Age impacts left atrial functional remodeling in athletes

Cousergue, Cynthia; Saloux, Éric; Reboursière, Emmanuel; Rocamora, Amélia; Milliez, Paul; Normand, Hervé; Hodžić, Amir

doi:10.1371/journal.pone.0271628

Cited by 4 publications

(1 citation statement)

References 36 publications

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“…Cousergue et al demonstrated a strong relationship between age-induced changes in LV diastolic function and left atrial (LA) function in healthy young (<35 years) and master (>35 years) athletes using echocardiography [ 20 ]. Importantly, Torlasco et al found key differences in the pattern of adaptation caused by physical activity using CMR.…”

Section: Normal Ranges For Healthy Cardiac Adaptation—what Do I Mean ...mentioning

confidence: 99%

Certainties and Uncertainties of Cardiac Magnetic Resonance Imaging in Athletes

Szabó

Brunetti

Cipriani

et al. 2022

JCDD

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Prolonged and intensive exercise induces remodeling of all four cardiac chambers, a physiological process which is coined as the “athlete’s heart”. This cardiac adaptation, however, shows overlapping features with non-ischemic cardiomyopathies, such as dilated, arrhythmogenic and hypertrophic cardiomyopathy, also associated with athlete’s sudden cardiac death. Cardiac magnetic resonance (CMR) is a well-suited, highly reproducible imaging modality that can help differentiate athlete’s heart from cardiomyopathy. CMR allows accurate characterization of the morphology and function of cardiac chambers, providing full coverage of the ventricles. Moreover, it permits an in-depth understanding of the myocardial changes through specific techniques such as mapping or late gadolinium enhancement. In this narrative review, we will focus on the certainties and uncertainties of the role of CMR in sports cardiology. The main aspects of physiological adaptation due to regular and intensive sports activity and the application of CMR in highly trained athletes will be summarized.

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Section: Normal Ranges For Healthy Cardiac Adaptation—what Do I Mean ...mentioning

confidence: 99%

Certainties and Uncertainties of Cardiac Magnetic Resonance Imaging in Athletes

Szabó

Brunetti

Cipriani

et al. 2022

JCDD

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Atrial cardiomyopathy in endurance athletes

Spencer,

D’Ambrosio,

Ohanian

et al. 2024

npj Cardiovasc Health

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Atrial cardiomyopathy is characterized by electrical and structural remodeling of the atria, which can predispose to arrhythmias and thromboembolic stroke. Changes in atrial size and function are frequently observed in athletes engaged in endurance sports, a phenomenon known as “athlete’s heart.” Common left atrial observations in athletes may include larger left atrial volumes but lower left atrioventricular volume ratios, mildly reduced left atrial strain, possible mild left atrial fibrosis, longer P-wave duration, and greater atrial ectopic activity. However, it remains unclear whether these changes represent physiological adaptations to endurance exercise or disease-promoting pathology. While the athlete’s heart is considered a benign physiological phenomenon, endurance athletes have an established risk of atrial fibrillation. Therefore, atrial cardiomyopathy represents a significant consideration in disease prognostication and the development of management strategies for athletes. This review examines current literature with respect to the clinical features, causes, and consequences of atrial cardiomyopathy in athletes.

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Novas Perspectivas das Adaptações na Função Atrial Esquerda em Atletas

Almeida,

Santos,

Lima

et al. 2024

Arq Bras Cardiol: Imagem cardiovasc.

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Em atletas de alta performance, principalmente aqueles que praticam esportes de resistência com treinos de alta intensidade e longa duração, o coração sofre a probabilidade de arritmias ventriculares e atriais. Sabese que esses atletas possuem aumento do diâmetro e do volume indexado do átrio esquerdo (AE), entretanto, os efeitos dessas alterações na função atrial ainda não estão totalmente esclarecidos. A mecânica do AE envolve três funções: 1) função de reservatório, caracterizada pelo armazenamento do retorno venoso proveniente das veias pulmonares, que ocorre durante a sístole ventricular; 2) função de conduto, representada pelo enchimento passivo do ventrículo esquerdo (VE); e 3) função contrátil, expressa pela contração atrial. Recentemente, a análise da função do átrio por meio da deformação miocárdica, utilizando a técnica de speckle tracking, vem sendo utilizada cada vez mais e contribuindo para a compreensão da mecânica atrial. Atletas de resistência apresentam maiores adaptações atriais, como um maior diâmetro e volume do AE, provavelmente provocado pelo aumento repetitivo e sustentado da pré-carga de esforço, a fim de atender a demanda do débito cardíaco durante o treinamento de alta intensidade. Além do aumento do AE, estudos têm demonstrado redução da função de reservatório em atletas, quando comparados ao grupo controle. Deste modo, acreditamos que estes achados podem contribuir para melhor estratificação de pacientes com maior risco de desenvolver fibrilação atrial (FA). Por fim, entendemos que são necessários mais estudos para um melhor entendimento sobre a relação dose-resposta entre exercício e função atrial esquerda.

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Age impacts left atrial functional remodeling in athletes

Cited by 4 publications

References 36 publications

Certainties and Uncertainties of Cardiac Magnetic Resonance Imaging in Athletes

Certainties and Uncertainties of Cardiac Magnetic Resonance Imaging in Athletes

Atrial cardiomyopathy in endurance athletes

Novas Perspectivas das Adaptações na Função Atrial Esquerda em Atletas

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