Galante J, Hernández A, Colín L, Camacho B, Verdejo J, Férez S
Instituto Nacional de Cardiología Ignacio Chávez, México, D.F.
Arch Inst Cardiol Mex. 1988 Jul-Aug;58(4):325-31.
The behavior of the cardiac rhythm under intense stress was studied with continuous electrocardiographic recording during the first jump with an automatic parachute in 13 members of the Universidad Nacional Autónoma de México sky diving club. There were 12 male (92.3%) and one female (7.68) with an average age of 22.8 years. A complete clinical history, 12 lead electrocardiogram and a treadmill stress test were performed two weeks before jumping. A two-channel Holter recording system was hooked up 30 min. before boarding the airplane and was turned off one hour later. The heart rate values were compared two weeks prior (64.5 beats/min), before (112.8 beats/min), during (170 beats/min) and after the jump (122.8 beats/min). The mean difference between each phase was statistically significant with p less than 0.001 values. The observed cardiac rhythm was sinus tachycardia in each case. In six cases (43.6%) 22 episodes of sudden decrease of the heart rate were seen and there were no major rhythm or conduction disturbances. The urinary catecholamines were similar in nine cases (69.2%) after the jump (x 51.2 micrograms/100 ml) and two weeks later in four control cases (x 10.3 micrograms/100 ml). We concluded there were no significant rhythm disturbances in the presence of an intense but brief stress condition in young healthy people. This study was classified as longitudinally, descriptive, experimental and projective.
在墨西哥国立自治大学跳伞俱乐部的13名成员首次使用自动降落伞跳伞时,通过连续心电图记录研究了强烈应激状态下的心律变化。其中有12名男性(92.3%)和1名女性(7.68%),平均年龄为22.8岁。跳伞前两周进行了完整的临床病史采集、12导联心电图检查和跑步机应激试验。登机前30分钟连接双通道动态心电图记录系统,1小时后关闭。比较了跳伞前两周(64.5次/分钟)、跳伞前(112.8次/分钟)、跳伞期间(170次/分钟)和跳伞后(122.8次/分钟)的心率值。各阶段之间的平均差异具有统计学意义,p值小于0.001。在每个案例中观察到的心律均为窦性心动过速。在6例(43.6%)中,出现了22次心率突然下降的情况,且无重大节律或传导紊乱。9例(69.2%)跳伞后尿儿茶酚胺水平(x 51.2微克/100毫升)与两周后4例对照者(x 10.3微克/100毫升)相似。我们得出结论,在年轻健康人群中,即使存在强烈但短暂的应激状况,也不会出现明显的节律紊乱。本研究被归类为纵向、描述性、实验性和前瞻性研究。