Power Karron LeGarie, Balmes John, Solomon Colin
Lung Biology Center, University of California, Northern California Center for Occupational and Environmental Health, San Francisco, Calif, USA.
J Occup Environ Med. 2008 Nov;50(11):1253-60. doi: 10.1097/JOM.0b013e3181814239.
This experiment was designed to test if controlled exposure to particles and ozone would result in decreased heart rate variability (HRV).
Five asthmatic adults were exposed for 4 hours to; filtered-air, carbon and ammonium nitrate particles, and particles and ozone. Twenty-minute electrocardiograms were obtained before and after each exposure.
Standard deviation of all normal-to-normal beat intervals (SDNN) decreased significantly across particles and ozone exposure compared with across filtered-air exposure (P = 0.01). Changes in SDNN-I (P = 0.04) and normalized low and high frequency (P = 0.02) were also seen across particles and ozone exposure; although these changes may best be characterized as trends given the small sample size. No significant changes in HRV were seen across the filtered-air or particles-only exposures.
The results of this study suggest that combined particle and ozone exposure may decrease HRV in asthmatics. Further investigation is needed to confirm this finding.
本实验旨在测试对颗粒物和臭氧的受控暴露是否会导致心率变异性(HRV)降低。
五名成年哮喘患者分别暴露于过滤空气、碳和硝酸铵颗粒以及颗粒与臭氧环境中4小时。每次暴露前后均记录20分钟的心电图。
与暴露于过滤空气相比,暴露于颗粒和臭氧环境后,所有正常心动周期间期的标准差(SDNN)显著降低(P = 0.01)。在颗粒和臭氧暴露过程中,SDNN-I(P = 0.04)以及归一化低频和高频(P = 0.02)也出现了变化;不过鉴于样本量较小,这些变化最好被描述为趋势。在过滤空气或仅颗粒暴露过程中,HRV未出现显著变化。
本研究结果表明,哮喘患者暴露于颗粒和臭氧的组合环境中可能会导致HRV降低。需要进一步研究以证实这一发现。