Influence ofβreceptor blocker on heart rate variability after military training in soldiers

Li Guo

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Influence ofβreceptor blocker on heart rate variability after military training in soldiers

VernacularTitle:β受体阻滞剂对战士军事训练后心率变异的影响
Author: Li GUO
Publication Type:Journal Article
Keywords: Exercise; Death,sudden,cardiac; Adrenergic beta-antagonists
From: Chinese Journal of cardiovascular Rehabilitation Medicine 2014;23(3):294-296
CountryChina
Language:Chinese
Abstract: Objective:To observe influence ofβreceptor blocker on heart rate variability (HRV)after military train-ing in soldiers.Methods:A total of 80 soldiers with heart rate>60 beats/min from a group army were selected,and randomly divided into metoprolol group (n=40)and control group (n=40).Metoprolol group received metoprolol succinate (12.5mg,once/d)continuously before exercise 5d,while control group received placebo of same dose, 5min dynamic electrocardiography was used to analyze HRV.Heart rate,blood pressure and HRV changes were compared between two groups before and after 5km running.Results:There were no significant difference in heart rate,blood pressure and HRV indexes between two groups before exercise;compared with control group after exer-cise,heart rate and blood pressure were lower,and there were significant reductions in standard deviation of normal to normal RR intervals calculated over the 24 h period [SDNN,(80.1±9.5)ms vs.(69.4±10.5)ms],standard deviation of normal to normal RR intervals in all 5 min segments of the entire recording [SDANN,(65.7±7.8)ms vs.(60.1±9.2)ms],SDNN index [(25.1±11.3)ms vs.(20.4±12.3)ms],root-mean square of differences be-tween successive normal to normal intervals [rMSSD,(25.2±10.7)ms vs.(19.9±11.3)ms],very low frequency [VLF,(451.1±312.9)ms2 vs.(408.3±299.8)ms2 ],low frequency [LF,(191.0±79.3)ms2 vs.(148.2±77.4) ms2]and high frequency [HF,(69.6±50.1)ms2 vs.(51.8±52.7)ms2]in metoprolol group,P<0.05 all.Con-clusion:βreceptor blocker usage before exersise can reduce heart rate variability change after military training,and is helpful to decrease occurrence of acute cardiovascular events.