Intensive exercise and its effect on the heart: Is more always better?

Kaleta, Anna Maria; Lewicka, Ewa; Dąbrowska−Kugacka, Alicja; Lewicka-Potocka, Zuzanna; Wabich, Elżbieta; Potocki, Wojciech; Raczak, Grzegorz

doi:10.5603/cj.2017.0039

Cited by 9 publications

(6 citation statements)

References 38 publications

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“…We read with great interest the very informative and well-performed landmark editorial from Kaleta et al [10] recently published on 'Cardiology Journal' and the presented paper completely concurs with the authors. A growing segment of the global population chooses to participate in high levels of strenuous exercise for a myriad of reasons, including athletic performance, socialization, and weight management.…”

supporting

confidence: 57%

Exercise dose in clinical practice: Right is better than more

Leggio

Bendini²,

D’Emidio³

et al. 2018

Cardiol J.

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supporting

confidence: 57%

Exercise dose in clinical practice: Right is better than more

Leggio

Bendini²,

D’Emidio³

et al. 2018

Cardiol J.

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“…The fatigue during newborn resuscitation with different CC to ventilation ratio methods is a wellknown problem [36][37][38], resulting in a decreasing quality of CCs over time. It can even appear during a relatively short-lasting neonatal resuscitation (below 10 min) and is associated with lack of aerobic activity and body mass index ≥ 25 [39,40]. In the standard CC techniques (TFT, TTHT), finger and thumb pain is common [23].…”

Section: Discussionmentioning

confidence: 99%

Comparison of two infant chest compression techniques during simulated newborn cardiopulmonary resuscitation performed by a single rescuer: A randomized, crossover multicenter trial

2020

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“…Although numerous studies have already investigated the effect of marathon running on cardiac structure and function (Kaleta et al, 2017), most are restricted to male athletes or concern resting conditions, with limited data on acute remodeling in female counterparts (Pelliccia et al, 1996;D'Ascenzi et al, 2014). Women, however, exhibit different cardiac adaptations to exercise than men (Di Paolo and Pelliccia, 2007).…”

Section: Discussionmentioning

confidence: 99%

Exercise-Induced Atrial Remodeling in Female Amateur Marathon Runners Assessed by Three-Dimensional and Speckle Tracking Echocardiography

et al. 2022

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Endurance athletes have an increased risk of atrial remodeling and atrial arrhythmias. However, data regarding atrial adaptation to physical exercise in non-elite athletes are limited. Even less is known about atrial performance in women. We aimed to elucidate exercise-induced changes in atrial morphology and function in female amateur marathon runners using three-dimensional (3D) echocardiography and two-dimensional (2D) speckle tracking echocardiography (STE). The study group consisted of 27 female (40 ± 7 years) amateur athletes. Right (RA) and left atrial (LA) measures were assessed three times: 2–3 weeks before the marathon (stage 1), immediately after the run (stage 2), and 2 weeks after the competition (stage 3). Directly after the marathon, a remarkable RA dilatation, as assessed by RA maximal volume (RAVmax, 31.3 ± 6.8 vs. 35.0 ± 7.0 ml/m2; p = 0.008), with concomitant increase in RA contractile function [RA active emptying fraction (RA active EF), 27.7 ± 8.6 vs. 35.0 ± 12.1%; p = 0.014; RA peak atrial contraction strain (RA PACS) 13.8 ± 1.8 vs. 15.6 ± 2.5%; p = 0.016] was noticed. There were no significant changes in LA volumes between stages, while LA active EF (34.3 ± 6.4 vs. 39.4 ± 8.6%; p = 0.020), along with LA PACS (12.8 ± 2.1 vs. 14.9 ± 2.7%; p = 0.002), increased post race. After the race, an increase in right ventricular (RV) dimensions (RV end-diastolic volume index, 48.8 ± 11.0 vs. 60.0 ± 11.1 ml/m2; p = 0.001) and a decrease in RV function (RV ejection fraction, 54.9 ± 6.3 vs. 49.1 ± 6.3%; p = 0.006) were observed. The magnitude of post-race RV dilatation was correlated with peak RA longitudinal strain deterioration (r = −0.56, p = 0.032). The measured parameters did not differ between stages 1 and 3. In female amateur athletes, apart from RV enlargement and dysfunction, marathon running promotes transient biatrial remodeling, with more pronounced changes in the RA. Post-race RA dilatation and increment of the active contraction force of both atria are observed. However, RA reservoir function diminishes in those with post-race RV dilation.

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Intensive exercise and its effect on the heart: Is more always better?

Cited by 9 publications

References 38 publications

Exercise dose in clinical practice: Right is better than more

Exercise dose in clinical practice: Right is better than more

Comparison of two infant chest compression techniques during simulated newborn cardiopulmonary resuscitation performed by a single rescuer: A randomized, crossover multicenter trial

Exercise-Induced Atrial Remodeling in Female Amateur Marathon Runners Assessed by Three-Dimensional and Speckle Tracking Echocardiography

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