Cardiac magnetic resonance assessment of left and right ventricular morphologic and functional adaptations in professional soccer players

Scharf, Michael; Brem, Matthias; Wilhelm, Matthias; Schoepf, U. Joseph; Uder, Michael; Lell, Michael

doi:10.1016/j.ahj.2010.02.027

Cited by 53 publications

(40 citation statements)

References 46 publications

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“…In accordance with this concept of balanced, biventricular enlargement, RV enlargement has been shown to parallel LV enlargement (387,388). The impact of strength training on the RV remains uncertain due to inconsistent and limited data (18).…”

Section: The Right Ventriclementioning

confidence: 88%

Cardiovascular Adaptations to Exercise Training

Hellsten

Nyberg

2015

Comprehensive Physiology

203

185

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Aerobic exercise training leads to cardiovascular changes that markedly increase aerobic power and lead to improved endurance performance. The functionally most important adaptation is the improvement in maximal cardiac output which is the result of an enlargement in cardiac dimension, improved contractility, and an increase in blood volume, allowing for greater filling of the ventricles and a consequent larger stroke volume. In parallel with the greater maximal cardiac output, the perfusion capacity of the muscle is increased, permitting for greater oxygen delivery. To accommodate the higher aerobic demands and perfusion levels, arteries, arterioles, and capillaries adapt in structure and number. The diameters of the larger conduit and resistance arteries are increased minimizing resistance to flow as the cardiac output is distributed in the body and the wall thickness of the conduit and resistance arteries is reduced, a factor contributing to increased arterial compliance. Endurance training may also induce alterations in the vasodilator capacity, although such adaptations are more pronounced in individuals with reduced vascular function. The microvascular net increases in size within the muscle allowing for an improved capacity for oxygen extraction by the muscle through a greater area for diffusion, a shorter diffusion distance, and a longer mean transit time for the erythrocyte to pass through the smallest blood vessels. The present article addresses the effect of endurance training on systemic and peripheral cardiovascular adaptations with a focus on humans, but also covers animal data.

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Section: The Right Ventriclementioning

confidence: 88%

Cardiovascular Adaptations to Exercise Training

Hellsten

Nyberg

2015

Comprehensive Physiology

203

185

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“…A recent magnetic resonance imaging study in professional soccer players demonstrated similar findings. 60 The impact of strength training on the RV remains unclear because the limited available data are inconsistent. Perseghin et al 61 compared RV and LV structure in endurance athletes (marathon runners), strength athletes (sprinters), and sedentary control subjects and found the largest RV volumes among the strength athletes.…”

Section: The Right Ventriclementioning

confidence: 99%

Athlete's Heart and Cardiovascular Care of the Athlete

2011

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“…U pitanju je bolest nepoznate etiologije koja se karakteriše infiltracijom srčanog mišića desne komore masnim i vezivnim tkivom (30,31,32). Razlikovanje ARVD od sportskog srca je izuzetno teško zato što u oba slučaja može da postoje uvećanje desne komore i poremećaji repolarizacije i sprovođenja.…”

Section: Razlikovanje Sindroma Sportskog Srca Od Sličnih Patoloških Sunclassified

“…Zato je ovde važno odrediti odnos dimenzija leve i desne komore, koji je kod ARVD najčešće smanjen. Konačnu dijagnozu daje magnetna rezonanca, gde se mogu videti diskinezija desne komore i fibrozno tkivo u miokardu (32).…”

Section: Razlikovanje Sindroma Sportskog Srca Od Sličnih Patoloških Sunclassified

Athlete's heart syndrome: A friend or foe?

Delić¹

2016

Medicinski podmladak

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SažetakSindrom sportskog srca je skup morfoloških i funkcionalnih adaptivnih promena srca i, posledično, kardiovaskularnog sistema kao fiziološkog odgovora na kontinuiranu i intenzivnu fizičku aktivnost. Smatra se da je ovaj sindrom "siva zona" između fiziologije i patologije, dakle nedovoljno poznat i samim tim podložan različitim tumačenjima. Poslednjih nekoliko godina smo bili svedoci nekolicine iznenadnih smrti vrhunskih mladih sportista na terenu koje su dovođene u vezu sa sindromom sportskog srca. Interes pobuđen ovim tragičnim događajima izazvao je brojne rasprave u stručnoj javnosti i naveo na dilemu: "Da li je fizološka adaptivna promena kao što je sportsko srce prijatelj ili neprijatelj sportista?" U ovom revijskom radu ćemo pokušati da damo neke smernice koje su u vezi sa ovom dilemom.Ključne reči: sindrom sportsko srce, iznenadna srcana smrt, vrhunski sportisti AbstractAthlete's heart syndrome is a set of morphological and functional adaptive changes of the heart and consequently the cardiovascular system as a physiological response to chronic physical activity. It is believed that this syndrome is "gray zone" between physiology and pathology and therefore subject to different interpretations. In the last few years, we have some sudden cardiac deaths of elite young athletes that have been speculated and associated with the athlete's heart syndrome. There is an increase in the scientific research in this field and the debate among the experts with one dilemma: if these physiological adaptive changes, athlete's heart syndrome, is the athletes friend or foe? In this Review, we describe various types of athlete's heart syndrome-their developmental, biology, differentiation, cell heterogeneity and functional characteristics.

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Cardiac magnetic resonance assessment of left and right ventricular morphologic and functional adaptations in professional soccer players

Cited by 53 publications

References 46 publications

Cardiovascular Adaptations to Exercise Training

Cardiovascular Adaptations to Exercise Training

Athlete's Heart and Cardiovascular Care of the Athlete

Athlete's heart syndrome: A friend or foe?

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