Sugiura T, Iwasaka T, Doi Y L, Haffty B G, Inada M, Spodick D H
Am J Cardiol. 1985 Jan 1;55(1):168-70. doi: 10.1016/0002-9149(85)90321-2.
To assess the relation between heart rate and diastolic time (cardiac cycle minus electromechanical systole) during the recovery period from upright exercise, 12 normal volunteers were studied immediately after and 2 and 5 minutes after exercise in the upright position. Although heart rate was significantly lower at 5 minutes compared with 2 minutes after exercise (106 vs 116 beats/min), there was significant shortening of diastolic time (from 251 to 230 ms) and total diastole per minute (from 28,634 to 24,220 ms/min). The explanation of this phenomenon appears to be disproportionate lengthening of diastolic time at 2 minutes after exercise, which must represent physiologic response due to increased left ventricular filling as well as continuing adrenergic effects, which would be diminished at 5 minutes. This lengthening of diastolic time also would maintain decreased subendocardial blood flow caused by increased end-diastolic volume.
为评估直立运动恢复期心率与舒张期时间(心动周期减去机电收缩期)之间的关系,对12名正常志愿者在直立位运动后即刻、运动后2分钟和5分钟进行了研究。尽管运动后5分钟时心率显著低于2分钟时(分别为106次/分钟和116次/分钟),但舒张期时间显著缩短(从251毫秒降至230毫秒),每分钟总舒张期也缩短(从28,634毫秒/分钟降至24,220毫秒/分钟)。这种现象的解释似乎是运动后2分钟时舒张期时间不成比例地延长,这必定代表了由于左心室充盈增加以及持续的肾上腺素能效应所产生的生理反应,而这种效应在5分钟时会减弱。舒张期时间的这种延长也会维持因舒张末期容积增加导致的心内膜下血流减少。