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Erschienen in: European Journal of Applied Physiology 6/2015

01.06.2015 | Original Article

Acute effect of static exercise on the cardiovascular system: assessment by cardiovascular magnetic resonance

verfasst von: Josep M. Alegret, Raúl Beltrán-Debón, Andre La Gerche, Luis Franco-Bonafonte, Francisco Rubio-Pérez, Nahum Calvo, Manuel Montero

Erschienen in: European Journal of Applied Physiology | Ausgabe 6/2015

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Abstract

Purpose

The acute effect of static exercise on the global dynamics of the cardiovascular system is poorly understood. The use of cardiovascular magnetic resonance (CMR) may be useful for evaluating this effect.

Methods

A total of 12 healthy individuals underwent CMR imaging at rest and while performing a maximal sustained static exercise (weight elevation with both legs). We analyzed the effects on left and right ventricular function, ascending aorta dynamics, and venous capacitance using standard cine and phase-contrast sequences.

Results

We observed excellent reproducibility in the measurements of the images obtained at rest as well as during static exercise. During exercise, we observed reduced left (−35 ± 8 %, p < 0.001) and right (−44 ± 9 %, p < 0.001) ventricle end-diastolic volumes, reduced left (−35 ± 16 %, p < 0.001) and right (−43 ± 8 %, p < 0.001) ventricle end-systolic volumes (both with a significantly greater reduction in the right ventricle), a reduced superior vena cava cross-sectional area (−20 ± 17 %, p = 0.003), and increased left ventricle wall thickness. We estimated that there was an increase in left ventricle contractility. There were no significant changes in the left and right ventricular ejection fractions. During exercise, we noted a tendency toward decreased aortic distensibility and a reduction of ascending aorta systolic expansion.

Conclusions

In healthy individuals, an acute maximal static exercise produced a reduction in the left ventricle, right ventricle, and superior vena cava volumes as well as signs of increased aortic stiffness without increasing left ventricular systolic wall stress. CMR is feasible and useful in evaluating the hemodynamic effects of static exercise.
Literatur
Zurück zum Zitat Baggish AL, Wang F, Weiner RB, Elinoff JM, Tournoux F, Boland A, Picard MH, Hutter AM Jr, Wood Mj (2008) Training-specific changes in cardiac structure and function: a prospective and longitudinal assessment of competitive athletes. J Appl Physiol 104:1121–1128. doi:10.1152/japplphysiol.01170.2007 CrossRefPubMed Baggish AL, Wang F, Weiner RB, Elinoff JM, Tournoux F, Boland A, Picard MH, Hutter AM Jr, Wood Mj (2008) Training-specific changes in cardiac structure and function: a prospective and longitudinal assessment of competitive athletes. J Appl Physiol 104:1121–1128. doi:10.​1152/​japplphysiol.​01170.​2007 CrossRefPubMed
Zurück zum Zitat Beckers PJ, Denollet J, Possemiers NM, Wuyts FL, Vrints CJ, Conraads VM (2008) Combined endurance-resistance training vs. endurance training in patients with chronic heart failure: a prospective randomized study. Eur Heart J 29:1858–1866. doi:10.1093/eurheartj/ehn222 CrossRefPubMed Beckers PJ, Denollet J, Possemiers NM, Wuyts FL, Vrints CJ, Conraads VM (2008) Combined endurance-resistance training vs. endurance training in patients with chronic heart failure: a prospective randomized study. Eur Heart J 29:1858–1866. doi:10.​1093/​eurheartj/​ehn222 CrossRefPubMed
Zurück zum Zitat Bellenger NG, Burgess MI, Ray SG, Lahiri A, Coats AJ, Cleland JG, Pennell DJ (2000) Comparison of left ventricular ejection fraction and volumes in heart failure by echocardiography, radionuclide ventriculography and cardiovascular magnetic resonance; are they interchangeable? Eur Heart J 21:1387–1396. doi:10.1053/euhj.2000.2011 CrossRefPubMed Bellenger NG, Burgess MI, Ray SG, Lahiri A, Coats AJ, Cleland JG, Pennell DJ (2000) Comparison of left ventricular ejection fraction and volumes in heart failure by echocardiography, radionuclide ventriculography and cardiovascular magnetic resonance; are they interchangeable? Eur Heart J 21:1387–1396. doi:10.​1053/​euhj.​2000.​2011 CrossRefPubMed
Zurück zum Zitat Boutouyrie P, Lacolley P, Girerd X, Beck L, Safar M, Laurent S (1994) Sympathetic activation decreases medium-sized arterial compliance in humans. Am J Physiol 267:H1368–H1376PubMed Boutouyrie P, Lacolley P, Girerd X, Beck L, Safar M, Laurent S (1994) Sympathetic activation decreases medium-sized arterial compliance in humans. Am J Physiol 267:H1368–H1376PubMed
Zurück zum Zitat Buck T, Hunold P, Wentz KU, Tkalec W, Nesser HJ, Erbel R (1997) Tomographic three-dimensional echocardiographic determination of chamber size and systolic function in patients with left ventricular aneurysm: comparison to magnetic resonance imaging, cineventriculography, and two-dimensional echocardiography. Circulation 96:4286–4297. doi:10.1161/01.CIR.96.12.4286 CrossRefPubMed Buck T, Hunold P, Wentz KU, Tkalec W, Nesser HJ, Erbel R (1997) Tomographic three-dimensional echocardiographic determination of chamber size and systolic function in patients with left ventricular aneurysm: comparison to magnetic resonance imaging, cineventriculography, and two-dimensional echocardiography. Circulation 96:4286–4297. doi:10.​1161/​01.​CIR.​96.​12.​4286 CrossRefPubMed
Zurück zum Zitat Claessen G, Claus P, Delcroix M, Bogaert J, La Gerche A, Heidbuchel H (2014) Interaction between respiration and right versus left ventricular volumes at rest and during exercise: a real-time cardiac magnetic resonance study. Am J Physiol Heart Circ Physiol 306:H816–H824. doi:10.1152/ajpheart.00752.2013 CrossRefPubMed Claessen G, Claus P, Delcroix M, Bogaert J, La Gerche A, Heidbuchel H (2014) Interaction between respiration and right versus left ventricular volumes at rest and during exercise: a real-time cardiac magnetic resonance study. Am J Physiol Heart Circ Physiol 306:H816–H824. doi:10.​1152/​ajpheart.​00752.​2013 CrossRefPubMed
Zurück zum Zitat Cook JN, DeVan AE, Schleifer JL, Anton MM, Cortez-Cooper MY, Tanaka H (2006) Arterial compliance of rowers: implications for combined aerobic and strength training on arterial elasticity. Am J Physiol Heart Circ Physiol 290:H1596–H1600. doi:10.1152/ajpheart.01054.2005 CrossRefPubMed Cook JN, DeVan AE, Schleifer JL, Anton MM, Cortez-Cooper MY, Tanaka H (2006) Arterial compliance of rowers: implications for combined aerobic and strength training on arterial elasticity. Am J Physiol Heart Circ Physiol 290:H1596–H1600. doi:10.​1152/​ajpheart.​01054.​2005 CrossRefPubMed
Zurück zum Zitat Haykowsky M, Taylor D, Teo K, Quinney A, Humen D (2001) Left ventricular wall stress during leg-press exercise performed with a brief Valsalva maneuver. Chest 119:150–154CrossRefPubMed Haykowsky M, Taylor D, Teo K, Quinney A, Humen D (2001) Left ventricular wall stress during leg-press exercise performed with a brief Valsalva maneuver. Chest 119:150–154CrossRefPubMed
Zurück zum Zitat Hundley WG, Kitzman DW, Morgan TM, Hamilton CA, Darty SN, Stewart KP, Herrington DM, Link KM, Little WC (2001) Cardiac cycle-dependent changes in aortic area and distensibility are reduced in older patients with isolated diastolic heart failure and correlate with exercise intolerance. J Am Coll Cardiol 38:796–802CrossRefPubMed Hundley WG, Kitzman DW, Morgan TM, Hamilton CA, Darty SN, Stewart KP, Herrington DM, Link KM, Little WC (2001) Cardiac cycle-dependent changes in aortic area and distensibility are reduced in older patients with isolated diastolic heart failure and correlate with exercise intolerance. J Am Coll Cardiol 38:796–802CrossRefPubMed
Zurück zum Zitat La Gerche A, Heidbüchel H, Burns AT, Mooney DJ, Taylor AJ, Pfluger HB, Inder WJ, Macisaac AI, Prior DL (2011) Disproportionate exercise load and remodeling of the athlete’s right ventricle. Med Sci Sports Exerc 43:974–981. doi:10.1249/MSS.0b013e31820607a3 CrossRefPubMed La Gerche A, Heidbüchel H, Burns AT, Mooney DJ, Taylor AJ, Pfluger HB, Inder WJ, Macisaac AI, Prior DL (2011) Disproportionate exercise load and remodeling of the athlete’s right ventricle. Med Sci Sports Exerc 43:974–981. doi:10.​1249/​MSS.​0b013e31820607a3​ CrossRefPubMed
Zurück zum Zitat La Gerche A, Claessen G, Van de Bruaene A, Pattyn N, Van Cleemput J, Gewillig M, Bogaert J, Dymarkowski S, Claus P, Heidbuchel H (2013) Cardiac MRI: a new gold standard for ventricular volume quantification during high-intensity exercise. Circ Cardiovasc Imaging 6:329–338. doi:10.1161/CIRCIMAGING.112.980037 CrossRefPubMed La Gerche A, Claessen G, Van de Bruaene A, Pattyn N, Van Cleemput J, Gewillig M, Bogaert J, Dymarkowski S, Claus P, Heidbuchel H (2013) Cardiac MRI: a new gold standard for ventricular volume quantification during high-intensity exercise. Circ Cardiovasc Imaging 6:329–338. doi:10.​1161/​CIRCIMAGING.​112.​980037 CrossRefPubMed
Zurück zum Zitat Lentini AC, McKelvie RS, McCartney N, Tomlinson CW, MacDougall JD (1993) Left ventricular response in healthy young men during heavy-intensity weight-lifting exercise. J Appl Physiol (1985) 75:2703–2710 Lentini AC, McKelvie RS, McCartney N, Tomlinson CW, MacDougall JD (1993) Left ventricular response in healthy young men during heavy-intensity weight-lifting exercise. J Appl Physiol (1985) 75:2703–2710
Zurück zum Zitat Lorenz CH, Walker ES, Morgan VL, Klein SS, Graham TP Jr (1999) Normal human right and left ventricular mass, systolic function, and gender differences by cine magnetic resonance imaging. J Cardiovasc Magn Reson 1:7–21CrossRefPubMed Lorenz CH, Walker ES, Morgan VL, Klein SS, Graham TP Jr (1999) Normal human right and left ventricular mass, systolic function, and gender differences by cine magnetic resonance imaging. J Cardiovasc Magn Reson 1:7–21CrossRefPubMed
Zurück zum Zitat Luijkx T, Velthuis BK, Backx FJ, Buckens CF, Prakken NH, Rienks R, Mali WP, Cramer MJ (2013) Anabolic androgenic steroid use is associated with ventricular dysfunction on cardiac MRI in strength trained athletes. Int J Cardiol 167:664–668. doi:10.1016/j.ijcard.2012.03.072 CrossRefPubMed Luijkx T, Velthuis BK, Backx FJ, Buckens CF, Prakken NH, Rienks R, Mali WP, Cramer MJ (2013) Anabolic androgenic steroid use is associated with ventricular dysfunction on cardiac MRI in strength trained athletes. Int J Cardiol 167:664–668. doi:10.​1016/​j.​ijcard.​2012.​03.​072 CrossRefPubMed
Zurück zum Zitat Mellwig KP, van Buuren F, Gohlke-Baerwolf C, Bjornstad HH (2008) Recommendations for the management of individuals with acquired valvular heart diseases who are involved in leisure-time physical activities or competitive sports. Eur J Cardiovasc Prev Rehabil 15:95–103. doi:10.1097/HJR.0b013e3282ef9973 CrossRefPubMed Mellwig KP, van Buuren F, Gohlke-Baerwolf C, Bjornstad HH (2008) Recommendations for the management of individuals with acquired valvular heart diseases who are involved in leisure-time physical activities or competitive sports. Eur J Cardiovasc Prev Rehabil 15:95–103. doi:10.​1097/​HJR.​0b013e3282ef9973​ CrossRefPubMed
Zurück zum Zitat Miles DS, Owens JJ, Golden JC, Gotshall RW (1987) Central and peripheral hemodynamics during maximal leg extension exercise. Eur J Appl Physiol Occup Physiol 56:12–17CrossRefPubMed Miles DS, Owens JJ, Golden JC, Gotshall RW (1987) Central and peripheral hemodynamics during maximal leg extension exercise. Eur J Appl Physiol Occup Physiol 56:12–17CrossRefPubMed
Zurück zum Zitat Morganroth J, Maron BJ, Henry WL, Epstein SE (1975) Comparative left ventricular dimensions in trained athletes. Ann Intern Med 82:521–524CrossRefPubMed Morganroth J, Maron BJ, Henry WL, Epstein SE (1975) Comparative left ventricular dimensions in trained athletes. Ann Intern Med 82:521–524CrossRefPubMed
Zurück zum Zitat Phillips AA, Bredin SS, Cote AT, Drury CT, Warburton DE (2013) Aortic distensibility is reduced during intense lower body negative pressure and is related to low frequency power of systolic blood pressure. Eur J Appl Physiol 113:785–792. doi:10.1007/s00421-012-2489-3 CrossRefPubMed Phillips AA, Bredin SS, Cote AT, Drury CT, Warburton DE (2013) Aortic distensibility is reduced during intense lower body negative pressure and is related to low frequency power of systolic blood pressure. Eur J Appl Physiol 113:785–792. doi:10.​1007/​s00421-012-2489-3 CrossRefPubMed
Zurück zum Zitat Pluim BM, Zwinderman AH, van der Laarse A, van der Wall EE (2000) The athlete’s heart. A meta-analysis of cardiac structure and function. Circulation 101:336–344CrossRefPubMed Pluim BM, Zwinderman AH, van der Laarse A, van der Wall EE (2000) The athlete’s heart. A meta-analysis of cardiac structure and function. Circulation 101:336–344CrossRefPubMed
Zurück zum Zitat Santamore WP, Amoore JN (1994) Buffering of respiratory variations in venous return by right ventricle: a theoretical analysis. Am J Physiol 267:H2163–H2170PubMed Santamore WP, Amoore JN (1994) Buffering of respiratory variations in venous return by right ventricle: a theoretical analysis. Am J Physiol 267:H2163–H2170PubMed
Zurück zum Zitat Segers P, Mahieu D, Kips J, Rietzschel E, De Buyzere M, De Bacquer D, Bekaert S, De Backer G, Gillebert T, Verdonck P, Van Bortel L, Asklepios I (2009) Amplification of the pressure pulse in the upper limb in healthy, middle-aged men and women. Hypertension 54:414–420. doi:10.1161/HYPERTENSIONAHA.109.133009 CrossRefPubMed Segers P, Mahieu D, Kips J, Rietzschel E, De Buyzere M, De Bacquer D, Bekaert S, De Backer G, Gillebert T, Verdonck P, Van Bortel L, Asklepios I (2009) Amplification of the pressure pulse in the upper limb in healthy, middle-aged men and women. Hypertension 54:414–420. doi:10.​1161/​HYPERTENSIONAHA.​109.​133009 CrossRefPubMed
Zurück zum Zitat Utomi V, Oxborough D, Whyte GP, Somauroo J, Sharma S, Shave R, Atkinson G, George K (2013) Systematic review and meta-analysis of training mode, imaging modality and body size influences on the morphology and function of the male athlete’s heart. Heart 99:1727–1733. doi:10.1136/heartjnl-2012-303465 CrossRefPubMed Utomi V, Oxborough D, Whyte GP, Somauroo J, Sharma S, Shave R, Atkinson G, George K (2013) Systematic review and meta-analysis of training mode, imaging modality and body size influences on the morphology and function of the male athlete’s heart. Heart 99:1727–1733. doi:10.​1136/​heartjnl-2012-303465 CrossRefPubMed
Zurück zum Zitat Utomi V, Oxborough D, Ashley E, Lord R, Fletcher S, Stembridge M, Shave R, Hoffman MD, Whyte G, Somauroo J, Sharma S, George K (2014) Predominance of normal left ventricular geometry in the male ‘athlete’s heart’. Heart 100:1264–1271. doi:10.1136/heartjnl-2014-305904 CrossRefPubMed Utomi V, Oxborough D, Ashley E, Lord R, Fletcher S, Stembridge M, Shave R, Hoffman MD, Whyte G, Somauroo J, Sharma S, George K (2014) Predominance of normal left ventricular geometry in the male ‘athlete’s heart’. Heart 100:1264–1271. doi:10.​1136/​heartjnl-2014-305904 CrossRefPubMed
Zurück zum Zitat Williams MA, Haskell WL, Ades PA, Amsterdam EA, Bittner V, Franklin BA, Gulanick M, Laing ST, Stewart KJ, American Heart Association Council on Clinical Cardiology, American Heart Association Council on Nutrition Physical activity, Metabolism, (2007) Resistance exercise in individuals with and without cardiovascular disease: 2007 update: a scientific statement from the American Heart Association Council on Clinical Cardiology and Council on Nutrition, Physical Activity, and Metabolism. Circulation 116:572–584. doi:10.1161/CIRCULATIONAHA.107.185214 CrossRefPubMed Williams MA, Haskell WL, Ades PA, Amsterdam EA, Bittner V, Franklin BA, Gulanick M, Laing ST, Stewart KJ, American Heart Association Council on Clinical Cardiology, American Heart Association Council on Nutrition Physical activity, Metabolism, (2007) Resistance exercise in individuals with and without cardiovascular disease: 2007 update: a scientific statement from the American Heart Association Council on Clinical Cardiology and Council on Nutrition, Physical Activity, and Metabolism. Circulation 116:572–584. doi:10.​1161/​CIRCULATIONAHA.​107.​185214 CrossRefPubMed
Metadaten
Titel
Acute effect of static exercise on the cardiovascular system: assessment by cardiovascular magnetic resonance
verfasst von
Josep M. Alegret
Raúl Beltrán-Debón
Andre La Gerche
Luis Franco-Bonafonte
Francisco Rubio-Pérez
Nahum Calvo
Manuel Montero
Publikationsdatum
01.06.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
European Journal of Applied Physiology / Ausgabe 6/2015
Print ISSN: 1439-6319
Elektronische ISSN: 1439-6327
DOI
https://doi.org/10.1007/s00421-015-3101-4

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