乳幼児の潜水・水泳における心拍反応と不整脈

本研究では, 健康な乳幼児を対象として, 各種条件下での水中心電図を記録し, 心拍反応および不整脈発現について検討した.その結果, 乳幼児でも各種潜水により潜水性徐脈が観察された.不整脈に関しては, 全体の29.5%に何らかの不整脈が認められ, 期外収縮は心室性期外収縮よりも上室性期外収縮が優位な傾向がみられた.また, 運動や水泳を中止する必要がある危険な不整脈の発現は認められなかった....

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Published in体力科学 Vol. 50; no. 5; pp. 603 - 612
Main Authors 佐々木, 純一, 林, 貢一郎, 目崎, 登
Format Journal Article
LanguageJapanese
Published 一般社団法人日本体力医学会 01.10.2001
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ISSN0039-906X
1881-4751
DOI10.7600/jspfsm1949.50.603

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Abstract 本研究では, 健康な乳幼児を対象として, 各種条件下での水中心電図を記録し, 心拍反応および不整脈発現について検討した.その結果, 乳幼児でも各種潜水により潜水性徐脈が観察された.不整脈に関しては, 全体の29.5%に何らかの不整脈が認められ, 期外収縮は心室性期外収縮よりも上室性期外収縮が優位な傾向がみられた.また, 運動や水泳を中止する必要がある危険な不整脈の発現は認められなかった.
AbstractList 本研究では, 健康な乳幼児を対象として, 各種条件下での水中心電図を記録し, 心拍反応および不整脈発現について検討した.その結果, 乳幼児でも各種潜水により潜水性徐脈が観察された.不整脈に関しては, 全体の29.5%に何らかの不整脈が認められ, 期外収縮は心室性期外収縮よりも上室性期外収縮が優位な傾向がみられた.また, 運動や水泳を中止する必要がある危険な不整脈の発現は認められなかった.
Author 林, 貢一郎
佐々木, 純一
目崎, 登
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References 3) Harding, P. E., Roman, D, and Whelan, R. F. Diving bradycardia in man. J, physiol. (Lond.) , (1965) , 181, 401-409.
14) Bulter, P. J., & Woakes, A. J. Heart rate in humans during underwater swimming with and without breath-hold. Respir.Physiol. (1987) , 69, 387-399.
4) Anderson, H. T. Factors determining the circulatory adjustment to diving. Acta. Physiol. Scand., (1963) , 58, 173-185.
16) Bergman, S. A. Jr., Campbell, J. K., Wildenthal, K. “Diving reflex” in man : its relation to isometric and dynamic exercise. J. Appl. Physiol., (1972) , 33, 27-31.
13) Ishikawa, H., Matsushima, M., Nagashima, M., Osuga, A. Screening of children with arrhythmias forarrhythmia development during diving and swimming-face immersion as a substitute for diving and exercise stress testing as a substitute for swimming-. Jpn. Circ. J., (1992) , 56, 881-890.
19) Al, A. M., Powell, L., West, J., Townend, J., Coote, J, H. Exercise and diving, two conflicting stimuli influencing cardiac vagal tone in man. J. physiol, (Lond.) (1995) , 489.603-612.
11) Bonneau, A., Friemel, F., Lapierre, D. Electrocar-diographic aspects of skin diving. Eur. J. Appl. Physiol., (1989) , 58, 487-493.
9) Ramay, C. A., Ramey, D. N., Harward, J. S. Dive response of children in relation to cold water near-drowning. J. Appl. Physiol., (1987) , 63, 665-668.
8) Moore, T. O., Elsner, R., Lin, Y. C., Lally, D. A., Hong, S. K. Effects of alveolar PO2 and PCO2 on apneic bradycardia in man. J. Appl. Physiol., (1973) , 34.795-798.
18) Strome, S. B., Kerem, D., Elsner, R. Diving bradycardia during rest and exercise and its relation to physical fitness. J. Appl. Physiol. (1970) , 28, 614-621.
6) Hong, S. K., Moore, T. O., Seto, G., Park, H. K., Hiatt, W. R., Bernauer, E. M. Lung volumes and apneic bradycardia in divers. J. Appl. Physiol., (1970) . 29, 172-176.
7) Kawakami, Y., Natelson, B. H., DuBois, A. R. Cardiovascular effects of face immersion and factors affecting diving reflex in man. J. Appl. Physiol., (1967) , 23, 964-970.
1) Manley, L. Apnoeic heart rate responses in humans. A review. Sports Med., (1990) , 9, 286-310.
17) Smeland, E. B., Owe, J. O., Andersen, H. T. Modification of the ‘diving bradycardia’ by hypoxia or exercise. Respir. Physiol. (1984) , 56, 245-251.
12) Yamaguchi, H., Tanaka, H., Obara, S., Tanabe, S., Utsuyama, N., Takahashi, A., Nakahira, J., Yamamoto, Y., Jiang, Z. L., Jufang, H., Bando, E., Miyamoto, H. Changes in cardiac rhythm in man during underwater submersion and swimming studied by ECG telemetry. Fur. J. Appl. Physiol., (1993) , 66, 43-48.
15) 浅井利夫, 森田正人, 粟倉真, 健康小児・成人における水泳中の心電図変化, デサントスポーツ科学, (1986) , 7, 126-137. Asai, T., Morita, M., Awakura, M. ECG changes during swimming exercise in healthy children and adults. DESCENTE SPORTS SCIENCE (1986) , 7, 126-137 (in Japanese) .
23) Ross, A., & Steptoe, A. Attenuation of diving reflex in man by mental stimulation. J. Physiol. (Lond.) (1980) , 302, 387-393.
2) Asmussen, E., Kristiansson, N. G. The “diving bradycardia” in exercising man. Acta. Physiol. Scand.. (1968) . 73, 527-535.
20) Hong, S. K., Song, S. H., Kim, P. K., Suh, C. S. Seasonal observations on cardiac rhythm during diving Korean ama. J. Appl. Physiol. (1967) , 23, 18-22.
21) Whayne, T. F. Jr., & Killip, T. D. Stimulated diving in man : comparison of facial stimuli and response in arrhythmia. J. Appl. Physiol. (1967) , 22, 800-807.
5) Hayashi, N., Ishihara, M., Tanaka, A., Osumi, T., Yoshida, T. Face immersion increases vagal activity as assessed by heart rate variability. Eur. J. Appl. Phvsiol.. (1997) , 76.394-399.
22) 岡野亮介, 不整脈発現に及ぼす止息負荷, 水中浸漬及び潜水泳の影響, 体力科学, (1996) , 45, 159-170. Okano, Y. The influence of breath holding maneuvers, body water immersion and underwater swimming on the incidence of cardiac arrhythmias. Jpn. J. Fitness Sports Med. (1996) , 45, 159-170 (in Japanese
10) Scholander, P. F., Hammel, H. T., Lemessurier, H., Hemmingsen, E., Garey, W. Circulatory adjustment in peal divers. J. Appl. Physiol., (1962) , 17, 184-190.
24) Paulev, P. E. Cardiac rhythm during breath-holding and water immersion in man. Acta. Physiol. Scand. (1968) , 73, 139-150.
References_xml – reference: 6) Hong, S. K., Moore, T. O., Seto, G., Park, H. K., Hiatt, W. R., Bernauer, E. M. Lung volumes and apneic bradycardia in divers. J. Appl. Physiol., (1970) . 29, 172-176.
– reference: 10) Scholander, P. F., Hammel, H. T., Lemessurier, H., Hemmingsen, E., Garey, W. Circulatory adjustment in peal divers. J. Appl. Physiol., (1962) , 17, 184-190.
– reference: 9) Ramay, C. A., Ramey, D. N., Harward, J. S. Dive response of children in relation to cold water near-drowning. J. Appl. Physiol., (1987) , 63, 665-668.
– reference: 17) Smeland, E. B., Owe, J. O., Andersen, H. T. Modification of the ‘diving bradycardia’ by hypoxia or exercise. Respir. Physiol. (1984) , 56, 245-251.
– reference: 3) Harding, P. E., Roman, D, and Whelan, R. F. Diving bradycardia in man. J, physiol. (Lond.) , (1965) , 181, 401-409.
– reference: 1) Manley, L. Apnoeic heart rate responses in humans. A review. Sports Med., (1990) , 9, 286-310.
– reference: 7) Kawakami, Y., Natelson, B. H., DuBois, A. R. Cardiovascular effects of face immersion and factors affecting diving reflex in man. J. Appl. Physiol., (1967) , 23, 964-970.
– reference: 4) Anderson, H. T. Factors determining the circulatory adjustment to diving. Acta. Physiol. Scand., (1963) , 58, 173-185.
– reference: 8) Moore, T. O., Elsner, R., Lin, Y. C., Lally, D. A., Hong, S. K. Effects of alveolar PO2 and PCO2 on apneic bradycardia in man. J. Appl. Physiol., (1973) , 34.795-798.
– reference: 5) Hayashi, N., Ishihara, M., Tanaka, A., Osumi, T., Yoshida, T. Face immersion increases vagal activity as assessed by heart rate variability. Eur. J. Appl. Phvsiol.. (1997) , 76.394-399.
– reference: 14) Bulter, P. J., & Woakes, A. J. Heart rate in humans during underwater swimming with and without breath-hold. Respir.Physiol. (1987) , 69, 387-399.
– reference: 11) Bonneau, A., Friemel, F., Lapierre, D. Electrocar-diographic aspects of skin diving. Eur. J. Appl. Physiol., (1989) , 58, 487-493.
– reference: 12) Yamaguchi, H., Tanaka, H., Obara, S., Tanabe, S., Utsuyama, N., Takahashi, A., Nakahira, J., Yamamoto, Y., Jiang, Z. L., Jufang, H., Bando, E., Miyamoto, H. Changes in cardiac rhythm in man during underwater submersion and swimming studied by ECG telemetry. Fur. J. Appl. Physiol., (1993) , 66, 43-48.
– reference: 21) Whayne, T. F. Jr., & Killip, T. D. Stimulated diving in man : comparison of facial stimuli and response in arrhythmia. J. Appl. Physiol. (1967) , 22, 800-807.
– reference: 16) Bergman, S. A. Jr., Campbell, J. K., Wildenthal, K. “Diving reflex” in man : its relation to isometric and dynamic exercise. J. Appl. Physiol., (1972) , 33, 27-31.
– reference: 19) Al, A. M., Powell, L., West, J., Townend, J., Coote, J, H. Exercise and diving, two conflicting stimuli influencing cardiac vagal tone in man. J. physiol, (Lond.) (1995) , 489.603-612.
– reference: 18) Strome, S. B., Kerem, D., Elsner, R. Diving bradycardia during rest and exercise and its relation to physical fitness. J. Appl. Physiol. (1970) , 28, 614-621.
– reference: 13) Ishikawa, H., Matsushima, M., Nagashima, M., Osuga, A. Screening of children with arrhythmias forarrhythmia development during diving and swimming-face immersion as a substitute for diving and exercise stress testing as a substitute for swimming-. Jpn. Circ. J., (1992) , 56, 881-890.
– reference: 15) 浅井利夫, 森田正人, 粟倉真, 健康小児・成人における水泳中の心電図変化, デサントスポーツ科学, (1986) , 7, 126-137. Asai, T., Morita, M., Awakura, M. ECG changes during swimming exercise in healthy children and adults. DESCENTE SPORTS SCIENCE (1986) , 7, 126-137 (in Japanese) .
– reference: 20) Hong, S. K., Song, S. H., Kim, P. K., Suh, C. S. Seasonal observations on cardiac rhythm during diving Korean ama. J. Appl. Physiol. (1967) , 23, 18-22.
– reference: 23) Ross, A., & Steptoe, A. Attenuation of diving reflex in man by mental stimulation. J. Physiol. (Lond.) (1980) , 302, 387-393.
– reference: 24) Paulev, P. E. Cardiac rhythm during breath-holding and water immersion in man. Acta. Physiol. Scand. (1968) , 73, 139-150.
– reference: 2) Asmussen, E., Kristiansson, N. G. The “diving bradycardia” in exercising man. Acta. Physiol. Scand.. (1968) . 73, 527-535.
– reference: 22) 岡野亮介, 不整脈発現に及ぼす止息負荷, 水中浸漬及び潜水泳の影響, 体力科学, (1996) , 45, 159-170. Okano, Y. The influence of breath holding maneuvers, body water immersion and underwater swimming on the incidence of cardiac arrhythmias. Jpn. J. Fitness Sports Med. (1996) , 45, 159-170 (in Japanese)
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Snippet 本研究では, 健康な乳幼児を対象として, 各種条件下での水中心電図を記録し, 心拍反応および不整脈発現について検討した.その結果, 乳幼児でも各種潜水により潜水性徐脈が観察された.不整脈に関しては, 全体の29.5%に何らかの不整脈が認められ,...
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