2020, Number 1
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Revista Habanera de Ciencias Médicas 2020; 19 (1)
Anatomical modifications of the left ventricle in high performance canoeing athletes
Orta MJ, Torres LD
Language: Spanish
References: 30
Page: 76-91
PDF size: 897.36 Kb.
ABSTRACT
Introduction: The adaptation of the human heart
to physical conditioning has been a medical and
scientific topic of interest where cardiac
remodeling involving changes in size, form,
thickness of the walls and ventricular mass
responds to the type of physical activity.
Objective: To determine the anatomical
modifications of the left ventricle in high
performance male and female canoeing and
kayaking athletes.
Material and methods: A prospective,
descriptive, cross-sectional study was conducted
in high performance canoeing athletes that
attended the Instituto de Medicina del Deporte
during the special training in view of the
preparation for the Olympic Games in Rio de
Janeiro, 2016. The sample was composed of 20
athletes that fulfilled the established inclusion
criteria. The results of the different
echocardiographic parameters were collected
and analyzed in order to check whether there
were anatomical modifications of the left
ventricle (AMLV). Differential and descriptive
statistics were used.
Results: The average age was 20, 9 ± 1, 18 years,
the male sex predominated in the study (65 %),
kayak (60 %) and velocity (55 %) were the
predominant sports disciplines and competitive
modalities, respectively. Concentric hypertrophy
in both sexes (65 %), sporting age of 10 years or
less (60 %), and increase in relative wall thickness
(65 %) were frequent; the highest AKS index was
found in eccentric hypertrophy (1,3 %) and
predominant fat percentage was observed in concentric hypertrophy (7,9 %).
Conclusions: The relative thickness of the
ventricular wall had a significant relationship with
the competitive modalities.
REFERENCES
Sanagua J, Acosta G. Corazon de atleta. A una centuria de su descripción. Revista de la Federación Argentina de Cardiología [Internet]. 2000 [Citado 4/08/ 2019];29(4):461-4.Disponible en: http://pcvc.sminter.com.ar/faces/publica/revist a/00v29n4/editor/sanagua.htm
Morganroth J, Maron BJ, Henry WL, Epstein SE. Comparative left ventricular dimensions in trained athletes. Ann Intern Med 1975;8(2):521- 4.
Cohen JL, Segal KR. Left ventricular hypertrophy in athletes: an exercise echocardiographic study. Med Sci Sports Exerc 1985;17(12):695-700.
Karpman VL, Belotrovsky ZB. Different types of myocardial hypertrophy in athletes. Int J Sports Cardiol 2013;8(3):103-8.
Acosta S. Estudio ecocardiográfico en atletas de alto rendimiento [Tesis]. La Habana: Instituto de Medicina Deportiva; 1982.
Bertovic DA, Waddell TK, Gatzka CD, Cameron JD, Dart AM, Kingwell BA. Muscular strength training is associated with low arterial compliance and high pulse pressure. Hypertension. 2012; 33(11):1385-91.
Haykowsky MJ, Teo KK, Quinney AH, Humen DP, Taylor DA. Effects of long term resistance training on left ventricular morphology. The Canadian Journal of Cardiology 2014;16(7):35-8.
Pellicia A, Maron BJ, Spataro A, Proschan M, Spirito P. The upper limit of physiological cardiac hypertrophy in highly trained elite athletes. New Engl J Med 1991;32(4):295-301.
Wernstedt P, Sjostedt C, Ekman I, Du H, Thuomas KA, Areskog NH, et al. Adaptation of cardiac morphology and function to endurance and strength training. A comparative study using MR imaging and echocardiography in males and females. Scandinavian Journal of Medicine & Science in Sports. 2012;12(3):17-25.
Whyte GP, George K, Sharma S, Firoozi S, Stephens N, Senior R, et al. The upper limit of physiological cardiac hypertrophy in elite male and female athletes: the British experience. European Journal of Applied Physiology 2004;9(2):592-7.
Legaz Arrese A, Serrano Ostariz E, Gonzalez Carretero M, Lacambra Blasco, I. Echocardiography to measure fitness of elite runners. Journal of the American Society of Echocardiography 2012,18(5):419-6.
Urhausen A, Kindermann W. Sports-specific adaptations and differentiation of the athletes heart. Sports Medicine 2013;28(5):237-44.
Venckunas T, Lionikas A, Marcinkeviciene E, Alekrinskis A, Stasiulis A. Parámetros Ecocardiográficos en Atletas de Diferentes Deportes. PubliCE Standard. 2012;10(5):951-59.
Shephard R. Science and medicine of canoeing and kayaking. Sports Medicine 1987; 49(2):19-33.
Tesch PA. Physiological characteristics of elite kayak paddlers. Canadian Journal of Applied Sport Sciences 1983;8(3):87-9.
Gates PE, George KP, Campbell IG. Concentric adaptation of the left ventricle in response to upper body exercise training. Journal of Applied Physiology 2003;9(4):549-54.
Iglesias Cubero G, Batalla A, Rodriguez Reguero JJ, Barriales R, Gonzalez V, de la Iglesia JL, el al. Left ventricular mass index and sports: the influence of different sports activities and arterial blood pressure. International Journal of Cardiology 2000;7(5);261-5.
King G, Wood JM. The Heart of the Endurance Athlete Assessed by Echocardiography and Its Modalities: Embracing the Delicate Balance. Curr Cardiol Rep 2013;15(6):383 - 97.
Vives Iglesias A. La adaptación morfofuncional del corazón en deportistas masculinos de taekwondo utilizando variables ecocardiográficas [Tesis de Maestría en Control del Entrenamiento Deportivo]. La Habana: Instituto de Medicina Deportiva; 2009.
Ortiz Cartier, A. Variables ecocardiográficas para explorar el comportamiento de la resistencia aerobia en futbolistas cubanos [Tesis de Maestría en Control del Entrenamiento Deportivo]. La Habana: Instituto de Medicina Deportiva; 2009.
Gates PE, Campbell IG, George KP. Concentric left ventricular morphology in aerobically trained kayak canoeists. Journal of Sports Sciences 2013;22(7): 859-65.
Devereux RB, Reichek N. Echocardiographic determination of left ventricular mass in man. Anatomic validation of the method. Int J Sports Med Circulation 1977;55(7):613-8.
DuBois D, DuBois EF. A formula to estimate the approximate surface area if height and weight be known. Arch Intern Med 1916;17(4):863-71.
Moguer M. Modificaciones cardiovasculares en el atletismo. Int J Sports Med Circulation 2012;55(7):412-12.
Rodríguez Verde D, López Morales F. Análisis comparativo ecocardiogáfico de los atletas de canotaje en la preparación a los Centroamericanos [Tesis]. La Habana: Instituto de Medicina Deportiva; 2014.
Landry F, Bouchard C,Dusmenil J. Cardiac dimension changes with endurances training indications of a genotype dependancy. JAMA 2012; 254:77-80.
Rawlins J, Carre F, Kervio G, Papadakis M, Chandra N, Edwards C, et al. Ethnic differences in physiological cardiac adaptation to intense physical exercise in highly trained female athletes. Circulation 2012;121(9):1078-85.
Iglesias Cubero G, Rodriguez Reguero JJ, Terrados N, Gonzalez V, Barriales R, Cortina A. Niveles de aldosterona e hipertrofia cardíaca en ciclistas profesionales. Int J Sports Med 1995;16(7):475-7.
Hoogsteen J, Hoogeveen A, Schaffers H, Wijn PF, van Hemel NM, van der Wall EE. Myocardial adaptation in different endurance sports: an echocardiographic study. The International Journal of Cardiovascular Imaging 2014;2(1):19- 26.
Sanagua J, Acosta G, Rasmussen R, Narvaez Perez G. The Left Ventricular Hypertrophy in Top Females Athletes. Echocardiography [Internet]. 1998 [Citado 4/08/ 2019];4(2):26-30. Disponible en: http://www.fac.org.ar/tcvc/llave/c244i/sanagui.htm