Altered left ventricular volume and ejection fraction responses to supine dynamic exercise in athletes
| Autor: | Jan J. Kellermann, Gerald Kessler, A.George Frank, Amos Pines, Efraim Ben-Ari, Yaacov Drory, Enrique Z. Fisman |
|---|---|
| Rok vydání: | 1990 |
| Předmět: |
Adult
Male medicine.medical_specialty Supine position Cardiac Volume Hemodynamics Physical exercise Supination Reference Values Internal medicine Humans Medicine Prospective Studies Exercise physiology Exercise Physical Education and Training Ejection fraction biology business.industry Athletes Stroke Volume biology.organism_classification Endocrinology Echocardiography Circulatory system Exercise Test Cardiology End-diastolic volume Cardiology and Cardiovascular Medicine business Sports |
| Zdroj: | Journal of the American College of Cardiology. 15:582-588 |
| ISSN: | 0735-1097 |
| Popis: | Two-dimensional echocardiography was used to determine the responses of left ventricular volumes, ejection fraction and segmental left ventricular motion to supine dynamic exercise in 22 professional athletes, comparing these responses with those in 22 age- and gender-matched healthy untrained individuals. End-systolic volume was significantly greater at rest and during exercise in the athletes (50 +/- 6 versus 29 +/- 4 ml and 40 +/- 5 versus 17 +/- 4 ml, respectively, p less than 0.001 for both). It decreased during exercise in all the untrained subjects, but did not change or increased in nine athletes (41%). End-diastolic volume was greater in the athletes at rest (143 +/- 12 versus 98 +/- 9 ml) and during exercise (157 +/- 14 versus 121 +/- 13 ml, p less than 0.01 for both). It increased in all the untrained subjects, but decreased or did not change in six athletes (27%). Ejection fraction was significantly lower in the athletes at rest and during exercise (65 +/- 4% versus 70 +/- 5% and 73 +/- 5% versus 86 +/- 5%, p less than 0.01 and 0.001, respectively); the values augmented normally in all the untrained subjects, but increased only by less than 5% units, did not change or decreased in nine athletes (41%). Eight athletes (36.5%) failed to demonstrate the expected symmetric hyperkinetic wall motion changes during exercise, which were seen in all the untrained subjects. No correlation was found between atypical responses to exercise and electrocardiographic patterns.(ABSTRACT TRUNCATED AT 250 WORDS) |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|