Right heart exercise-training-adaptation and remodelling in endurance athletes

Abstract Long-term sports training leads to myocardial adaptations, with remodelling of the heart chambers. However, while myocardial adaptations of the left heart are well described, remodelling of the right heart and its impact on the development of arrhythmias is still debated. To conduct a syste...

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Autores principales:	Valeria Conti, Filippo Migliorini, Marco Pilone, María I. Barriopedro, Juan José Ramos-Álvarez, Francisco Javer Calderon Montero, Nicola Maffulli
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/bcccc0a77c164e6892a14c3bebed7ad1
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spelling	oai:doaj.org-article:bcccc0a77c164e6892a14c3bebed7ad12021-11-21T12:24:37ZRight heart exercise-training-adaptation and remodelling in endurance athletes10.1038/s41598-021-02028-12045-2322https://doaj.org/article/bcccc0a77c164e6892a14c3bebed7ad12021-11-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-02028-1https://doaj.org/toc/2045-2322Abstract Long-term sports training leads to myocardial adaptations, with remodelling of the heart chambers. However, while myocardial adaptations of the left heart are well described, remodelling of the right heart and its impact on the development of arrhythmias is still debated. To conduct a systematic review on right ventricle (RV) and right atrium (RA) structural and functional changes in athletes who participate in long-term endurance training. Systematic review. A systematic literature search was conducted. All the articles reporting right heart echocardiographic (ECHO) and cardiac magnetic resonance (CMR) parameters evaluated in endurance athletes and sedentary subjects were considered eligible. A multivariate analysis was conducted to investigate whether age, sex, body surface area (BSA), intensity of training are associated with RV ECHO, CMR parameters and RA ECHO parameters. A positive association between age and right atrium area (RAA) (P = 0.01) was found. This is a negative association to RV E/A (P = 0.004), and RV end diastolic diameter (RVED) longitudinal (P = 0.01). A positive association between BSA and RVED middle (P = 0.001), as well between BSA and RAA (P = 0.05) was found, along with a negative association with RV E/A (P = 0.002). A positive association between intensity of training and RV end systolic area (RVESA) (P = 0.03), RV end diastolic volume indexed (RVEDVI) (P = 0.01), RV end systolic volume indexed (RVESVI) (P = 0.01) was found, along with a negative association with ejection fraction (EF %) (P = 0.01). Endurance athletes demonstrated an association between RV remodelling and age, BSA and intensity of training.Valeria ContiFilippo MiglioriniMarco PiloneMaría I. BarriopedroJuan José Ramos-ÁlvarezFrancisco Javer Calderon MonteroNicola MaffulliNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Valeria Conti Filippo Migliorini Marco Pilone María I. Barriopedro Juan José Ramos-Álvarez Francisco Javer Calderon Montero Nicola Maffulli Right heart exercise-training-adaptation and remodelling in endurance athletes
description	Abstract Long-term sports training leads to myocardial adaptations, with remodelling of the heart chambers. However, while myocardial adaptations of the left heart are well described, remodelling of the right heart and its impact on the development of arrhythmias is still debated. To conduct a systematic review on right ventricle (RV) and right atrium (RA) structural and functional changes in athletes who participate in long-term endurance training. Systematic review. A systematic literature search was conducted. All the articles reporting right heart echocardiographic (ECHO) and cardiac magnetic resonance (CMR) parameters evaluated in endurance athletes and sedentary subjects were considered eligible. A multivariate analysis was conducted to investigate whether age, sex, body surface area (BSA), intensity of training are associated with RV ECHO, CMR parameters and RA ECHO parameters. A positive association between age and right atrium area (RAA) (P = 0.01) was found. This is a negative association to RV E/A (P = 0.004), and RV end diastolic diameter (RVED) longitudinal (P = 0.01). A positive association between BSA and RVED middle (P = 0.001), as well between BSA and RAA (P = 0.05) was found, along with a negative association with RV E/A (P = 0.002). A positive association between intensity of training and RV end systolic area (RVESA) (P = 0.03), RV end diastolic volume indexed (RVEDVI) (P = 0.01), RV end systolic volume indexed (RVESVI) (P = 0.01) was found, along with a negative association with ejection fraction (EF %) (P = 0.01). Endurance athletes demonstrated an association between RV remodelling and age, BSA and intensity of training.
format	article
author	Valeria Conti Filippo Migliorini Marco Pilone María I. Barriopedro Juan José Ramos-Álvarez Francisco Javer Calderon Montero Nicola Maffulli
author_facet	Valeria Conti Filippo Migliorini Marco Pilone María I. Barriopedro Juan José Ramos-Álvarez Francisco Javer Calderon Montero Nicola Maffulli
author_sort	Valeria Conti
title	Right heart exercise-training-adaptation and remodelling in endurance athletes
title_short	Right heart exercise-training-adaptation and remodelling in endurance athletes
title_full	Right heart exercise-training-adaptation and remodelling in endurance athletes
title_fullStr	Right heart exercise-training-adaptation and remodelling in endurance athletes
title_full_unstemmed	Right heart exercise-training-adaptation and remodelling in endurance athletes
title_sort	right heart exercise-training-adaptation and remodelling in endurance athletes
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/bcccc0a77c164e6892a14c3bebed7ad1
work_keys_str_mv	AT valeriaconti rightheartexercisetrainingadaptationandremodellinginenduranceathletes AT filippomigliorini rightheartexercisetrainingadaptationandremodellinginenduranceathletes AT marcopilone rightheartexercisetrainingadaptationandremodellinginenduranceathletes AT mariaibarriopedro rightheartexercisetrainingadaptationandremodellinginenduranceathletes AT juanjoseramosalvarez rightheartexercisetrainingadaptationandremodellinginenduranceathletes AT franciscojavercalderonmontero rightheartexercisetrainingadaptationandremodellinginenduranceathletes AT nicolamaffulli rightheartexercisetrainingadaptationandremodellinginenduranceathletes
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Right heart exercise-training-adaptation and remodelling in endurance athletes

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