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心脏也会运动过度受伤吗?

Can the Heart Get an Overuse Sports Injury?

机构信息

Hartford Hospital, Hartford, CT.

University of Connecticut, Farmington, CT.

出版信息

NEJM Evid. 2023 Jan;2(1):EVIDra2200175. doi: 10.1056/EVIDra2200175. Epub 2022 Dec 27.

DOI:10.1056/EVIDra2200175
PMID:38320102
Abstract

Can the Heart Get an Overuse Sports Injury?Recent studies suggest that vigorous endurance exercise increases markers of cardiomyocyte injury and that lifelong endurance exercise may increase myocardial scarring, coronary artery atherosclerosis, AF, and aortic dilatation. This review summarizes the evidence linking these conditions with physical exertion and an approach to their management.

摘要

心脏也会过劳损伤吗?最近的研究表明,剧烈的耐力运动增加了心肌细胞损伤的标志物,而终身耐力运动可能增加心肌瘢痕、冠状动脉粥样硬化、房颤和主动脉扩张。这篇综述总结了这些疾病与体力活动的关系以及处理方法。

相似文献

1
Can the Heart Get an Overuse Sports Injury?心脏也会运动过度受伤吗?
NEJM Evid. 2023 Jan;2(1):EVIDra2200175. doi: 10.1056/EVIDra2200175. Epub 2022 Dec 27.
2
The concept of overuse. The primary care aspects of overuse syndromes in sports.过度使用的概念。运动中过度使用综合征的初级保健方面。
Prim Care. 1984 Mar;11(1):43-59.
3
Training-related risk factors in the etiology of overuse injuries in endurance sports.耐力运动中过度使用损伤病因学中与训练相关的风险因素。
J Sports Med Phys Fitness. 2014 Feb;54(1):78-87.
4
Endurance exercise and the risk of cardiovascular pathology in men: a comparison between lifelong and late-onset endurance training and a non-athletic lifestyle - rationale and design of the Master@Heart study, a prospective cohort trial.男性耐力运动与心血管疾病风险:终生耐力训练、迟发性耐力训练与非运动型生活方式的比较——“心脏大师”研究的原理与设计,一项前瞻性队列试验
BMJ Open Sport Exerc Med. 2021 Apr 16;7(2):e001048. doi: 10.1136/bmjsem-2021-001048. eCollection 2021.
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The Effects of Endurance Sports on Children and Youth.耐力运动对儿童和青少年的影响。
Sports Med Arthrosc Rev. 2019 Mar;27(1):35-39. doi: 10.1097/JSA.0000000000000230.
6
Predictive Indicators of Overuse Injuries in Adolescent Endurance Athletes.青少年耐力运动员过度使用损伤的预测指标
Int J Sports Physiol Perform. 2017 Apr;12(Suppl 2):S2153-S2156. doi: 10.1123/ijspp.2016-0316. Epub 2016 Dec 5.
7
Lifelong endurance exercise and its relation with coronary atherosclerosis.终身耐力运动及其与冠状动脉粥样硬化的关系。
Eur Heart J. 2023 Jul 7;44(26):2388-2399. doi: 10.1093/eurheartj/ehad152.
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Natural selection to sports, later physical activity habits, and coronary heart disease.自然选择与运动、后期的体育活动习惯以及冠心病。
Br J Sports Med. 2000 Dec;34(6):445-9. doi: 10.1136/bjsm.34.6.445.
9
[Traumatic myocardial infarct during a soccer game. Clinical course study including coronarography].[足球比赛期间的创伤性心肌梗死。包括冠状动脉造影的临床病程研究]
Z Kardiol. 1973 Sep;62(9):805-16.
10
National Athletic Trainers' Association position statement: prevention of pediatric overuse injuries.美国国家运动训练员协会立场声明:小儿过度使用损伤的预防。
J Athl Train. 2011 Mar-Apr;46(2):206-20. doi: 10.4085/1062-6050-46.2.206.

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Association of dietary inflammatory index and vigorous physical activity on phenotypic age acceleration: a cross-sectional study with machine learning.饮食炎症指数与剧烈体育活动对表型年龄加速的关联:一项基于机器学习的横断面研究
Front Nutr. 2025 Jul 28;12:1602821. doi: 10.3389/fnut.2025.1602821. eCollection 2025.
2
Differential patterns of the relationship between exercise dose and mortality risk across severities of airflow limitation: a prospective cohort study with a 5-year follow-up period.气流受限严重程度不同时运动剂量与死亡风险之间关系的差异模式:一项为期5年随访期的前瞻性队列研究。
J Rehabil Med. 2025 Jun 16;57:jrm43377. doi: 10.2340/jrm.v57.43377.
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Joint association between physical exercise, caffeine intake, and biological ageing: A cross-sectional analysis of population-based study.
体育锻炼、咖啡因摄入与生物衰老之间的联合关联:一项基于人群研究的横断面分析
PLoS One. 2025 May 7;20(5):e0323264. doi: 10.1371/journal.pone.0323264. eCollection 2025.
4
Clinical Considerations for Competitive Sports Participation for Athletes With Cardiovascular Abnormalities: A Scientific Statement From the American Heart Association and American College of Cardiology.心血管异常运动员参与竞技运动的临床考量:美国心脏协会和美国心脏病学会的科学声明
J Am Coll Cardiol. 2025 Mar 18;85(10):1059-1108. doi: 10.1016/j.jacc.2024.12.025. Epub 2025 Feb 20.
5
Training Strategies to Optimize Cardiovascular Durability and Life Expectancy.训练策略以优化心血管耐久性和预期寿命。
Mo Med. 2023 Mar-Apr;120(2):155-162.