动脉硬度和心内膜下活力比:对超耐力运动的时间反应。

Tasha Reiter, Daniel MacCallum, Michael Roberts, Justin D Roberts, Tony Dawkins
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引用次数: 0

摘要

超耐力运动引起显著的心血管压力,但恢复过程中的血管反应仍不完全清楚。本研究考察了长距离铁人三项对新手铁人三项运动员动脉僵硬度和心内膜下活力比(SEVR)的短期(12-18小时)和长期(7天和28天)影响。11名参与者(2名女性,9名男性),长距离运动项目的新手,在基线(赛前),赛后12-18小时,以及赛后7天和28天完成心血管评估。测量方法包括颈-股脉搏波速度(PWV)、增强指数(Aix)和SEVR,通过压平血压计测量。PWV在所有运动后时间点保持不变(P = 0.310)。Aix75在事件发生后7天表现出显著的降低(P = 0.024),尽管在将心率正常化为每分钟75次后这种影响消失(Aix75, P = 0.162)。SEVR在比赛后12-18小时显著下降(P < 0.001),表明心肌供需之间存在短暂性失衡,可能是由心率升高和舒张期灌注时间缩短引起的。SEVR在事件发生后7天恢复到基线水平。这些发现表明,虽然没有观察到动脉硬度的持续变化,但恢复期间的血流动力学状况可能表明新手运动员心肌供需平衡的改变。需要进一步的研究来探索这些机制,增强时间分辨率,以更好地了解新手耐力运动员的心血管影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Arterial Stiffness and Subendocardial Viability Ratio: Temporal Responses to Ultra-Endurance Exercise.

Ultra-endurance exercise causes significant cardiovascular stress, yet the vascular responses during recovery remain incompletely understood. This study examined the short- (12-18 hours) and longer-term (7 and 28 days) effects of a long-distance triathlon on arterial stiffness and subendocardial viability ratio (SEVR) in novice triathletes. Eleven participants (2 females, 9 males), novice to long-distance exercise events, completed cardiovascular assessments at baseline (pre-race), 12-18 hours post-race, and 7- and 28-days post-race. Measures included carotid-femoral pulse wave velocity (PWV), augmentation index (Aix) and SEVR, obtained via applanation tonometry. PWV remained unchanged at all post-exercise time points (P = 0.310). Aix showed significant reduction at 7 days post-event (P = 0.024), though this effect was abolished after normalizing values to a heart rate of 75 beats per minute (Aix75, P = 0.162). SEVR decreased significantly 12-18 hours post-race (P < 0.001), indicating a transient imbalance between myocardial supply and demand, likely driven by elevated heart rates and reduced diastolic perfusion time. SEVR returned to baseline by 7 days post-event. These findings suggest that while no sustained changes in arterial stiffness were observed, hemodynamic conditions during recovery may signify altered myocardial supply-demand balance in novice athletes. Further research is needed to explore these mechanisms, with enhanced temporal resolution, to better understand the cardiovascular implications for novice endurance athletes.

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