Relationship between Cardiac Remodeling and Exercise Capacity in Elite Athletes: Incremental Value of Left Atrial Morphology and Function Assessed by Three-Dimensional Echocardiography

Lakatos, Bálint Károly; Molnár, Andrea; Kiss, Orsolya; Sydó, Nóra; Tokodi, Márton; Solymossi, Balázs; Fábián, Alexandra; Dohy, Zsófia; Vágó, Hajnalka; Babity, Máté; Bognár, Csaba; Kovács, Attila; Merkely, Béla

doi:10.1016/j.echo.2019.07.017

Cited by 22 publications

(16 citation statements)

References 41 publications

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“…This discrepancy is probably a result of the androgen effect on cardiac protein synthesis [20] . However, Lakatos et al have determined that gender does not in uence LA volume, which is inconsistent with our 4D data [21]. This difference may arise from the differences in race, exercise types, and training duration.…”

Section: Discussioncontrasting

confidence: 99%

Left Atrial Function in Young Strength Athletes: Four-Dimensional Automatic Quantitation Study

Liu¹,

Sun²,

Li³

et al. 2021

Preprint

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Background Athletes might suffer from potentially fatal heart disease, which has always been a concern in cardiovascular medicine. The changes in left atrial (LA) size and function are related to the occurrence of arrhythmia. In the present study, four-dimensional automatic quantitation (4D LAQ) was used to explore the changes in LA function of young strength athletes. Methods Eighty professional young strength athletes and sixty healthy young adults matched in age were selected for the study. The LA volumes and strains were automatically analyzed by 4D LAQ. The receiver operating characteristic (ROC) curves were used to evaluate the diagnostic value of strain in athletes' LA function. Pearson correlation analysis was performed to assess the potential association between conventional echocardiographic indexes and 4D parameters related to athletes' LA function. Results Compared to the control group, LA longitudinal and circumferential strain in the athlete group decreased, while LA volume increased (P<0.05). However, LA strain was similar among 45 male and 35 female strength athletes (P>0.05), while male athletes presented with a higher LA volume when compared to female controls (P<0.05). ROC curve analysis showed that LA contraction longitudinal strain (LASct) was the best predictor in evaluating athletes' LA function. Athletes' heart rate and left ventricular mass index were significantly correlated with 4D LA function parameters. Conclusions 4D LAQ can be used for early detection of the changes in LA function in young strength athletes. There was no significant difference in LA strain between male and female athletes. The LASct was the most effective index for evaluating athletes' LA function.

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Section: Discussioncontrasting

confidence: 99%

Left Atrial Function in Young Strength Athletes: Four-Dimensional Automatic Quantitation Study

Liu¹,

Sun²,

Li³

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…Lakatos et al found in a large population of highly trained athletes (n 1,777), enlarged LA dimension (23 to 50 mm, mean, 37 ± 4 mm) in men and 20 to 46 mm (mean, 32 ± 4 mm) in women and was enlarged (i.e., transverse dimension > or = 40 mm) in 347 athletes (20%), including 38 (2%) with marked dilation (> or = 45 mm). 23 D'Ascenzi et al reported that the mean LVIDd was 53  0.5 mm and maximal wall thickness 11.2  0.2 mm (p<0.01) in elite football players as compared to normal reported control subjects. 24 Similarly D'Andrea et al also observed the same pattern that is Left ventricular end-diastolic cavity dimensions (LVIDd) of 56 ± 5.6 in endurance trained athletes.…”

Section: Discussionmentioning

confidence: 96%

“…8 These cardiac adaptations include electrical, structural and functional alterations are generally considered benign. 9 The increase in cardiac mass is maximum over the first few months of training and is directly related to the level of training. The increase in cardiac volume makes the heart more compliant with a larger stroke volume.…”

Section: Introductionmentioning

confidence: 99%

Secretion of Atrial Natriuretic Peptide (Anp), Heart Reconditioning and Remolding in Elite Endurance Trained Athletes

Ali¹,

Aslam²,

Aziz³

et al. 2021

PJMHS

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Aim / Objective: The aim of this study was to evaluate the effect of maximal exercise on the level of cardiac remolding and Atrial Natriuretic Peptide (ANP) in elite athletes as compared to sedentary healthy subjects and correlation of ANP with the adaptation of athlete’s heart and cardiac remodeling (if any) Place and Duration of Study: The present study was carried out at the Department of Physiology, Army Medical College, with collaboration of Armed Forces Institute of Cardiology (AFIC) Rawalpindi from June 2003 to May 2004. Methodology: A total number of 44 subjects were included in this study. These comprised of 22 elite endurance athletes and 22 healthy sedentary volunteers as controls. All subjects were examined clinically to rule out the cardiovascular and pulmonary diseases on the basis of medical history, physical examination, and echocardiography. All the selected subjects were examined on a Toshiba Power Vision 6000 echocardiograph for assessing and measuring their LV end-diastolic internal diameter (LVIDd), Diastolic interventricular septal thickness (IVSTd), diastolic posterior wall thickness (PWTd). The left ventricular mass was (LVM) was calculated by using the Devereux formula. They were subject to go for ergometer cycle exercise before breakfast. The Blood samples were drawn before and after exercise to assess the level of ANP in their samples. Results: It was found that LVIDd, IVSTd, PWTd, LVM were higher in athletes as compared to their age, sex and BMI matched controls. The ANP levels in athlete’s plasma were also high in post and pre exercise sample as compared to controls. Conclusion: Systolic blood pressure, Diastolic Blood Pressure and heart rate are lower in endurance elite athletes than matched sedentary controls. The maximal Exercise increases the level of Atrial Natriuretic Peptide (ANP) in elite athletes significantly as compared to sedentary healthy controls. There was a Positive correlations between ANP and LVIDd, IVSTd, PWTd, and LVM while there was negative correlation between ANP and heart rate, ANP and Blood pressure. However, none of correlation was found to be statistically significant. Keywords: Athlete’s Heart, ANP, Cardiac remodeling in athletes, Echocardiography of heart

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“…Athlete's heart is another clinical scenario where advanced imaging provides significant additional value on top of conventional 2D assessment. RV volumes and mechanics are independent predictors of aerobic exercise capacity [28]. Moreover, a predominance of longitudinal shortening along with a relative decrease in radial motion can be measured even during resting conditions in healthy elite athletes [29].…”

Section: Role and Relative Contribution Of Different Components Of Thmentioning

confidence: 99%

Comprehensive Echocardiographic Assessment of the Right Ventricular Performance: beyond TAPSE and Fractional Area Change

Суркова

Kovács

2020

Russ J Cardiol

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Right ventricular (RV) performance is an important predictor of adverse events and mortality in patients with cardiovascular diseases. Echocardiography is the first-choice imaging modality for the assessment of RV systolic function, however conventional two-dimensional echocardiographic parameters have important limitations and under specific conditions poorly correlate with the gold-standard imaging modality, cardiac magnetic resonance. Recent advances in novel echocardiography techniques, including three-dimensional echocardiography and two-dimensional speckle-tracking echocardiography opened new era in RV imaging enabling more accurate and reproducible assessment of RV performance thus providing deeper insight into the pathophysiology of this intriguing cardiac chamber. In this comprehensive review authors summarize the state-of-the-art echocardiographic approach to the assessment of the RV systolic function with specific emphasis on modern techniques, their advantages, limitations and pitfalls in the various clinical settings.

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Relationship between Cardiac Remodeling and Exercise Capacity in Elite Athletes: Incremental Value of Left Atrial Morphology and Function Assessed by Three-Dimensional Echocardiography

Cited by 22 publications

References 41 publications

Left Atrial Function in Young Strength Athletes: Four-Dimensional Automatic Quantitation Study

Left Atrial Function in Young Strength Athletes: Four-Dimensional Automatic Quantitation Study

Secretion of Atrial Natriuretic Peptide (Anp), Heart Reconditioning and Remolding in Elite Endurance Trained Athletes

Comprehensive Echocardiographic Assessment of the Right Ventricular Performance: beyond TAPSE and Fractional Area Change

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