Exercise Training Induces Left- but not Right-sided Cardiac Remodelling in Olympic Rowers

2021 ◽  
Author(s):  
Geert Kleinnibbelink ◽  
Nicole Panhuyzen-Goedkoop ◽  
Hugo Hulshof ◽  
Arie van Dijk ◽  
Keith George ◽  
...  
Keyword(s):  
Structure Function ◽  
Left Ventricular ◽  
Cardiac Remodelling ◽  
Training Volume ◽  
Ventricular Structure ◽  
Left Ventricular Twist ◽  
Weekly Training ◽  
Elite Rowers ◽  
Ventricular Twist ◽  
The Impact

AbstractWhilst the athlete’s heart has been extensively described, less work has focused on the potential for elite athletes to demonstrate further cardiac remodelling upon an increase in training volume. Moreover, little work explored potential side-specific cardiac remodelling. Therefore, we examined the impact of an increase in training volume across 9-months in elite rowers on left- and right-sided cardiac structure, function and mechanics (i. e. longitudinal, radial and circumferential strain, twist and strain-volume loops). As part of the preparations to the 2012 Olympic Games, twenty-seven elite rowers (26.4±3.7years, 19 male) underwent echocardiography prior to and post (9 months) an increase in training volume (24 to 30–35 h weekly). Training increased left ventricular structure, including wall thickness, diameter, volume, mass and LV twist (all p<0.05). Female rowers demonstrated larger adaptation in left ventricular diameter and mass compared to male rowers (both p<0.05). No changes were observed in other measures of left ventricular function in both sexes (all p>0.05). The 9-month intervention showed no change in right ventricular/atrial structure, function or mechanics (all p>0.05). In conclusion, our data revealed that 9-month increased training volume in elite rowers induced left-sided (but not right-sided) structural remodelling, concomitant with an increase in left ventricular twist, with some changes larger in women.

scholarly journals P784 Cardiac remodelling in elite rowers - insights from novel echocardiographic techniques

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
G Kleinnibbelink ◽  
N M Panhuyzen-Goedkoop ◽  
H G Hulshof ◽  
A P J Van Dijk ◽  
K P George ◽  
...  
Keyword(s):  
Exercise Training ◽  
Elite Athlete ◽  
Left Ventricular ◽  
Cardiac Remodelling ◽  
Physiological Adaptation ◽  
Training Volume ◽  
Short Term ◽  
Apical Rotation ◽  
Elite Rowers ◽  
The Impact

Abstract Funding Acknowledgements No financial support Background Chronic exercise training leads to cardiac remodelling; the so-called Athlete’s Heart. Previous studies are often limited by a cross-sectional design whilst longitudinal training studies are often constrained to the assessment of non-athletes. Echocardiography provides comprehensive assessment of mechanics and may give additional insight into short-term changes in training volume in the elite athlete. Purpose To examine the impact of a short-term (9 months) increase in training volume on cardiac structure and mechanics in elite international competing rowers. Methods As part of the work-up to the 2012 Olympic Games, twenty-seven elite rowers (26.4 ± 3.7 years, 19 male) underwent baseline echocardiography prior to and post (9-months) a planned increase in training volume. Conventional echocardiographic indices including mechanics of all cardiac chambers were assessed. Results In response to increased training volume, there was a significant increase in left ventricular (LV) size (IVSd 9.2 ± 1.2 to 9.7 ± 1.1 mm, p = 0.001; PWd 8.3 ± 1.3 to 8.7 ± 1.4 mm, p = 0.013), LVIDd (56.5 ± 4.6 to 57.9 ± 4.2 mm, p = 0.001), and LVMi (90.2 ± 17.8 to 100.8 ± 17.1 g/m2, p = 0.000), see table. There was a significant increase in LV twist (9.2 ± 4.5 to 11.2 ± 4.7 °, p = 0.04; basal rotation -4.4 ± 3.1 to -4.5 ± 3.4 °, p = 0.84; apical rotation 5.8 ± 3.4 to 7.1 ± 3.7 °, p = 0.011), see figure, however, there were no changes in any other conventional indices of function or any other cardiac mechanics. There was a significant increase in left atrial (LA) volume (58.8 ± 15.2 to 65.3 ± 17.6 mm, p = 0.01) whilst no changes were observed in right heart structure. Conclusion An increase in exercise training volume in elite rowers across 9-months induced mild balanced structural remodelling of the LV and LA with a concomitant increase in LV twist. Contradictory to findings in non-athletes, there was no increase in right ventricular or atrial structure or function which may be representative of the elite athlete status and possibly already at threshold for physiological adaptation. Abstract P784 Figure.

scholarly journals The impact of isometric handgrip testing on left ventricular twist mechanics

2012 ◽  
Vol 590 (20) ◽  
pp. 5141-5150 ◽  
Author(s):  
Rory B. Weiner ◽  
Arthur E. Weyman ◽  
Jonathan H. Kim ◽  
Thomas J. Wang ◽  
Michael H. Picard ◽  
...  
Keyword(s):  
Left Ventricular ◽  
Isometric Handgrip ◽  
Left Ventricular Twist ◽  
Ventricular Twist ◽  
The Impact

scholarly journals The impact of an experimentally induced increase in arterial blood pressure on left ventricular twist mechanics

2015 ◽  
Vol 101 (1) ◽  
pp. 124-134 ◽  
Author(s):  
B. Balmain ◽  
G. M. Stewart ◽  
A. Yamada ◽  
J. Chan ◽  
L. J. Haseler ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Arterial Blood Pressure ◽  
Left Ventricular ◽  
Arterial Blood ◽  
Left Ventricular Twist ◽  
Ventricular Twist ◽  
The Impact ◽  
Experimentally Induced

scholarly journals Left ventricular twist in left ventricular noncompaction

2013 ◽  
Vol 15 (1) ◽  
pp. 48-55 ◽  
Author(s):  
F. Peters ◽  
B. K. Khandheria ◽  
E. Libhaber ◽  
N. Maharaj ◽  
C. dos Santos ◽  
...  
Keyword(s):  
Left Ventricular ◽  
Left Ventricular Noncompaction ◽  
Ventricular Noncompaction ◽  
Left Ventricular Twist ◽  
Ventricular Twist

scholarly journals Global Longitudinal Strain or Left Ventricular Twist and Torsion? Which Correlates Best with Ejection Fraction?

2017 ◽  
Author(s):  
Marcio Silva Miguel Lima ◽  
Hector R Villarraga ◽  
Maria Cristina Donadio Abduch ◽  
Marta Fernandes Lima ◽  
Cecilia Beatriz Bittencourt Viana Cruz ◽  
...  
Keyword(s):  
Ejection Fraction ◽  
Longitudinal Strain ◽  
Global Longitudinal Strain ◽  
Left Ventricular ◽  
Left Ventricular Twist ◽  
Ventricular Twist

Left Ventricular Twist and Ventricular-Arterial Coupling in Hypertensive Patients

2014 ◽  
Vol 31 (10) ◽  
pp. 1274-1282 ◽  
Author(s):  
Hong-Won Shin ◽  
Hyungseop Kim ◽  
Jeong-Eun Lee ◽  
In-Cheol Kim ◽  
Hyuck-Jun Yoon ◽  
...  
Keyword(s):  
Left Ventricular ◽  
Hypertensive Patients ◽  
Left Ventricular Twist ◽  
Ventricular Twist
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