通过阻抗心动图评估跑步机和循环运动中心血管血流动力学的生理差异。

Q3 Engineering Journal of Medical Engineering and Technology Pub Date : 2022-05-01 Epub Date: 2022-02-25 DOI:10.1080/03091902.2022.2040626
Daniel S Valcicak, Lindsey M Rodriguez, Michael J Saunders, Christopher J Womack, Trent A Hargens
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引用次数: 0

摘要

阻抗心动图(IC)是一种评估心血管血流动力学的非侵入性方法,在运动期间专门用于循环测力仪。运动过程中心血管血流动力学的模式特异性差异先前已被确定,但IC识别这些差异的能力尚未被探索。因此,我们检查了在跑步机(TM)和循环(CY)运动模式下心血管血流动力学的可重复性。21名男性(年龄= 21.4±0.5岁)进行了4次最大运动,2次TM和2次CY。在每个测试中,分别完成了2个5分钟的阶段,分别对应中等和剧烈运动强度。在每次试验中连续测量耗氧量(VO2)。通过IC获得血流动力学指标,包括心输出量(CO)、心率(HR)、卒中容积(SV)、舒张末期容积(EDV)、射血分数(EF)和全身血管阻力(SVR)。重复测量方差分析显示,在TM运动中,只有HR的试验才有主要效果。在CY运动试验中没有主要影响。在不同的运动模式中,有HR、EDV和SVR的运动模式有显著的主效应。CY运动导致更高的HR,更低的SV和EDV,与先前的研究结果一致,使用了更多的标准和侵入性方法。结果表明,IC评估的血流动力学在TM和CY运动中是可重复的。此外,IC似乎能够检测血流动力学的模式特异性差异,这表明IC是运动期间有用的评估工具。
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Physiological differences in cardiovascular hemodynamics across treadmill and cycle exercise as assessed through impedance cardiography.

Impedance cardiography (IC) is a non-invasive method for assessing cardiovascular hemodynamics, and has been utilised during exercise, exclusively on a cycle ergometer. Mode-specific differences in cardiovascular hemodynamics during exercise have previously been identified, but the ability of IC to identify these differences has not been explored. Therefore, we examined the repeatability of cardiovascular hemodynamics within and between exercise modes on the treadmill (TM) and cycle (CY) ergometer. Twenty-one men (age = 21.4 ± 0.5 yr) performed four maximal exercise, two TM and two CY. Within each test, two, five-minute stages were completed corresponding to moderate and vigorous exercise intensities, respectively. Oxygen consumption (VO2) was measured continuously during each test. Hemodynamic measures were obtained via IC, and included cardiac output (CO), heart rate (HR), stroke volume (SV), end diastolic volume (EDV), ejection fraction (EF), and systemic vascular resistance (SVR). Repeated measures ANOVA revealed that within TM exercise, there was a main effect for trial with HR only. There were no main effects for trial within CY exercise. Across exercise modes, there were significant main effects for mode with HR, EDV, and SVR. CY exercise resulted in a higher HR, lower SV and EDV, consistent with previous findings, utilising more criterion and invasive methods. Results suggest that hemodynamics, as assessed by IC, are repeatable within TM and CY exercise. In addition, it appears as though IC is capable of detecting mode-specific differences in hemodynamics, suggesting IC to be a useful assessment tool during exercise.

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来源期刊
Journal of Medical Engineering and Technology
Journal of Medical Engineering and Technology Engineering-Biomedical Engineering
CiteScore
4.60
自引率
0.00%
发文量
77
期刊介绍: The Journal of Medical Engineering & Technology is an international, independent, multidisciplinary, bimonthly journal promoting an understanding of the physiological processes underlying disease processes and the appropriate application of technology. Features include authoritative review papers, the reporting of original research, and evaluation reports on new and existing techniques and devices. Each issue of the journal contains a comprehensive information service which provides news relevant to the world of medical technology, details of new products, book reviews, and selected contents of related journals.
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