运动前后血清电解质(Na+、K+、Ca++、Mg++)与心电图变化的相关性

Nasim Alam, S. Saxena, Saurabh Saha, J. Saxena, Dolly Rastogi, C. Srivastava
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摘要

众所周知,运动可以引起身体不同部位电解质的变化,而体内平衡可以控制这些变化。本研究旨在获取和评估印度健康年轻人的生化参数变化,如Na+、K+、Ca++和Mg++以及脑电图的变化。本研究以年龄在18-30岁的52名健康学生为研究对象,男女各26名。参与者在自行车测力仪上进行了中等到高强度的运动测试。测定运动前后生化指标(血清电解质Na+ K+ Mg++ Ca++)及心电图。运动前后血清钠水平均在正常范围内,但运动后血清钠水平显著升高。运动前后血清钾水平均在正常范围内,运动后血清钾水平显著增高。运动前后两组血清镁水平均在正常范围内,运动后两组血清镁水平显著增高。运动前后两组血清钙水平均在正常范围内,但运动后两组血清钙水平显著增高。运动前后组心电图p波QRScomplex和ST段电压变化非常显著/显著。运动前后组ST段时间、RR间期、QT间期、QTc间期变化显著。两组PR间隔均无变化。
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Correlation of Serum Electrolytes (Na+, K+, Ca++, Mg++) and ECG Changes Before and After Exercise
Exercise is known to cause changes in electrolytes in different compartments of the body and homeostasiskeeps in check these changes. This study was planned to access and evaluate changes biochemical parameterslike Na+, K+, Ca++ and Mg++ along with changesin E.C.G. in healthy young Indian adults. Fifty two healthystudents (26 each, male and female) with an age range of 18–30 years were subjects in this study. Theparticipants performed an exercise test of moderate to vigorous intensity on bicycle ergometer. Pre and postexercise biochemical parameters (serum electrolytes Na+ K+ Mg++ Ca++) along with ECG was done. Theserum sodium levels in both pre & post exercise group were within normal range but serum sodium is highlysignificant in post exercise group. The serum potassium levels in both pre & post exercise group were withinnormal range but serum potassium is highly significant in post exercise group. The serum magnesium levelsin both pre & post exercise group were within normal range but serum magnesium is highly significant inpost exercise group. The serum calcium levels in both pre & post exercise group were within normal rangebut serum calcium is highly significant in post exercise group. In the ECG the voltage of p wave QRScomplex and ST segment shows highly significant/significant changes in pre and post exercise group. Theduration of ST segment, RR interval, QT interval and QTc interval change highly significantly in the pre andpost exercising group. PR interval is no change in either group.
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