Coyle E F
Department of Kinesiology and Health Education, The University of Texas at Austin, USA.
Int J Sports Med. 1998 Jun;19 Suppl 2:S121-4. doi: 10.1055/s-2007-971975.
Reductions in SV are the most striking component of "classic" CV drift as well as "dehydration induced" CV drift. Direct data for the widespread notion that increased skin blood flow causes SV to be reduced during "classic" CV drift is rather scarce. Reductions in SV due to dehydration and concomitant hyperthermia are clearly not due to increases in skin blood flow. Instead, skin blood flow declines as skin and systemic vascular resistance increase as the CV system attempts to cope with the severe challenge of large reductions in cardiac output. Approximately one-half of the reduction in SV is due to reduced blood volume from dehydration during exercise which produces hyperthermia. The remaining reduction in SV with dehydration and hyperthermia appears to be related to additional factors such as hyperthermia and their interaction with factors that further reduce ventricular filling, such as heart rate acceleration.
每搏输出量(SV)的降低是“经典”心血管漂移以及“脱水诱导”心血管漂移中最显著的组成部分。关于在“经典”心血管漂移期间皮肤血流量增加导致SV降低这一广泛观点的直接数据相当匮乏。由脱水和伴随的体温过高导致的SV降低显然不是由于皮肤血流量增加。相反,随着心血管系统试图应对心输出量大幅降低的严峻挑战,皮肤和全身血管阻力增加,皮肤血流量会下降。SV降低约一半是由于运动期间脱水导致血容量减少,进而产生体温过高。脱水和体温过高导致的SV其余降低似乎与其他因素有关,如体温过高以及它们与进一步减少心室充盈的因素(如心率加快)之间的相互作用。