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首页> 外文期刊>Scandinavian journal of medicine & science in sports. >Global Longitudinal Strain in master athletes and in hypertensive patients with the same degree of septal thickness
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Global Longitudinal Strain in master athletes and in hypertensive patients with the same degree of septal thickness

机译:总体运动员和高血压患者的全局纵向应变,平间厚度相同

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Athletes may have electrocardiogram ( ECG ) repolarization abnormalities during stress test suggestive for ischemia in the absence of ischemic coronary artery disease, often in a setting of myocardial septum hypertrophy. Global longitudinal strain ( GLS ) might be altered in these athletes compared to hypertensive patients with the same degree of septal thickness. About 735 consecutive athletes were screened for mandatory assessment of fitness to participate in competitive sports. At the stress test, 23 (19 M, 4 F) were found to have ECG repolarization abnormalities suggestive for ischemia in the presence of normal coronary vessels. They were matched to a control group of 23 hypertensive patients with no ECG abnormalities during stress test and the same degree of septal thickness. A transthoracic echocardiography for evaluation of global longitudinal strain ( GLS ) was performed. Interventricular septum thickness ( IST ) and relative wall thickness ( RWT ) were also calculated. A preserved ventricular function was seen in both groups (64?±?8% in cases vs 60?±?6% in controls, P ?=?0.42). IST and RWT were not significantly different. GLS was significantly lower in athletes vs hypertensive patients (?18.7?±?2.5 vs ?21.67?±?0.27, P ?=?0.001). In athletes with septal hypertrophy and a positive stress test not associated to coronary disease, GLS is lower with respect to a population of hypertensive patient with the same degree of septal hypertrophy. Further investigations in a larger population are required to better define the potentiality of GLS in differentiating pathological vs physiological septum hypertrophy.
机译:运动员可能在压力测试中具有心电图(ECG)求解异常,这对于缺血性冠状动脉疾病的缺血造成缺血,通常在心肌隔膜肥大的设置中。与具有相同隔膜厚度相同程度的高血压患者,在这些运动员中可能会改变全局纵向应变(GLS)。连续大约735名连续运动员进行筛选,用于对参与竞争力的体育的适应性的强制性评估。在应力测试中,发现23(19M,4 F)具有在普通冠状血管存在下对缺血的缺血施动的ECG再振荡异常。它们与23名高血压患者的对照组匹配,在压力测试期间没有ECG异常和相同程度的隔膜厚度。进行用于评估全局纵向菌株(GLS)的经脉冲超声心动图。还计算了间隔厚度(IST)和相对壁厚(RWT)。在两组中看到保存的心室功能(64°?8%,对照中的60°±6%,p?= 0.42)。 IST和RWT没有显着差异。在运动员vs高血压患者的运动员中显着降低了(?18.7?±2.5​​ vs?21.67?±0.27,p?= 0.001)。在具有隔膜肥大的运动员和与冠状动脉疾病无关的阳性应激试验中,对于具有相同程度的间隔肥大的高血压患者,GLS较低。在较大的人群中进一步调查是为了更好地定义GLS在分化病理与生理隔膜肥大中的潜力。

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