Right Ventricular Diastolic Dysfunction after Marathon Run
| Autor: | Rafał Gałąska, Izabela Nabiałek-Trojanowska, Anna Faran, Marcin Kubik, Alicja Dąbrowska-Kugacka, Grzegorz Raczak, Ludmiła Daniłowicz-Szymanowicz, Anna Maria Kaleta-Duss, Ewa Lewicka, Zuzanna Lewicka-Potocka |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty amateur runners Right ventricular diastolic dysfunction Health Toxicology and Mutagenesis Heart Ventricles Diastole lcsh:Medicine 030204 cardiovascular system & hematology right ventricle Article Muscle hypertrophy Running 03 medical and health sciences 0302 clinical medicine marathon run relaxation Internal medicine medicine Humans Diastolic function myocardial performance index Isovolumetric contraction business.industry lcsh:R diastolic function Public Health Environmental and Occupational Health 030229 sport sciences isovolumic relaxation time medicine.anatomical_structure Ventricle Echocardiography Cardiology Ventricular Function Right Isovolumic relaxation time Lateral wall business human activities |
| Zdroj: | International Journal of Environmental Research and Public Health Volume 17 Issue 15 International Journal of Environmental Research and Public Health, Vol 17, Iss 5336, p 5336 (2020) |
| ISSN: | 1660-4601 |
| Popis: | It has been raised that marathon running may significantly impair cardiac performance. However, the post-race diastolic function has not been extensively analyzed. We aimed to assess whether the marathon run causes impairment of the cardiac diastole, which ventricle is mostly affected and whether the septal (IVS) function is altered. The study included 34 male amateur runners, in whom echocardiography was performed two weeks before, at the finish line and two weeks after the marathon. Biventricular diastolic function was assessed not only with conventional Doppler indices but also using the heart rate-adjusted isovolumetric relaxation time (IVRTc). After the run, IVRTc elongated dramatically at the right ventricular (RV) free wall, to a lesser extent at the IVS and remained unchanged at the left ventricular lateral wall. The post-run IVRTc_IVS correlated with IVRTc_RV (r = 0.38, p < 0.05), and IVRTc_RV was longer in subjects with IVS hypertrophy (88 vs. 51 ms p < 0.05). Participants with measurable IVRT_RV at baseline (38% of runners) had longer post-race IVRTc_IVS (102 vs. 83 ms 0.05). Marathon running influenced predominantly the RV diastolic function, and subjects with measurable IVRT_RV at baseline or those with IVS hypertrophy can experience greater post-race diastolic fatigue. |
| Databáze: | OpenAIRE |
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