Skip to main content
Erschienen in: European Journal of Applied Physiology 9/2018

03.07.2018 | Original Article

Increased active phase atrial contraction is related to marathon runner performance

verfasst von: Luigi Gabrielli, Sebastián Herrera, Felipe Contreras-Briceño, Julián Vega, María Paz Ocaranza, Fernando Yáñez, Rodrigo Fernández, Rodrigo Saavedra, Marta Sitges, Lorena García, Mario Chiong, Sergio Lavandero, Pablo F. Castro

Erschienen in: European Journal of Applied Physiology | Ausgabe 9/2018

Einloggen, um Zugang zu erhalten

Abstract

Purpose

Left atrial (LA) contraction is essential for left ventricular (LV) filling during exertion. We sought to evaluate the relationship of LA contraction and exercise capacity in trained athletes.

Methods

Sixteen male marathon runners were recruited and allocated into two groups according to their previous training status (≥ or < 100 km peer week). All subjects underwent a baseline cardiopulmonary test to evaluate maximal aerobic capacity and a transthoracic echocardiography previous and immediate post-marathon. LA contractile function evaluation was accomplished by measuring the negative deformation of the post P wave strain curve (LASa). LASa change was defined as LASa pre-marathon minus LASa immediate post-marathon.

Results

Mean age was 39 ± 6 years. LA volume index (39 ± 13 vs. 31 ± 5 mL/m2, p = 0.04), LV mass index (91 ± 21 vs. 73 ± 12 g/m2, p = 0.04), VO2 max (59 ± 3 vs. 50 ± 8 mL/kg/min, p = 0.036) were higher in more intensive trained group and marathon time was lower (185 ± 14 vs. 219 ± 24 min, p = 0.017). An increase in LASa after immediate post-marathon was observed in both groups, which was significantly greater in the highly trained group (18.9 ± 5.8 vs. 6.3 ± 3.5%, p < 0.003). Maximum VO2 measured previous to the marathon was inversely related to marathon time and directly correlated to LASa change (rho = 0.744, p = 0.001, rho = 0.546, p = 0.028, respectively).

Conclusions

Athletes with more intensive training load have larger LV mass and LA size. An increase in LA contraction was seen post-marathon, which was significantly greater in the highly trained group. This increase in the LA contraction was related to the maximum VO2 measured previous to the marathon and to performance in a highly demanding test.
Literatur
Zurück zum Zitat D’Ascenzi F, Cameli M, Ciccone MM, Maiello M, Modesti PA, Mondillo S, Muiesan ML, Scicchitano P, Novo S, Palmiero P, Saba PS, Pedrinelli R, Gruppo di Studio Ipertensione PeRSIdC (2015a) The controversial relationship between exercise and atrial fibrillation: clinical studies and pathophysiological mechanisms. J Cardiovasc Med (Hagerstown) 16(12):802–810. https://doi.org/10.2459/JCM.0000000000000211 CrossRef D’Ascenzi F, Cameli M, Ciccone MM, Maiello M, Modesti PA, Mondillo S, Muiesan ML, Scicchitano P, Novo S, Palmiero P, Saba PS, Pedrinelli R, Gruppo di Studio Ipertensione PeRSIdC (2015a) The controversial relationship between exercise and atrial fibrillation: clinical studies and pathophysiological mechanisms. J Cardiovasc Med (Hagerstown) 16(12):802–810. https://​doi.​org/​10.​2459/​JCM.​0000000000000211​ CrossRef
Zurück zum Zitat D’Ascenzi F, Pelliccia A, Natali BM, Cameli M, Lisi M, Focardi M, Padeletti M, Palmitesta P, Corrado D, Bonifazi M, Mondillo S, Henein M (2015b) Training-induced dynamic changes in left atrial reservoir, conduit, and active volumes in professional soccer players. Eur J Appl Physiol 115(8):1715–1723. https://doi.org/10.1007/s00421-015-3151-7 CrossRefPubMed D’Ascenzi F, Pelliccia A, Natali BM, Cameli M, Lisi M, Focardi M, Padeletti M, Palmitesta P, Corrado D, Bonifazi M, Mondillo S, Henein M (2015b) Training-induced dynamic changes in left atrial reservoir, conduit, and active volumes in professional soccer players. Eur J Appl Physiol 115(8):1715–1723. https://​doi.​org/​10.​1007/​s00421-015-3151-7 CrossRefPubMed
Zurück zum Zitat Gabrielli L, Bijnens BH, Brambila C, Duchateau N, Marin J, Sitges-Serra I, Mont L, Brugada J, Sitges M (2016) Differential atrial performance at rest and exercise in athletes: potential trigger for developing atrial dysfunction? Scand J Med Sci Sports 26(12):1444–1454. https://doi.org/10.1111/sms.12610 CrossRefPubMed Gabrielli L, Bijnens BH, Brambila C, Duchateau N, Marin J, Sitges-Serra I, Mont L, Brugada J, Sitges M (2016) Differential atrial performance at rest and exercise in athletes: potential trigger for developing atrial dysfunction? Scand J Med Sci Sports 26(12):1444–1454. https://​doi.​org/​10.​1111/​sms.​12610 CrossRefPubMed
Zurück zum Zitat Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN, Franklin BA, Macera CA, Heath GW, Thompson PD, Bauman A, American College of Sports M, American Heart A (2007) Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation 116(9):1081–1093. https://doi.org/10.1161/CIRCULATIONAHA.107.185649 CrossRefPubMed Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN, Franklin BA, Macera CA, Heath GW, Thompson PD, Bauman A, American College of Sports M, American Heart A (2007) Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation 116(9):1081–1093. https://​doi.​org/​10.​1161/​CIRCULATIONAHA.​107.​185649 CrossRefPubMed
Zurück zum Zitat Lang RM, Badano LP, Mor-Avi V, Afilalo J, Armstrong A, Ernande L, Flachskampf FA, Foster E, Goldstein SA, Kuznetsova T, Lancellotti P, Muraru D, Picard MH, Rietzschel ER, Rudski L, Spencer KT, Tsang W, Voigt JU (2015) Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J Am Soc Echocardiogr 28(1):1–39 e14. https://doi.org/10.1016/j.echo.2014.10.003 CrossRefPubMed Lang RM, Badano LP, Mor-Avi V, Afilalo J, Armstrong A, Ernande L, Flachskampf FA, Foster E, Goldstein SA, Kuznetsova T, Lancellotti P, Muraru D, Picard MH, Rietzschel ER, Rudski L, Spencer KT, Tsang W, Voigt JU (2015) Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. J Am Soc Echocardiogr 28(1):1–39 e14. https://​doi.​org/​10.​1016/​j.​echo.​2014.​10.​003 CrossRefPubMed
Zurück zum Zitat Leite L, Mendes SL, Baptista R, Teixeira R, Oliveira-Santos M, Ribeiro N, Coutinho R, Monteiro V, Martins R, Castro G, Ferreira MJ, Pego M (2017) Left atrial mechanics strongly predict functional capacity assessed by cardiopulmonary exercise testing in subjects without structural heart disease. Int J Cardiovasc Imaging 33(5):635–642. https://doi.org/10.1007/s10554-016-1045-3 CrossRefPubMed Leite L, Mendes SL, Baptista R, Teixeira R, Oliveira-Santos M, Ribeiro N, Coutinho R, Monteiro V, Martins R, Castro G, Ferreira MJ, Pego M (2017) Left atrial mechanics strongly predict functional capacity assessed by cardiopulmonary exercise testing in subjects without structural heart disease. Int J Cardiovasc Imaging 33(5):635–642. https://​doi.​org/​10.​1007/​s10554-016-1045-3 CrossRefPubMed
Zurück zum Zitat Morris JN, Heady JA, Raffle PA, Roberts CG, Parks JW (1953) Coronary heart-disease and physical activity of work. Lancet 265(6795):1053–1057CrossRefPubMed Morris JN, Heady JA, Raffle PA, Roberts CG, Parks JW (1953) Coronary heart-disease and physical activity of work. Lancet 265(6795):1053–1057CrossRefPubMed
Zurück zum Zitat O’Donovan G, Blazevich AJ, Boreham C, Cooper AR, Crank H, Ekelund U, Fox KR, Gately P, Giles-Corti B, Gill JM, Hamer M, McDermott I, Murphy M, Mutrie N, Reilly JJ, Saxton JM, Stamatakis E (2010) The ABC of physical activity for health: a consensus statement from the British Association of Sport and Exercise Sciences. J Sports Sci 28(6):573–591. https://doi.org/10.1080/02640411003671212 CrossRefPubMed O’Donovan G, Blazevich AJ, Boreham C, Cooper AR, Crank H, Ekelund U, Fox KR, Gately P, Giles-Corti B, Gill JM, Hamer M, McDermott I, Murphy M, Mutrie N, Reilly JJ, Saxton JM, Stamatakis E (2010) The ABC of physical activity for health: a consensus statement from the British Association of Sport and Exercise Sciences. J Sports Sci 28(6):573–591. https://​doi.​org/​10.​1080/​0264041100367121​2 CrossRefPubMed
Zurück zum Zitat Sanz-de la Garza M, Grazioli G, Bijnens BH, Sarvari SI, Guasch E, Pajuelo C, Brotons D, Subirats E, Brugada R, Roca E, Sitges M (2016) Acute, exercise dose-dependent impairment in atrial performance during an endurance race: 2D ultrasound speckle-tracking strain analysis. JACC Cardiovasc Imaging 9(12):1380–1388. https://doi.org/10.1016/j.jcmg.2016.03.016 CrossRefPubMed Sanz-de la Garza M, Grazioli G, Bijnens BH, Sarvari SI, Guasch E, Pajuelo C, Brotons D, Subirats E, Brugada R, Roca E, Sitges M (2016) Acute, exercise dose-dependent impairment in atrial performance during an endurance race: 2D ultrasound speckle-tracking strain analysis. JACC Cardiovasc Imaging 9(12):1380–1388. https://​doi.​org/​10.​1016/​j.​jcmg.​2016.​03.​016 CrossRefPubMed
Zurück zum Zitat von Roeder M, Rommel KP, Kowallick JT, Blazek S, Besler C, Fengler K, Lotz J, Hasenfuss G, Lucke C, Gutberlet M, Schuler G, Schuster A, Lurz P (2017) Influence of left atrial function on exercise capacity and left ventricular function in patients with heart failure and preserved ejection fraction. Circ Cardiovasc Imaging 10 (4). https://doi.org/10.1161/CIRCIMAGING.116.005467 von Roeder M, Rommel KP, Kowallick JT, Blazek S, Besler C, Fengler K, Lotz J, Hasenfuss G, Lucke C, Gutberlet M, Schuler G, Schuster A, Lurz P (2017) Influence of left atrial function on exercise capacity and left ventricular function in patients with heart failure and preserved ejection fraction. Circ Cardiovasc Imaging 10 (4). https://​doi.​org/​10.​1161/​CIRCIMAGING.​116.​005467
Zurück zum Zitat Yoon JH, Park Y, Ahn J, Shin KA, Kim YJ (2016) Changes in the markers of cardiac damage in men following long-distance and ultra-long-distance running races. J Sports Med Phys Fitness 56(3):295–301PubMed Yoon JH, Park Y, Ahn J, Shin KA, Kim YJ (2016) Changes in the markers of cardiac damage in men following long-distance and ultra-long-distance running races. J Sports Med Phys Fitness 56(3):295–301PubMed
Metadaten
Titel
Increased active phase atrial contraction is related to marathon runner performance
verfasst von
Luigi Gabrielli
Sebastián Herrera
Felipe Contreras-Briceño
Julián Vega
María Paz Ocaranza
Fernando Yáñez
Rodrigo Fernández
Rodrigo Saavedra
Marta Sitges
Lorena García
Mario Chiong
Sergio Lavandero
Pablo F. Castro
Publikationsdatum
03.07.2018
Verlag
Springer Berlin Heidelberg
Erschienen in
European Journal of Applied Physiology / Ausgabe 9/2018
Print ISSN: 1439-6319
Elektronische ISSN: 1439-6327
DOI
https://doi.org/10.1007/s00421-018-3927-7

Weitere Artikel der Ausgabe 9/2018

European Journal of Applied Physiology 9/2018 Zur Ausgabe