Aneurysmal subarachnoid hemorrhage associated with weight training: Three case reports
Aneurysmal subarachnoid hemorrhage associated with weight training: Three case reports
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DOI：
10.1097/00042752-199601000-00011
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发表时间：
1996-01-01
影响因子：
2.7
通讯作者：
Ignaszewski, AP
中科院分区：
文献类型：
--
作者：
Haykowsky, MJ;Findlay, JM;Ignaszewski, AP
在北美，举重训练是身体健康的一个流行组成部分。这种形式的训练仍然相对安全，很少有危及生命的伤害。然而，一系列的研究表明，重复的上肢和下肢重量训练结合瓦尔萨尔瓦动作可以增加动脉压高达480/350毫米汞柱的值。这种动脉压的显著升高被传递到脑血管系统并增加脑动脉跨壁压，并可能引发先前无害的颅内动脉瘤破裂。我们报告了三例与手臂（二头肌）卷曲和腿部举重训练相关的蛛网膜下腔出血（SAH）病例，并讨论了这种形式的运动与蛛网膜下腔出血之间的可能联系。
Weight training is a popular component of physical fitness in North America. This form of training remains relatively safe with few cases of life-threatening injuries. However, a series of studies have demonstrated that repetitive upper- and lower extremity weight training incorporating a Valsalva maneuver can increase arterial pressure to values as high as 480/350 mm Hg. This marked increase in arterial pressure is transmitted to the cerebral vasculature and increases cerebral arterial transmural pressure and may have the potential to initiate the rupture of a previously innocuous intracranial aneurysm. We report three cases of subarachnoid hemorrhage (SAH) associated with arm (bicep) curls and leg press weight training and discuss the possible link between this form of exercise and aneurysmal SAH.