运动对心房颤动发生发展的影响研究进展  

Research progress on effect of exercise on occurrence and development of atrial fibrillation

作　　者：任科森 杨旭明[1] REN Ke-sen;YANG Xu-ming(Department of Cardiology,First Affiliated Hospital&School of Clinical Medicine,Henan University of Science and Technology,Luoyang 471003,Henan,China)

机构地区：[1]河南科技大学临床医学院、河南科技大学第一附属医院心内科,河南洛阳471003

出　　处：《心脏杂志》2024年第4期461-465,共5页Chinese Heart Journal

摘　　要：心房颤动是临床常见的心律失常,其发病率近年来呈持续增长趋势,严重危害人群健康。房颤的发生涉及心脏结构因素、遗传因素、自主神经因素、炎症因素以及心理因素等方面。运动疗法可有效降低心血管疾病全因死亡率,并且在房颤的管理中具有重要价值。目前,对于运动干预房颤发生、发展的机制尚未完全阐明,运动康复疗法应用于房颤的防治仍然缺乏足够的临床数据支持。本文结合近10年来相关文献及最新研究进展,从自主神经功能和静息心率、机体炎症反应、心脏功能和结构、内分泌及代谢功能以及心理健康状态和睡眠质量等方面对运动干预房颤作用及相关机制进行综述,旨在为运动康复疗法在房颤中的应用提供更多思路及参考。Atrial fibrillation is a common arrhythmia with an increasing morbidity,which seriously endangers human healthy.The mechanisms of atrial fibrillation involve cardiac structural factors,genetic factors,autonomic nerve factors,inflammatory factors and psychological factors.Exercise rehabilitation effectively reduces the all-cause mortality of cardiovascular disease and plays an important in the management of atrial fibrillation.At present,the mechanisms of exercise intervention in the occurrence and development of atrial fibrillation have not yet been fully elucidated.It is still lack of sufficient clinical data to support the application of exercise rehabilitation in the prevention and treatment of atrial fibrillation.In the present paper,we summarized the effects and the mechanisms of exercise rehabilitation in atrial fibrillation from the aspects of autonomic nerve function and resting heart rate,inflammatory response,cardiac function and structure,endocrine and metabolism,mental health status and sleep quality,in order to provide more ideas and references for the application of exercise rehabilitation therapy in atrial fibrillation.

关 键 词：心房颤动 运动康复 静息心率 炎症 机制 

分 类 号：R541.75[医药卫生—心血管疾病]