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静息心率影响与呼吸暂停相关的心脏对冷水面部浸入的反应。

Resting Heart Rate Affects Heart Response to Cold-Water Face Immersion Associated with Apnea.

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 Neurophysiology, Neuropsychology and Neuroinformatics, Faculty of Health Sciences, Medical University of Gdansk, 80-210 Gdansk, Poland.

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

出版信息

Biology (Basel). 2023 Jun 15;12(6):869. doi: 10.3390/biology12060869.

Abstract

The regular cardiac response to immersion of the face in cold water is reduction in heart rate (HR). The highly individualized and unpredictable course of the cardiodepressive response prompted us to investigate the relationship between the cardiac response to face immersion and the resting HR. 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 face-immersion test consisted of stopping breathing after maximum inhaling and voluntarily immersing the face in cold water (8-10 °C) for as long as possible. Measurements included determination of minimum, average, and maximum HR at rest and minimum and maximum HR during the cold-water face-immersion test. The results indicate a strong relationship between the cardiodepressive reaction of the immersion of the face and the minimum HR before the test, as well as a relationship between the maximum HR during the test and the maximum HR at rest. The results also indicate a strong influence of neurogenic HR regulation on the described relationships. The parameters of the basal HR can, therefore, be used as prognostic indicators of the course of the cardiac response of the immersion test.

摘要

面部浸入冷水中时,心脏的正常反应是心率(HR)降低。心脏抑制反应高度个体化且不可预测,这促使我们研究面部浸入时的心脏反应与静息心率之间的关系。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)。面部浸入测试包括在最大吸气后停止呼吸,并将面部自愿浸入冷水中(8 - 10°C)尽可能长的时间。测量内容包括静息时的最低、平均和最高心率,以及冷水面部浸入测试期间的最低和最高心率。结果表明,面部浸入的心脏抑制反应与测试前的最低心率之间存在密切关系,测试期间的最高心率与静息时的最高心率之间也存在关系。结果还表明神经源性心率调节对上述关系有很大影响。因此,基础心率参数可作为浸入测试心脏反应过程的预后指标。

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