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急性抗阻运动可降低心率复杂性并延长QTc间期。

Acute resistance exercise reduces heart rate complexity and increases QTc interval.

作者信息

Heffernan K S, Sosnoff J J, Jae S Y, Gates G J, Fernhall B

机构信息

Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Champaign, IL 61820, USA.

出版信息

Int J Sports Med. 2008 Apr;29(4):289-93. doi: 10.1055/s-2007-965363. Epub 2007 Sep 13.

Abstract

Acute resistance exercise (RE) has been shown to reduce cardiac vagal control. Whether this would in turn affect QTc interval (an index of ventricular depolarization/repolarization) or heart rate complexity is not known. Heart rate variability (HRV), heart rate complexity (SampEn), and QT interval (rate corrected using Bazett, Fridericia, Hodges, and Framingham) were measured before and 5 min after an acute RE bout in twelve healthy young men. Normalized high frequency power of HRV (an index of cardiac parasympathetic modulation; HF (nu)), and SampEn were reduced following RE (p < 0.05). Bazett corrected QTc interval increased following RE (p < 0.05). Change in HF (nu) from rest to recovery was correlated with both change in SampEn (r = 0.51, p < 0.05) and change in QTc interval for each method of correction (r = - 0.67 to - 0.70, p < 0.05). Acute RE reduced HF spectral power of HRV and this was related to both reduced heart rate complexity and increased QTc length. Thus, during recovery from acute RE, there is prolongation of depolarization and repolarization of the ventricles concomitant with reduced cardiac irregularity, and this may be related to a reduction in cardiac vagal control.

摘要

急性抗阻运动(RE)已被证明会降低心脏迷走神经控制。而这是否会反过来影响QTc间期(心室去极化/复极化的一个指标)或心率复杂性尚不清楚。在12名健康年轻男性进行一次急性抗阻运动前后,分别测量了心率变异性(HRV)、心率复杂性(样本熵)和QT间期(使用巴泽特、弗里德里西亚、霍奇斯和弗雷明汉姆方法进行心率校正)。抗阻运动后,HRV的归一化高频功率(心脏副交感神经调制指标;HF(nu))和样本熵降低(p<0.05)。巴泽特校正后的QTc间期在抗阻运动后增加(p<0.05)。从静息到恢复过程中HF(nu)的变化与样本熵的变化(r = 0.51,p<0.05)以及每种校正方法下QTc间期的变化相关(r = -0.67至-0.70,p<0.05)。急性抗阻运动降低了HRV的HF频谱功率,这与心率复杂性降低和QTc长度增加均有关。因此,在急性抗阻运动恢复过程中,心室去极化和复极化延长,同时心脏不规则性降低,这可能与心脏迷走神经控制的降低有关。

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