中国循证心血管医学杂志2024,Vol.16Issue(8) :942-945.DOI:10.3969/j.issn.1674-4055.2024.08.08

运动平板对于早复极新入伍战士风险评估意义

Significance of exercise treadmill for risk assessment of newly recruited soldiers after early repolarization

赵鸣卓 李显 牛慧茹 曹雪滨 李俊峡
中国循证心血管医学杂志2024,Vol.16Issue(8) :942-945.DOI:10.3969/j.issn.1674-4055.2024.08.08

运动平板对于早复极新入伍战士风险评估意义

Significance of exercise treadmill for risk assessment of newly recruited soldiers after early repolarization

赵鸣卓 1李显 1牛慧茹 2曹雪滨 3李俊峡4
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作者信息

  • 1. 071000 保定,河北大学中医学院;071000 保定,中国人民解放军陆军第82集团军医院心内科
  • 2. 071000 保定,中国人民解放军陆军第82集团军医院心内科;063000 唐山,华北理工大学公共卫生学院
  • 3. 071000 保定,中国人民解放军陆军第82集团军医院心内科
  • 4. 100700 北京,中国人民解放军总医院第七医学中心心内科
  • 折叠

摘要

目的 研究存在心电图早期复极化的新入伍战士进行运动平板试验后,心率、心率和收缩压的乘积(RPP)、新陈代谢率(MET)以及J点等变化情况.研究存在早期复极化的新入伍战士经过剧烈运动后心律失常事件的发生情况.方法 选取58例仅心电图提示早复极的新入伍战士做平板运动试验,分七个阶段记录数据.当受试者处于静止期时,选取T-P段为基线,测量J点等与基线相比上升的高度(mV)并总结每个平板运动试验心电图每个导联中出现的早复极波形态.结果 通过观察58例心电图存在早期复极化的作训人员发现:出现早复极波的导联主要是Ⅱ、Ⅲ、aVF,V4、V5、V6,所有心电图提示早复极的作训人员,运动后心电图中表现为:J点等逐渐下降或至基线水平(J波高度<=0.1 mV);ST段均下移恢复至正常等电位线.所有参与运动平板试验的作训人员心电图均恢复为正常心电图,未出现ST段改变以及血压下降的情况,同时通过测量发现J波随着运动逐渐消失.结论 对于心电图存在早期复极化的新入伍战士来说,在无其他心脏疾病的前提下(心脏超声,心肌酶检测等均未见异常),经运动平板试验检查后,发现其J点逐渐趋于基线水平,且ST段趋于等电位,说明其发生恶性心律失常事件的危险性可能相对较低,所存在的早期复极化可能为生理性变异,可正常训练.

Abstract

Objective The purpose of this study was to study the changes in heart rate,product of heart rate and systolic blood pressure(RPP),metabolic rate(MET)and J point after exercise treadmill test in new recruits with early ECG repolarization.To study the occurrence of arrhythmias in newly recruited soldiers with early repolarization after strenuous exercise.Methods Fifty-eight newly recruited soldiers whose electrocardiogram only indicated early repolarization were selected for treadmill exercise test,and the data were recorded in seven stages.When the subjects were in the quiescent period,Tmurp segment was selected as the baseline,the rising height of J point(mV)was measured,and the shape of early repolarization wave in each lead of ECG in each treadmill exercise test was summarized.Results Through the observation of 58 trainers with early repolarization in ECG,it was found that the main leads with early repolarization were Ⅱ,Ⅲ,aVF,V4,V5 and V6.All the trainers with early repolarization showed that after exercise,the ECG showed that the J point decreased gradually or reached the baseline level(J wave height ≤0.1 mV),and the ST segment all moved downwardand return to the normal equipotential line.The electrocardiogram of all the trainers who participated in the exercise treadmill test recovered to the normal ECG,and there was no change of S Mel T segment and decrease of blood pressure.at the same time,it was found that J wave gradually disappeared with exercise.Conclusions for the new recruits with early repolarization of ECG,under the premise of no other heart diseases(cardiac ultrasound,myocardial enzyme test,etc),when tested by treadmill test,it is found that the J point gradually tends to the baseline level,and the S-T segment tends to equipotential,indicating that the risk of malignant arrhythmia may be relatively low.Its early repolarization may be physiological variation and can normally participate in military training.

关键词

早期复极化/运动平板试验

Key words

Early Repolarization/Exercise Treadmill Test

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基金项目

军队后勤科研项目自主科研项目(ZLJ22J027)

河北省2023年度医学科学研究课题计划(20232039)

出版年

2024
中国循证心血管医学杂志
中国人民解放军北京军区总医院

中国循证心血管医学杂志

CSTPCD
影响因子:1.272
ISSN:1674-4055
参考文献量5
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