Iconaru Elena Ioana, Georgescu Luminita, Ciucurel Constantin
a Department of Medical Assistance and Physical Therapy , University of Pitesti , Pitesti , Romania.
b Department of Natural Sciences , University of Pitesti , Pitesti , Romania.
Acta Cardiol. 2019 Jun;74(3):198-205. doi: 10.1080/00015385.2018.1478241. Epub 2018 Jun 18.
According to Golden ratio (GR) and Fibonacci sequence, models of the organisation of various structures can be encountered in biology, medicine, architecture and engineering. Recent studies indicate that GR can be highlighted in the organisation and physiological functioning of the cardiovascular system. The aim of this study was to investigate the cardiovascular homeostasis during rest and exercise testing by determining the GR validity at the dynamic level of systolic and diastolic blood pressure (SBP, DBP) and heart rate (HR) values. We used data obtained from a cardiovascular testing of a group of 236 young healthy subjects (mean age of 19.35 ± 1.92 years). We realised a double assessment of subjects (HR and BP), at rest and immediately after a six minutes submaximal exercise test (Astrand and Rhyming protocol). The investigated group showed a normal cardiovascular reactivity in subjects. GR harmonic rhythm can be identified in the correlation of hemodynamic parameters of HR and SBP, respectively of SBP and DBP, at rest. The differences between means of the ratios (SBP/HR and SBP/DBP), at rest and after effort, were statistically significant ( < .001), with a large effect size. We confirm that the rest state determines the harmonisation of SBP and HR, respectively, of SBP and DBP values, both ratios being very close to GR value. From the perspective of these cardiovascular parameters, the human body is designed to function in the harmonic regime at rest and to temporarily get out of synchronisation during exercise.
根据黄金比例(GR)和斐波那契数列,在生物学、医学、建筑学和工程学中可以发现各种结构的组织模型。最近的研究表明,GR在心血管系统的组织和生理功能中较为突出。本研究的目的是通过确定收缩压和舒张压(SBP、DBP)以及心率(HR)值动态水平下的GR有效性,来研究静息和运动测试期间的心血管稳态。我们使用了一组236名年轻健康受试者(平均年龄19.35±1.92岁)心血管测试获得的数据。我们对受试者进行了两次评估(HR和BP),一次是在静息时,另一次是在进行六分钟次最大运动测试(阿斯兰德和韵律方案)后立即进行。研究组的受试者表现出正常的心血管反应性。在静息状态下,HR与SBP、SBP与DBP的血流动力学参数相关性中可以识别出GR谐波节律。静息时和运动后比率(SBP/HR和SBP/DBP)均值之间的差异具有统计学意义(<0.001),效应量较大。我们证实,静息状态决定了SBP与HR、SBP与DBP值的协调一致,这两个比率都非常接近GR值。从这些心血管参数的角度来看,人体在设计上是在静息时以谐波状态运作,而在运动期间暂时失去同步。