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[不同海拔对健康成年男性心脏血流动力学及心电图的影响]

[Effects of different altitudes on cardiac hemodynamics and electrocardiogram of healthy male adults].

作者信息

Guo Zheng-Min, Huang Fu-Min, Lu Hui, Zu Shu-Yu, Xu Cheng-Li

机构信息

Institute of Basic Medical Sciences Chinese Academy of Medical Sciences, School of Basic Medicine Peking Union Medical College, Beijing 100005, China.

出版信息

Zhongguo Ying Yong Sheng Li Xue Za Zhi. 2012 Jan;28(1):1-4.

Abstract

OBJECTIVE

To detect the changes of cardiovascular system at different altitudes, so as to prevent and predict the susceptibility to acute mountain sickness.

METHODS

The test was performed with noninvasive cardiovascular monitor and electrocardiogram in healthy male Chinese members of the 25th and 26th expeditions to the antarctic kunlun station at different altitudes (40 m, 3 650 m and 4 300 m).

RESULTS

Compared with 40 m, from 3 650 m to 4 300 m, heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP), mean arterial pressure (MAP), systemic vascular resistance (SVR), systemic vascular resistance index (SVRI) significantly increased (P < 0.05); cardiac output (CO), cardiac index (CI), stroke volume (SV), stroke index (SI), velocity index (VI), acceleration index (ACI), left ventricular ejection time (LVET) significantly decreased (P < 0.05) and pre-ejection period(PEP) decreased with no significance (P > 0.05).

CONCLUSION

SVR significantly increased but contractile and blood-pumping function of left ventricular decreased inversely associated with the Q-Tc interval, as the altitude is increasing.

摘要

目的

检测不同海拔高度心血管系统的变化,以预防和预测急性高原病的易感性。

方法

对第25次和第26次南极昆仑站考察的中国健康男性队员在不同海拔高度(40米、3650米和4300米)使用无创心血管监测仪和心电图进行检测。

结果

与40米相比,从3650米到4300米,心率(HR)、收缩压(SBP)、舒张压(DBP)、平均动脉压(MAP)、全身血管阻力(SVR)、全身血管阻力指数(SVRI)显著升高(P<0.05);心输出量(CO)、心脏指数(CI)、每搏输出量(SV)、每搏指数(SI)、速度指数(VI)、加速度指数(ACI)、左心室射血时间(LVET)显著降低(P<0.05),射血前期(PEP)降低但差异无统计学意义(P>0.05)。

结论

随着海拔升高,SVR显著升高,而左心室收缩和泵血功能降低,且与Q-Tc间期呈负相关。

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