Exercise-Induced Atrial Remodeling in Female Amateur Marathon Runners Assessed by Three-Dimensional and Speckle Tracking Echocardiography
Endurance athletes have an increased risk of atrial remodeling and atrial arrhythmias. However, data regarding atrial adaptation to physical exercise in non-elite athletes are limited. Even less is known about atrial performance in women. We aimed to elucidate exercise-induced changes in atrial morp...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-07-01
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| Series: | Frontiers in Physiology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fphys.2022.863217/full |
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| author | Zofia Lasocka Zofia Lasocka Zuzanna Lewicka-Potocka Zuzanna Lewicka-Potocka Anna Faran Ludmiła Daniłowicz-Szymanowicz Radosław Nowak Damian Kaufmann Anna Kaleta-Duss Leszek Kalinowski Leszek Kalinowski Grzegorz Raczak Ewa Lewicka Alicja Dąbrowska-Kugacka |
| author_facet | Zofia Lasocka Zofia Lasocka Zuzanna Lewicka-Potocka Zuzanna Lewicka-Potocka Anna Faran Ludmiła Daniłowicz-Szymanowicz Radosław Nowak Damian Kaufmann Anna Kaleta-Duss Leszek Kalinowski Leszek Kalinowski Grzegorz Raczak Ewa Lewicka Alicja Dąbrowska-Kugacka |
| author_sort | Zofia Lasocka |
| collection | DOAJ |
| description | Endurance athletes have an increased risk of atrial remodeling and atrial arrhythmias. However, data regarding atrial adaptation to physical exercise in non-elite athletes are limited. Even less is known about atrial performance in women. We aimed to elucidate exercise-induced changes in atrial morphology and function in female amateur marathon runners using three-dimensional (3D) echocardiography and two-dimensional (2D) speckle tracking echocardiography (STE). The study group consisted of 27 female (40 ± 7 years) amateur athletes. Right (RA) and left atrial (LA) measures were assessed three times: 2–3 weeks before the marathon (stage 1), immediately after the run (stage 2), and 2 weeks after the competition (stage 3). Directly after the marathon, a remarkable RA dilatation, as assessed by RA maximal volume (RAVmax, 31.3 ± 6.8 vs. 35.0 ± 7.0 ml/m2; p = 0.008), with concomitant increase in RA contractile function [RA active emptying fraction (RA active EF), 27.7 ± 8.6 vs. 35.0 ± 12.1%; p = 0.014; RA peak atrial contraction strain (RA PACS) 13.8 ± 1.8 vs. 15.6 ± 2.5%; p = 0.016] was noticed. There were no significant changes in LA volumes between stages, while LA active EF (34.3 ± 6.4 vs. 39.4 ± 8.6%; p = 0.020), along with LA PACS (12.8 ± 2.1 vs. 14.9 ± 2.7%; p = 0.002), increased post race. After the race, an increase in right ventricular (RV) dimensions (RV end-diastolic volume index, 48.8 ± 11.0 vs. 60.0 ± 11.1 ml/m2; p = 0.001) and a decrease in RV function (RV ejection fraction, 54.9 ± 6.3 vs. 49.1 ± 6.3%; p = 0.006) were observed. The magnitude of post-race RV dilatation was correlated with peak RA longitudinal strain deterioration (r = −0.56, p = 0.032). The measured parameters did not differ between stages 1 and 3. In female amateur athletes, apart from RV enlargement and dysfunction, marathon running promotes transient biatrial remodeling, with more pronounced changes in the RA. Post-race RA dilatation and increment of the active contraction force of both atria are observed. However, RA reservoir function diminishes in those with post-race RV dilation. |
| first_indexed | 2024-12-11T04:30:21Z |
| format | Article |
| id | doaj.art-8068f04c61374af39c82ec714eacfe7d |
| institution | Directory Open Access Journal |
| issn | 1664-042X |
| language | English |
| last_indexed | 2024-12-11T04:30:21Z |
| publishDate | 2022-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Physiology |
| spelling | doaj.art-8068f04c61374af39c82ec714eacfe7d2022-12-22T01:20:53ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2022-07-011310.3389/fphys.2022.863217863217Exercise-Induced Atrial Remodeling in Female Amateur Marathon Runners Assessed by Three-Dimensional and Speckle Tracking EchocardiographyZofia Lasocka0Zofia Lasocka1Zuzanna Lewicka-Potocka2Zuzanna Lewicka-Potocka3Anna Faran4Ludmiła Daniłowicz-Szymanowicz5Radosław Nowak6Damian Kaufmann7Anna Kaleta-Duss8Leszek Kalinowski9Leszek Kalinowski10Grzegorz Raczak11Ewa Lewicka12Alicja Dąbrowska-Kugacka13Department of Cardiology and Electrotherapy, Medical University of Gdańsk, Gdańsk, PolandFirst Department of Cardiology, Medical University of Gdańsk, Gdańsk, PolandDepartment of Cardiology and Electrotherapy, Medical University of Gdańsk, Gdańsk, PolandFirst Department of Cardiology, Medical University of Gdańsk, Gdańsk, PolandDepartment of Cardiology and Electrotherapy, Medical University of Gdańsk, Gdańsk, PolandDepartment of Cardiology and Electrotherapy, Medical University of Gdańsk, Gdańsk, PolandDepartment of Cardiology and Electrotherapy, Medical University of Gdańsk, Gdańsk, PolandDepartment of Cardiology and Electrotherapy, Medical University of Gdańsk, Gdańsk, PolandInstitute for Radiology, Cantonal Hospital Aarau, Aarau, SwitzerlandDepartment of Medical Laboratory Diagnostics—Fahrenheit Biobank BBMRI.pl, Medical University of Gdańsk, Gdańsk, PolandBioTechMed Centre/Department of Mechanics of Materials and Structures, Gdańsk University of Technology, Gdańsk, PolandDepartment of Cardiology and Electrotherapy, Medical University of Gdańsk, Gdańsk, PolandDepartment of Cardiology and Electrotherapy, Medical University of Gdańsk, Gdańsk, PolandDepartment of Cardiology and Electrotherapy, Medical University of Gdańsk, Gdańsk, PolandEndurance athletes have an increased risk of atrial remodeling and atrial arrhythmias. However, data regarding atrial adaptation to physical exercise in non-elite athletes are limited. Even less is known about atrial performance in women. We aimed to elucidate exercise-induced changes in atrial morphology and function in female amateur marathon runners using three-dimensional (3D) echocardiography and two-dimensional (2D) speckle tracking echocardiography (STE). The study group consisted of 27 female (40 ± 7 years) amateur athletes. Right (RA) and left atrial (LA) measures were assessed three times: 2–3 weeks before the marathon (stage 1), immediately after the run (stage 2), and 2 weeks after the competition (stage 3). Directly after the marathon, a remarkable RA dilatation, as assessed by RA maximal volume (RAVmax, 31.3 ± 6.8 vs. 35.0 ± 7.0 ml/m2; p = 0.008), with concomitant increase in RA contractile function [RA active emptying fraction (RA active EF), 27.7 ± 8.6 vs. 35.0 ± 12.1%; p = 0.014; RA peak atrial contraction strain (RA PACS) 13.8 ± 1.8 vs. 15.6 ± 2.5%; p = 0.016] was noticed. There were no significant changes in LA volumes between stages, while LA active EF (34.3 ± 6.4 vs. 39.4 ± 8.6%; p = 0.020), along with LA PACS (12.8 ± 2.1 vs. 14.9 ± 2.7%; p = 0.002), increased post race. After the race, an increase in right ventricular (RV) dimensions (RV end-diastolic volume index, 48.8 ± 11.0 vs. 60.0 ± 11.1 ml/m2; p = 0.001) and a decrease in RV function (RV ejection fraction, 54.9 ± 6.3 vs. 49.1 ± 6.3%; p = 0.006) were observed. The magnitude of post-race RV dilatation was correlated with peak RA longitudinal strain deterioration (r = −0.56, p = 0.032). The measured parameters did not differ between stages 1 and 3. In female amateur athletes, apart from RV enlargement and dysfunction, marathon running promotes transient biatrial remodeling, with more pronounced changes in the RA. Post-race RA dilatation and increment of the active contraction force of both atria are observed. However, RA reservoir function diminishes in those with post-race RV dilation.https://www.frontiersin.org/articles/10.3389/fphys.2022.863217/fullmarathon runningatrial remodeling3D echocardiography2D speckle-tracking echocardiographyfemale amateur athletesendurance training |
| spellingShingle | Zofia Lasocka Zofia Lasocka Zuzanna Lewicka-Potocka Zuzanna Lewicka-Potocka Anna Faran Ludmiła Daniłowicz-Szymanowicz Radosław Nowak Damian Kaufmann Anna Kaleta-Duss Leszek Kalinowski Leszek Kalinowski Grzegorz Raczak Ewa Lewicka Alicja Dąbrowska-Kugacka Exercise-Induced Atrial Remodeling in Female Amateur Marathon Runners Assessed by Three-Dimensional and Speckle Tracking Echocardiography Frontiers in Physiology marathon running atrial remodeling 3D echocardiography 2D speckle-tracking echocardiography female amateur athletes endurance training |
| title | Exercise-Induced Atrial Remodeling in Female Amateur Marathon Runners Assessed by Three-Dimensional and Speckle Tracking Echocardiography |
| title_full | Exercise-Induced Atrial Remodeling in Female Amateur Marathon Runners Assessed by Three-Dimensional and Speckle Tracking Echocardiography |
| title_fullStr | Exercise-Induced Atrial Remodeling in Female Amateur Marathon Runners Assessed by Three-Dimensional and Speckle Tracking Echocardiography |
| title_full_unstemmed | Exercise-Induced Atrial Remodeling in Female Amateur Marathon Runners Assessed by Three-Dimensional and Speckle Tracking Echocardiography |
| title_short | Exercise-Induced Atrial Remodeling in Female Amateur Marathon Runners Assessed by Three-Dimensional and Speckle Tracking Echocardiography |
| title_sort | exercise induced atrial remodeling in female amateur marathon runners assessed by three dimensional and speckle tracking echocardiography |
| topic | marathon running atrial remodeling 3D echocardiography 2D speckle-tracking echocardiography female amateur athletes endurance training |
| url | https://www.frontiersin.org/articles/10.3389/fphys.2022.863217/full |
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