Exercise-Induced Cardiac Remodeling

被引:155
作者
Weiner, Rory B. [1 ]
Baggish, Aaron L. [1 ]
机构
[1] Massachusetts Gen Hosp, Cardiovasc Performance Program, Div Cardiol, Boston, MA 02114 USA
关键词
LEFT-VENTRICULAR HYPERTROPHY; INTRINSIC HEART-RATE; ATHLETES HEART; LEFT ATRIAL; ETHNIC-DIFFERENCES; PHYSICAL-FITNESS; UPPER LIMIT; ENDURANCE; DIMENSIONS; MORTALITY;
D O I
10.1016/j.pcad.2012.01.006
中图分类号
R5 [内科学];
学科分类号
100201 [内科学];
摘要
Early investigations in the late 1890s and early 1900s documented cardiac enlargement in athletes with above-normal exercise capacity and no evidence of cardiovascular disease. Such findings have been reported for more than a century and continue to intrigue scientists and clinicians. It is well recognized that repetitive participation in vigorous physical exercise results in significant changes in myocardial structure and function. This process, termed exercise-induced cardiac remodeling (EICR), is characterized by structural cardiac changes including left ventricular hypertrophy with sport-specific geometry (eccentric vs concentric). Associated alterations in both systolic and diastolic functions are emerging as recognized components of EICR. The increasing popularity of recreational exercise and competitive athletics has led to a growing number of individuals exhibiting these findings in routine clinical practice. This review will provide an overview of EICR in athletes. (Prog Cardiovasc Dis 2012;54:380-386) (C) 2012 Elsevier Inc. All rights reserved.
引用
收藏
页码:380 / 386
页数:7
相关论文
共 72 条
[1]
Serial left ventricular adaptations in world-class professional cyclists - Implications for disease screening and follow-up [J].
Abergel, E ;
Chatellier, G ;
Hagege, AA ;
Oblak, A ;
Linhart, A ;
Ducardonnet, A ;
Menard, J .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2004, 44 (01) :144-149
[2]
[Anonymous], 1899, Boston Med Surg J, P229, DOI DOI 10.1056/NEJM189909071411001
[3]
The impact of endurance exercise training on left ventricular systolic mechanics [J].
Baggish, Aaron L. ;
Yared, Kibar ;
Wang, Francis ;
Weiner, Rory B. ;
Hutter, Adolph M., Jr. ;
Picard, Michael H. ;
Wood, Malissa J. .
AMERICAN JOURNAL OF PHYSIOLOGY-HEART AND CIRCULATORY PHYSIOLOGY, 2008, 295 (03) :H1109-H1116
[4]
Training-specific changes in cardiac structure and function: a prospective and longitudinal assessment of competitive athletes [J].
Baggish, Aaron L. ;
Wang, Francis ;
Weiner, Rory B. ;
Elinoff, Jason M. ;
Tournoux, Francois ;
Boland, Arthur ;
Picard, Michael H. ;
Hutter, Adolph M., Jr. ;
Wood, Malissa J. .
JOURNAL OF APPLIED PHYSIOLOGY, 2008, 104 (04) :1121-1128
[5]
Differences in Cardiac Parameters among Elite Rowers and Subelite Rowers [J].
Baggish, Aaron L. ;
Yared, Kibar ;
Weiner, Rory B. ;
Wang, Francis ;
Demes, Robert ;
Picard, Michael H. ;
Hagerman, Fredrick ;
Wood, Malissa J. .
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE, 2010, 42 (06) :1215-1220
[6]
Impact of Family Hypertension History on Exercise-Induced Cardiac Remodeling [J].
Baggish, Aaron L. ;
Weiner, Rory B. ;
Yared, Kibar ;
Wang, Francis ;
Kupperman, Eli ;
Hutter, Adolph M., Jr. ;
Picard, Michael H. ;
Wood, Malissa J. .
AMERICAN JOURNAL OF CARDIOLOGY, 2009, 104 (01) :101-106
[7]
LEFT-VENTRICULAR FUNCTION IN TRAINED AND UNTRAINED HEALTHY-SUBJECTS [J].
BARSHLOMO, BZ ;
DRUCK, MN ;
MORCH, JE ;
JABLONSKY, G ;
HILTON, JD ;
FEIGLIN, DHI ;
MCLAUGHLIN, PR .
CIRCULATION, 1982, 65 (03) :484-488
[8]
Ethnic differences in left ventricular remodeling in highly-trained athletes - Relevance to differentiating physiologic left ventricular hypertrophy from hypertrophic cardiomyopathy [J].
Basavarajaiah, Sandeep ;
Boraita, Araceli ;
Whyte, Gregory ;
Wilson, Mathew ;
Carby, Lorna ;
Shah, Ajay ;
Sharma, Sanjay .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2008, 51 (23) :2256-2262
[9]
BEKAERT I, 1981, BRIT HEART J, V45, P213
[10]
PHYSICAL-FITNESS AND ALL-CAUSE MORTALITY - A PROSPECTIVE-STUDY OF HEALTHY-MEN AND WOMEN [J].
BLAIR, SN ;
KOHL, HW ;
PAFFENBARGER, RS ;
CLARK, DG ;
COOPER, KH ;
GIBBONS, LW .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1989, 262 (17) :2395-2401