Right Atrial and Ventricular Adaptations to Training in Male Caucasian Athletes: An Echocardiographic Study

Pagourelias, Efstathios D; Kouidi, Evangelia; Efthimiadis, Georgios K.; Deligiannis, Asterios; Geleris, Paraschos; Vassilikos, Vassilios

doi:10.1016/j.echo.2013.07.019

Cited by 73 publications

(65 citation statements)

References 38 publications

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“…Although there is evidence to suggest athletes have different RV function than non-athlete controls [2,5,[29][30][31][32], there are limited data between different athlete groups. Those studies that have compared athletes largely report no difference in TAPSE [2,13,26,33], RVFAC [2,25,34] and myocardial tissue velocities [2,7,34]. Similar to these conventional indices of global RV function there was no difference in peak global ε and SR between athlete groups which supports some previous studies [2,13,26].…”

Section: Right Ventricular Functionsupporting

confidence: 73%

“…A key mediating variable is the nature of the training exposure (mode, intensity, duration and volume) [4]. To date many studies have attempted to differentiate the cardiac response to endurance versus resistance training [2,11] with most data supportive of a significantly greater cardiac adaptation to dynamic or endurance based exercise training [2,7,[11][12][13] with limited or no significant cardiac adaptation to resistance training [11,12]. In addition, recent work has demonstrated that dynamic exercise training is the primary driver for cardiac adaptation [11,13].…”

Section: Introductionmentioning

confidence: 99%

“…Many studies of AH have focused on the left ventricle but the right ventricle (RV) also undergoes physiological remodelling due to the hemodynamic overload associated with training [2,[5][6][7]. The nature of RV remodelling and functional change associated with prolonged training exposure often leads to a phenotypical presentation beyond normal limits that can create a diagnostic challenge when attempting to differentiate the AH from pathological cardiac adaptation associated with diseases that predispose an athlete to an increased risk of sudden cardiac death (SCD) [8][9][10].…”

Section: Introductionmentioning

confidence: 99%

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Influence of different dynamic sporting disciplines on right ventricular Structure and function in elite male athletes

Qasem

George

Somauroo

et al. 2018

Int J Cardiovasc Imaging

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Our objective was to assess the influence of different levels of exposure to dynamic training on right ventricular (RV) structure, function and mechanics in elite male athletes. We recruited 492 male elite athletes aged between 18 and 30 years old. Athletes were grouped according to their sporting discipline using the Mitchell Classification as Low Dynamic (LD), Moderate Dynamic (MD) or High Dynamic (HD). All participants underwent 2D, Doppler, tissue Doppler and strain (ε) echocardiography with a focused and comprehensive assessment of the right heart. Athletes involved in MD sports had the largest absolute RV chamber size and when scaled to body size RVOT PLAX, RVOT2, RVD1 and RVD3 were larger in HD compared to MD and LD athletes. There were no between group differences in conventional RV functional indices as well as global RV ε (LD: − 23.4 ± 3.1 vs. MD: − 22.7 ± 2.7 vs. HD: − 23.5 ± 2.6, %) and strain rate (P > 0.01). The base to apex ε gradient in the RV septum was lower in the MD athletes compared to HD and LD due to a lower apical septal ε which significantly correlated with absolute RV chamber size. After scaling for body size there was evidence of larger RV cavities in both MD and HD athletes compared to LD athletes. Global RV function, ε and strain rate were not different between groups. MD athletes had lower apical septal ε that contributed to a smaller base-to-apex ε gradient that is partially associated with larger absolute RV chamber dimensions.

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Section: Right Ventricular Functionsupporting

confidence: 73%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Influence of different dynamic sporting disciplines on right ventricular Structure and function in elite male athletes

Qasem

George

Somauroo

et al. 2018

Int J Cardiovasc Imaging

View full text Add to dashboard Cite

show abstract

“…In both sexes, an athlete's heart is typically characterized by left ventricular hypertrophy, 67,68 enlarged internal right ventricular dimensions, 69 and bilateral atrial enlargement. 70,71 Men demonstrate greater structural heart changes in response to exercise than women, including a greater response in left ventricular mass, wall thickness, and cavity dimensions in male athletes than female athletes.…”

Section: Sudden Cardiac Deathmentioning

confidence: 99%

Gender- and Sex-specific Sports-related Injury Research in Emergency Medicine: A Consensus on Future Research Direction and Focused Application

et al. 2014

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Title IX, the commercialization of sports, the social change in sports participation, and the response to the obesity epidemic have contributed to the rapid proliferation of participation in both competitive organized sports and nontraditional athletic events. As a consequence, emergency physicians are regularly involved in the acute diagnosis, management, disposition, and counseling of a broad range of sports-related pathology. Three important and highly publicized mechanisms of injury in sports relevant to emergency medicine (EM) include concussion, heat illness, and sudden cardiac death. In conjunction with the 2014 Academic Emergency Medicine consensus conference "Gender-specific Research in Emergency Care: Investigate, Understand, and Translate How Gender Affects Patient Outcomes," a consensus group consisting of experts in EM, emergency neurology, sports medicine, and public health convened to deliberate and develop research questions that could ultimately advance the field of sports medicine and allow for meaningful application in the emergency department (ED) clinical setting. Sex differences in injury risk, diagnosis, ED treatment, and counseling are identified in each of these themes. This article presents the consensus-based priority research agenda.

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“…There are many views on the meaning of the functional parameters (strain and strain rate) in the RV free wall. Some researchers claim that these parameters in the group of endurance athletes remain stable or, sometimes, they are elevated [12, 19–22]. …”

Section: Discussionmentioning

confidence: 99%

Echocardiographic assessment of right ventricle adaptation to endurance training in young rowers – speckle tracking echocardiography

et al. 2016

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The aim of this study was to determine the relationship between the degree of cardiorespiratory fitness and the function of the right ventricle (RV). 117 rowers, age 17.5±1.5 years. All subjects underwent cardiopulmonary exercise. Standard echocardiography and 2D speckle tracking echocardiography with evaluation of longitudinal strain in each segment of the RV (basal – RVLS-B; mid – RVLS-M, apical – RVLS-A) and global RV free-wall strain (RVLS-G) were performed. RVLS-B values were lower compared to the RVLS-M (-25.8±4.4 vs -29.3±3.5; p<0.001) and RVLS-A values (-25.8±4.4 vs -26.2±3.4; p=0.85). Correlations between VO2max and RVLS were observed in men: RVLS-G strain (r = 0.43; p <0.001); RVLS-B (r = 0.30; p = 0.02); RVLS-M (r = 0.38; p = 0.02). A similar relationship was not observed in the group of women. The strongest predictors corresponding to a change in global and basal strain were VO2max and training time: RVLS-G (VO2max: β = 0.18, p = 0.003; training time: β = -0.39; p = 0.02) and RVLS-B (VO2max: β = 0.23; p = 0.0001 training time: β = -1.16; p = 0.0001). The global and regional reduction of RV systolic function positively correlates with the level of fitness, and this relationship is observed already in young athletes. The character of the relationship between RV deformation parameters and the variables that determine the physical performance depend on gender. The dependencies apply to the proximal fragment of the RV inflow tract, which may be a response to the type of flow during exercise in endurance athletes.

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Right Atrial and Ventricular Adaptations to Training in Male Caucasian Athletes: An Echocardiographic Study

Cited by 73 publications

References 38 publications

Influence of different dynamic sporting disciplines on right ventricular Structure and function in elite male athletes

Influence of different dynamic sporting disciplines on right ventricular Structure and function in elite male athletes

Gender- and Sex-specific Sports-related Injury Research in Emergency Medicine: A Consensus on Future Research Direction and Focused Application

Echocardiographic assessment of right ventricle adaptation to endurance training in young rowers – speckle tracking echocardiography

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