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静息心率变异性可预测心脏对模拟潜水的反应。

Heart Rate Variability at Rest Predicts Heart Response to Simulated Diving.

作者信息

Malinowski Krzysztof S, Wierzba Tomasz H, Neary J Patrick, Winklewski Paweł J, Wszędybył-Winklewska Magdalena

机构信息

Department of Physiology, Faculty of Medicine, Medical University of Gdansk, 80-210 Gdansk, Poland.

Faculty of Kinesiology & Health Studies, University of Regina, Regina, SK S4S 0A2, Canada.

出版信息

Biology (Basel). 2023 Jan 13;12(1):125. doi: 10.3390/biology12010125.

Abstract

A characteristic feature of the cardiac response to diving is the uncertainty in predicting individual course. The aim of the study was to determine whether resting regulatory heart rate determinants assessed before diving may be predictors of cardiac response in a simulated diving test. The research was conducted with 65 healthy volunteers (37 women and 28 men) with an average age of 21.13 years (20-27 years) and a BMI of 21.49 kg/m (16.60-28.98). The simulated diving test consisted of stopping breathing after maximum inhaling and voluntarily immersing the face in water (8-10 °C) for as long as possible. The measurements included heart rate variability (HRV) analysis before diving and determination of the course of the cardiac response to diving-minimum and maximum heart rate (HR). The results indicate that minimum HR during diving (MIN_div) is dependent on the short-term HRV measures, which proves the strong influence of the parasympathetic system on the MIN_div. The lack of dependence of MIN_div on short-term HRV in women may be associated with differences in neurogenic HR regulation in women and men. In conclusion, cardiac response to simulated diving is strictly dependent on the autonomic regulation of the heart rhythm under resting conditions. The course of the cardiac response to diving and its relationship with resting HRV appears to be gender dependent.

摘要

心脏对潜水反应的一个特征是预测个体过程存在不确定性。本研究的目的是确定潜水前评估的静息调节心率决定因素是否可能是模拟潜水测试中心脏反应的预测指标。该研究对65名健康志愿者(37名女性和28名男性)进行,他们的平均年龄为21.13岁(20 - 27岁),体重指数为21.49 kg/m²(16.60 - 28.98)。模拟潜水测试包括在最大吸气后停止呼吸,并将面部自愿浸入水中(8 - 10°C)尽可能长的时间。测量包括潜水前的心率变异性(HRV)分析以及对潜水心脏反应过程的测定——最低和最高心率(HR)。结果表明,潜水期间的最低心率(MIN_div)取决于短期HRV测量值,这证明了副交感神经系统对MIN_div有强烈影响。女性中MIN_div对短期HRV缺乏依赖性可能与女性和男性神经源性心率调节的差异有关。总之,对模拟潜水的心脏反应严格取决于静息状态下心脏节律的自主调节。潜水心脏反应的过程及其与静息HRV的关系似乎存在性别差异。

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