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J Appl Physiol (December 20, 2007). doi:10.1152/japplphysiol.01170.2007
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Submitted on October 31, 2007
Accepted on December 18, 2007

Training-Specific Changes in Cardiac Structure and Function: A Prospective and Longitudinal Assessment of Competitive Athletes

Aaron L. Baggish1*, Francis Wang2, Rory B. Weiner1, Jason M. Elinoff3, Francois Tournoux1, Arthur Boland2, Michael H. Picard1, Adolph M. Hutter1, and Malissa J. Wood4

1 Division of Cardiology, Massachusetts General Hospital, Boston, Massachusetts, United States
2 Harvard University Health Services, Cambridge, Massachusetts, United States
3 Medicine, Massachusetts General Hospital, Boston, Massachusetts, United States
4 Medicine/Cardiology, Massachusetts General Hospital, Boston, Massachusetts, United States

* To whom correspondence should be addressed. E-mail: abaggish{at}partners.org.

This prospective, longitudinal study examined the effects of participation in team-based exercise training on cardiac structure and function. Competitive endurance athletes (EA, n=40) and strength athletes (SA, n=24) were studied with echocardiography at baseline and after 90 days of team training. Left ventricular (LV) mass increased by 11% in EA (116 ± 18 g/m2 vs. 130 ± 19 g/m2; p <0.001) and by 12% in SA (115 ± 14 g/m2 vs. 132 ± 11 g/m2; p <0.001; p-value for the compared {Delta}’s = NS). EA experienced LV dilation (end-diastolic volume: 66.6 ± 10.0 ml/m2 vs. 74.7 ± 9.8 ml/m2, {Delta} = 8.0 ± 4.2 ml/m2; p<0.001), enhanced diastolic function (Lateral E': 10.9 ± 0.8 cm/s vs. 12.4 ± 0.9 cm/s, p<0.001), and biatrial enlargement while SA experience LV hypertrophy (posterior wall: 4.5 ± 0.5 mm/m2 vs. 5.2 ± 0.5 mm/m2, p<0.001) and diminished diastolic function (E' Basal Lateral LV: 11.6 ± 1.3 cm/s vs. 10.2 ± 1.4 cm/s, p<0.001). Further, EA experienced right ventricular (RV) dilation (end-diastolic area: 1460 ± 220 mm/ m2 vs. 1650 ± 200 mm/m2, p< 0.001) coupled with enhanced systolic and diastolic function (E' Basal RV: 10.3 ± 1.5 cm/s vs. 11.4 ± 1.7 cm/s, p<0.001) while SA had no change in RV parameters. We conclude that participation in 90 days of competitive athletics produces significant training-specific changes in cardiac structure and function. EA develop biventricular dilation with enhanced diastolic function while SA develop isolated, concentric left ventricular hypertrophy with diminished diastolic relaxation.




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