Right ventricular adaptations and arrhythmias in amateur ultra-endurance athletes

Rimensberger, Caroline; Carlen, Frederik; Brugger, Nicolas; Seiler, Christian; Wilhelm, Matthias

doi:10.1136/bjsports-2013-092859

Cited by 14 publications

(9 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The current study demonstrated that UR had higher conventional indices of global RV function when compared to controls, but with similar global or regional peak ԑ. Previous findings are contradictory with no significant differences observed in RVFAC [12,34] or even a reduced RVFAC seen in elite endurance athletes compared to a non-athlete population [11]. A study directly targeting UR demonstrated significantly higher S' [35] with these findings being reproduced in long distance swimmers [36].…”

Section: Right Ventricular Functional Adaptationcontrasting

confidence: 39%

Right Ventricular Structure and Function in the Veteran Ultramarathon Runner: Is There Evidence for Chronic Maladaptation?

Rothwell

George

Somauroo

et al. 2018

Journal of the American Society of Echocardiography

View full text Add to dashboard Cite

show abstract

Section: Right Ventricular Functional Adaptationcontrasting

confidence: 39%

Right Ventricular Structure and Function in the Veteran Ultramarathon Runner: Is There Evidence for Chronic Maladaptation?

Rothwell

George

Somauroo

et al. 2018

Journal of the American Society of Echocardiography

View full text Add to dashboard Cite

show abstract

“…3,[17][18][19][20] This evidence questioned whether endurance exercise is always beneficial and whether intense endurance exercise occasionally may have an adverse impact on an otherwise normal heart. While some authors reported potential detrimental effects on the right heart of ultra-endurance races, 21,22 other researches and longitudinal studies have not found a maladaptive remodeling of the heart in endurance athletes, confining the cardiac effects of endurance races to a transient and reversible effect [23][24][25] and rejecting the hypothesis that even intense endurance exercise can have negative effects on the cardiovascular system. Notably, a lower mortality has been demonstrated in endurance athletes as compared to the general population 26 with top-level athletes with Olympic medalists in endurance and mixed sports having a larger survival advantage over controls and medalists in power sports.…”

Section: Discussionmentioning

confidence: 99%

The acute impact of an ultramarathon on right heart: A 12‐lead ECG study

D’Ascenzi

Anselmi

Ceccon

et al. 2019

Scandinavian Med Sci Sports

View full text Add to dashboard Cite

Background Some concerns exist about possible detrimental effects on cardiac function of ultra‐endurance competitions. The aim of this study was to evaluate the acute effects of an ultramarathon by comparing pre‐ and post‐race 12‐lead ECG features. Methods A total of 301 competitive athletes (mean age: 48 ± 9 years) running a 50‐km ultramarathon were analyzed. Twelve‐lead ECG was collected the day before the race and immediately at the finish line. According to the Italian law, athletes could have participated only after undergoing pre‐participation screening that ruled out the presence of an underlying heart disease. Results After the race a significant increase in P‐wave voltage (P < .001) and P‐wave duration (P < .001) was found as compared to pre‐race data with a higher percentage of athletes fulfilling the ECG criteria for right atrial enlargement (RAE; from 3% to 17%, P < .001). The presence of RAE post‐race significantly correlated with age, hours of training/week, and years of training and inversely with time at the finish line and the final position in the ranking. T‐wave and R‐wave amplitude (P < .001) and QTc‐interval duration (P < .001) significantly increased after the race. No significant differences in terms of supraventricular or ventricular arrhythmias were found. Conclusions A sizeable proportion of athletes running a 50‐km ultramarathon demonstrated post‐race ECG signs of right heart overload but no arrhythmias. This finding supports the hypothesis that ultra‐endurance races may induce transient right heart overload.

show abstract

“…Male runners, aged 30 years and older, were recruited for a study on cardiac remodeling by an open letter of invitation published on the homepage of the 2011th events [12,13]. The term 'hypertension' was not mentioned in the invitation letter to minimize selection bias.…”

Section: Participants and Protocolmentioning

confidence: 99%

“…The left ventricular global strain was determined by averaging all values of the 18 segments of the three views. For intraobserver variability, a comparison of the left ventricular global strain was performed in 25 athletes, as described previously [13].…”

Section: Transthoracic Echocardiographymentioning

confidence: 99%

Masked hypertension and cardiac remodeling in middle-aged endurance athletes

Trachsel¹,

Carlen²,

Brugger³

et al. 2015

Journal of Hypertension

Self Cite

View full text Add to dashboard Cite

Objectives: Extensive endurance training and arterial hypertension are established risk factors for atrial fibrillation. We aimed to assess the proportion of masked hypertension in endurance athletes and the impact on cardiac remodeling, mechanics, and supraventricular tachycardias (SVT).Methods: Male participants of a 10-mile race were recruited and included if office blood pressure was normal (<140/90 mmHg). Athletes were stratified into a masked hypertension and normotension group by ambulatory blood pressure. Primary endpoint was diastolic function, expressed as peak early diastolic mitral annulus velocity (E'). Left ventricular global strain, left ventricular mass/ volume ratio, left atrial volume index, signal-averaged Pwave duration (SAPWD), and SVT during 24-h Holter monitoring were recorded.Results: From 108 runners recruited, 87 were included in the final analysis. Thirty-three (38%) had masked hypertension. The mean age was 42 AE 8 years. Groups did not differ with respect to age, body composition, cumulative training hours, and 10-mile race time. Athletes with masked hypertension had a lower E' and a higher left ventricular mass/volume ratio. Left ventricular global strain, left atrial volume index, SAPWD, and SVT showed no significant differences between the groups. In multiple linear regression analysis, masked hypertension was independently associated with E' (beta ¼ -0.270, P ¼ 0.004) and left ventricular mass/volume ratio (beta ¼ 0.206, P ¼ 0.049). Cumulative training hours was the only independent predictor for left atrial volume index (beta ¼ 0.474, P < 0.001) and SAPWD (beta ¼ 0.481, P < 0.001). Conclusion:In our study, a relevant proportion of middleaged athletes had masked hypertension, associated with a lower diastolic function and a higher left ventricular mass/ volume ratio, but unrelated to left ventricular systolic function, atrial remodeling, or SVT.

show abstract

Right ventricular adaptations and arrhythmias in amateur ultra-endurance athletes

Abstract: In our small sample of amateur athletes, long-term ultra-endurance sport practice was not associated with RV dysfunction or complex ventricular arrhythmias.

Cited by 14 publications

References 33 publications

Right Ventricular Structure and Function in the Veteran Ultramarathon Runner: Is There Evidence for Chronic Maladaptation?

Right Ventricular Structure and Function in the Veteran Ultramarathon Runner: Is There Evidence for Chronic Maladaptation?

The acute impact of an ultramarathon on right heart: A 12‐lead ECG study

Masked hypertension and cardiac remodeling in middle-aged endurance athletes

Contact Info

Product

Resources

About