF的运动员之间并不一致.
- 运动BP反应与严重扩张的左心房体积之间没有观察到任何联系.
结论:
- 运动诱导的血压反应与耐力运动员的心房动无关.
- 耐力运动员的左心房扩张与过度运动的血压反应无关.
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