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Funktionsdiagnostik akuter und chronischer Anpassung des Herz-Kreislauf-Systems an körperliche Belastungen

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Kompendium der Sportmedizin

Zusammenfassung

Unter einer Trainingsadaptation des Herz-Kreislauf-Systems versteht man eine durch Training bedingte physiologische Anpassung, die letztlich in eine erhöhte Leistungsfähigkeit mündet. Eindeutig belegt sind solche Trainingswirkungen vor allem für das Ausdauertraining bzw. für chronisch dynamische Belastungsformen. Bei anderen motorischen Beanspruchungsformen, wie Krafttraining bzw. statisches Training oder Schnelligkeitstraining, sind nur minimale oder keine Effekte auf das Herz-Kreislauf-System nachweisbar.

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Literatur

  • ACSM’s resource manual for guidelines for exercise testing and prescription, 4th ed (2001). Lippincott Williams & Wilkins, Philadelphia

    Google Scholar 

  • Adams TD, Yanowitz FG, Fisher AG, Ridges JD, Lovell K, Pryor TA (1981) Noninvasive evaluation of exercise training in college-age men. Circulation 64: 958–965

    Article  CAS  PubMed  Google Scholar 

  • Aubert AE, Ramaekers D (1999) Neurocardiology: the benefits of irregularity. The basics of methodology, physiology and current clinical applications. Acta Cardiol 54(3): 107–120

    CAS  PubMed  Google Scholar 

  • Aubert H, Seps B, Beckers F (2003) Heart rate variability in athletes. Sports Med 33(12): 889–919

    Article  PubMed  Google Scholar 

  • Ballarin E, Sudhues U, Borsetto C, Casoni I, Grazzi G, Guglielmini C, Manfredini F, Mazzoni G, Conconi F (1996) Reproducibility of the Conconi test: test repeatability and observer variations. Int J Sports Med 17(7): 520–4.

    Article  CAS  PubMed  Google Scholar 

  • Ballarin E, Borsetto C, Cellini M, Patracchini M, Vitiello P, Ziglio PG, Conconi F (1989) Adaptation of the “Conconi test” to children and adolescents. Int J Sports Med 10(5): 334–8

    Article  CAS  PubMed  Google Scholar 

  • Bianco M, Bria S, Gianfelici A, Sanna N, Palmieri V, Zeppilli P (2001) Does early repolarization in the athlete have analogies with the Brugada syndrome? Eur Heart J 22: 504–510

    Article  CAS  PubMed  Google Scholar 

  • Bodner ME, Rhodes EC (2000) A Review of the concept of the heart rate deflection point. Sports Med 30: 31–46

    Article  CAS  PubMed  Google Scholar 

  • Borresen J, Lambert MI (2008) Autonomic control of heart rate during and after exercise: measurements and implications for monitoring training status. Sports Med 38(8): 633–46

    Article  PubMed  Google Scholar 

  • Bourgois J, Vrijens J (1998) The Conconi test: a controversial concept for the determination of the anaerobic threshold in young rowers. Int J Sports Med 19(8): 553–9

    Article  CAS  PubMed  Google Scholar 

  • Brooke JD, Hamley EJ (1972) The heart-rate – physical work curve analysis for the prediction of exhausting work ability. Med Sci Sports Exerc 4(1): 23–26

    CAS  Google Scholar 

  • Brugada J, Brugada R, Brugada P (1998) Right bundle-branch block and ST-segment elevation in leads V1 through V3. A marker for sudden death in patients without demonstrable structural heart disease. Circulation 97: 457–460

    Article  CAS  PubMed  Google Scholar 

  • Buch NA, Coote JH, Townend JN (2002) Mortality, cardiac vagal control and physical training – what′s the link? Exp Physiol 87(4): 423–435

    Article  PubMed  Google Scholar 

  • Buchheit M (2014) Monitoring training status with HR measures: do all roads lead to Rome? Front Physiol 5: 73

    Article  PubMed  PubMed Central  Google Scholar 

  • Cabo JV, Martinez-Camblor P, Del Valle M (2011) Validity of the modified conconi test for determining ventilatory threshold during on-water rowing. J Sports Sci Med 10(4): 616–23

    PubMed  PubMed Central  Google Scholar 

  • Carrasco S, Gonzalez R, Gaitan HI, Yanez O (2003) Reproducibility of heart rate variability from short-term recordings during five maneuvers in normal subjects. Med Eng Technol 27(6): 241–248

    Article  CAS  Google Scholar 

  • Caso P, D’Andrea A, Galderisi M, Liccardo B, Severino S, De Simone L, Izzo A, D’Andrea L, Mininni N (2000) Pulsed Doppler tissue imaging in endurance athletes: relation between left ventricular preload and myocardial regional diastolic function. Am J Cardiol 85: 1131–1136

    Article  CAS  PubMed  Google Scholar 

  • Cellini M, Vitiello P, Nagliati A, Ziglio PG, Martinelli S, Ballarin E, Conconi F (1986) Noninvasive determination of the anaerobic threshold in swimming. Int J Sports Med 7(6): 347–51

    Article  CAS  PubMed  Google Scholar 

  • Chapman JH (1982) Profound sinus bradycardia in the athletic heart syndrome. J Sports Med Phys Fitness 22: 45–48

    CAS  PubMed  Google Scholar 

  • Conconi F, Ferrari M, Ziglo PG, Droghetti P and Codeca I (1982) Determination of the anaerobic threshold by a noninvasive field test in runners. J Appl Physiol 52(4): 869–873

    CAS  PubMed  Google Scholar 

  • Conconi F, Grazzi G, Casoni I, Guglielmini C, Brosetto C, Ballarin E, Mazzoni G, Patracini M, Manfredi F (1996) The Conconi Test: methodology after 12 years of application. Int J Sports Med 17: 509–519

    Article  CAS  PubMed  Google Scholar 

  • Corrado D, Basso C, Buja G, Nava A, Rossi L, Thiene G (2001) Right Bundle Branch Block, right precordial ST-segment elevation, and sudden death in young people. Circulation 103: 710–717

    Article  CAS  PubMed  Google Scholar 

  • D’Andrea A, Limongelli G, Caso P, Sarubbi B, Delia Pietra A, Brancaccio P, Cice G, Scherillo M, Limongelli F, Calabrò R (2002) Association between left ventricular structure and cardiac performance during effort in two morphological forms of athlete′s heart. Int J Cardiol 86: 177–184

    Article  PubMed  Google Scholar 

  • Di Bello V, Pedrinelli R, Giorgi D, Bertini A, Talarico L, Caputo MT, Massimiliano B, Dell′Omo G, Paterni M, Giusti C (1997) Ultrasonic videodensitometric analysis of two different models of left ventricular hypertrophy. Athlete’s heart and hypertension. Hypertension 29: 937–944

    Article  CAS  PubMed  Google Scholar 

  • Dickhuth HH, Nause A, Staiger J, Bonzel T, Keul J (1983) Two-dimensional echocardiographic measurements of left ventricular volume and stroke volume of endurance-trained athletes and untrained subjects. Int J Sports Med 4: 21–26

    Article  CAS  PubMed  Google Scholar 

  • Dickhuth HH, Hipp A, Niess A, Rocker K, Mayer F, Horstmann T (2001) Differentialdiagnostik der physiologischen Herzhypertrophie (Sportherz). Dtsch Z Sportmedizin 52: 205–210

    Google Scholar 

  • Dickerman RD, Schaller F, McConathy WJ (1998) Left ventricular wall thickening does occur in elite power athletes with or witout anabolic steroid use. Cardiology 90: 145–148

    Article  CAS  PubMed  Google Scholar 

  • Droghetti P, Borsetto C, Casoni I, Cellini M, Ferrari M, Paolini AR, Ziglio PG, Conconi F (1985) Noninvasive determination of the anaerobic threshold in canoeing, cross-country skiing, cycling, roller, and ice-skating, rowing, and walking. Eur J Appl Physiol Occup Physiol 53(4): 299–303

    Article  CAS  PubMed  Google Scholar 

  • Erdogan A, Cetin C, Karatosun H, Baydar ML (2010) Non-invasive indices for the estimation of the anaerobic threshold of oarsmen. J Int Med Res 38(3): 901–15

    Article  CAS  PubMed  Google Scholar 

  • Fagard RH (1996) Athlete’s heart: a metaanalysis of the echocardiographic experience. Int J Sports Med Sci 17: 140–144

    Article  Google Scholar 

  • Fisman EZ, Embon P, Pines A, Tenenbaum A, Drory Y, Shapira I, Motro M (1997) Comparison of left ventricular function using isometric exercise doppler echocardiography in competitive runners and weightlifters versus sedentary individuals. Am J Cardiol 79: 355–359

    Article  CAS  PubMed  Google Scholar 

  • Gaisl G, Hofmann P (1989) Allgemeine Richtlinien zur Durchführung des CONCONI-Tests. Spektrum der Sportwissenschaften 1: 101–109

    Google Scholar 

  • Gaisl G, Hofmann P (1991) Heart rate threshold – Standardization of the modified CONCONI-test for sedentary persons. In: Bachl N et al. (eds) Advances in Ergometry. Springer, Berlin Heidelberg, pp 233–238

    Chapter  Google Scholar 

  • Gaisl G, Hofmann P, Bunc V (1991) Standardization of a noninvaisve method of determining the anaerobic threshold in children. In: Frenkl E et al. (eds) Children and Exercise, Pediatric Work Physiology XV. National Institute for Health Promotion (NEVI) Budapest, pp 234–241

    Google Scholar 

  • Ganau A, Devereux RB, Roman MJ, de Simone G, Pickering TG, Saba PS et al. (1992) Patterns of left ventricular hypertrophy and geometric remodeling in essential hypertension. J Am Coll Carddiol 19(7): 1550–1558

    Article  CAS  Google Scholar 

  • Giada F, Bersaglia E, De Piccoli B, Franceschi M, Sartori F, Raviere A. Pancotto P (1998) Cardiovascular adaptations to endurance training and detraining in young and older athletes. Int J Cardiol 65: 149–155

    Article  CAS  PubMed  Google Scholar 

  • Grubb BP, Karas B (1999) Clinical disorders of the autonomic nervous system associated with orthostatic intolerance: an overview of classification, clinical evaluation, and management. PACE 22: 798–810

    Article  CAS  PubMed  Google Scholar 

  • Grubb BP, Kanjwal MY, Kosinski DJ (2001) Review: the postural orthostatic tachycardia syndrome: current concepts in pathophysiology diagnosis and management. J Intervent Cardiac Electrophysiol 5: 9–16

    Article  CAS  Google Scholar 

  • Hansen D, Stevens A, Eijnde BO, Dendale P (2012) Endurance exercise intensity determination in the rehabilitation of coronary artery disease patients: a critical re-appraisal of current evidence. Sports Med 42(1): 11–30

    Article  PubMed  Google Scholar 

  • Hedelin R, Kentta G, Wiklund U, Bjerle P, Henriksson-Larsen K (2000) Short-term overtraining: effects on performance, circulatory responses, and heart rate variability. Med Sci Sports Exerc 3: 2(8): 1480–1484

    Article  Google Scholar 

  • Henry WL, Gardin JM, Ware JH (1980) Echocardiographic measurements in normal subjects from infancy to old age. Circulation 62(5): 1054–1061

    Article  CAS  PubMed  Google Scholar 

  • Hörtnagl H (1982) Echokardiographie in der Sportmedizin. II. Neue Aspekte. Österr J Sportmed 12/3: 3–13

    Google Scholar 

  • Hörtnagl H, Raas E (1982) Digitized echocardiograms of the athletic heart and other forms of left ventricular hypertrophy. Int J Sports Med 3 [Suppl] (abstract service World Congress on Sports Medicine, Vienna): 38–39

    Google Scholar 

  • Hörtnagl H, Raas E (1984) Beginnt die Herzinsuffizienz in der Diastole? In: Herzinsuffizienz. Pathopysiologie, Klinik und Therapie. In: Keul J, Dickhuth HH (Hrsg) Perimed Fachbuch Verlag, Erlangen, S 190–198

    Google Scholar 

  • Hörtnagl H, Semenitz B, Baumgartner H, Raas E (1985) Instantane Analyse von M-Mode Echokardiogrammen: Verbesserung der diastolischen Linksventrikelfunktion von Grenzwerthypertonikern nach Training? Z Kardiol 74 [Suppl] 5: 37

    Google Scholar 

  • Hörtnagl H, Semenitz B, Baumgartner H, Raas E (1988) Improvement of diastolic left ventricular function (complexe analysis from M-mode echocardiograms) in borderline hypertensives after endurance training. Int J Sports Med 9: 377

    Google Scholar 

  • Hofmann P (1997) Die Herzfrequenz-Leistungs-Kurve. Habilitationsschrift, KF-Universität Graz, Graz

    Google Scholar 

  • Hofmann P, Leitner H, Gaisl G, Neuhold C (1988) Computergestützte Auswertung des modifizierten Conconi-Tests am Fahrradergometer. Leistungssport 3: 26–27

    Google Scholar 

  • Hofmann P, Gaisl G (1990) Entwicklung von Modifikationen des CONCONI-Tests. In: Amesberger G et al. (Hrsg) Sportwissenschaften im Lichte moderner Forschung. Österr Sportwissenschaftliche Gesellschaft Wien, 227–233

    Google Scholar 

  • Hofmann P, Pokan R (2010) Value of the application of the heart rate performance curve in sports. Int J Sports Physiol Perform 5(4): 437–47

    Article  PubMed  Google Scholar 

  • Hofmann P, Bunc V, Leitner H, Pokan R, Gaisl G (1994a) Heart rate threshold related to lactate turn point and steady state exercise on cycle ergometer. Eur J Appl Physiol 69(2): 132–139

    Article  CAS  Google Scholar 

  • Hofmann P, Pokan R, Preidler K, Leitner H, Szolar D, Eber B, Schwaberger G (1994b) Relationship between heart rate threshold, lactate turn point and myocardial function. Int J Sports Med 15: 232–237

    Article  CAS  PubMed  Google Scholar 

  • Hofmann P, Peinhaupt G, Leitner H, Pokan R (1995) Evaluation of Heart Rate Threshold by means of Lactate Steady State and Endurance Tests in White Water Kayakers. In: Viitasalo JT, Kujala U (eds) The Way To Win. Proceedings of the International Congress on Applied Research in Sports held in Helsinki, Finland, on 9–11 August 1994, The Finnish Society for Research in Sport and Physical Education, Helsinki, 217–220

    Google Scholar 

  • Hofmann P, Pokan R (1996) Neue Erkenntnisse zur Herzfrequenz-Leistungs-Kurve. In: Müller E, Schwameder H (Hrsg) Aspekte der Sportwissenschaft. Österr Sportwissenschaftliche Gesellschaft, S 121–131

    Google Scholar 

  • Hofmann P, Pokan R, Beaufort F, Schumacher M, Fruhwald FM, Zweiker R, Eber B, Gasser R, Schmid P, Brandt D, Klein W (1996) Left ventricular function during incremental cycle ergometer exercise related to aerobic and anaerobic threshold in patients after myocardial infarction, healthy older subjects and young sports students. In: Chytrackova J, Kohoutek M (eds) Sport Kinetics 95, Prague, p 192–198.

    Google Scholar 

  • Hofmann P, Pokan R, Von Duvillard SP, Seibert FJ, Zweiker R, Schmid P (1997) Heart rate performance curve during incremental cycle ergometer exercise in healthy young male subjects. Med Sci Sports Exerc 29(6): 762–768

    Article  CAS  PubMed  Google Scholar 

  • Hofmann P, Seibert FJ, Öhlknecht A, Sudi KM, Pokan R, Schmid P (1997) Relationship between lactate turn points and potassium and sodium response during incremental cycle ergometer exercise. The Second Annual Congress of the European College of Sport Science Copenhagen, Denmark 20–23. August 1997: 976–977

    Google Scholar 

  • Hofmann P, Pokan R, von Duvillard SP, Schmid P (1997) The Conconi test. Int J Sports Med 18(5): 397–9

    Article  CAS  PubMed  Google Scholar 

  • Hofmann P, Seibert FJ, Öhlknecht A, Sudi KM, Pokan R, Schmid P (1998) Relationship between blood potassium level and the deflection of the heart rate performance curve. Int J Sports Med 19: 25

    Google Scholar 

  • Hofmann P, Seibert FJ, Pokan R, Golda M, Wallner D, von Duvillard SP (1999) Relationship between blood pH, potassium and the heart rate performance curve. Med Sci Sports Exerc 31(5): 150

    Article  Google Scholar 

  • Hofmann P, Pokan, R, Von Duvillard SP (2000) Heart rate performance curve and heart rate turn point. Acta Universitatis Tartuensis 5: 23–43

    Google Scholar 

  • Hofmann P, von Duvillard SP, Seibert FJ, Pokan R, Wonisch M, LeMura LM, Schwaberger G (2001)%HRmax target heart rate is dependent on heart rate performance curve deflection. Med Sci Sports Exerc 33(10): 1726–1731

    Article  CAS  PubMed  Google Scholar 

  • Hofmann P, Wonisch M, Pokan R, Schwaberger G, Smekal G, von Duvillard SP (2005) Beta1-adrenoceptor mediated origin of the heart rate performance curve deflection. Med Sci Sports Exerc 37(10): 1704–9

    Article  CAS  PubMed  Google Scholar 

  • Hofmann P, Jürimäe T, Jürimäe J, Purge P, Maestu J, Wonisch M, Pokan R, von Duvillard SP (2007) HRTP, prolonged ergometer exercise, and single sculling. Int J Sports Med 28(11): 964–9

    Article  CAS  PubMed  Google Scholar 

  • Hottenrott K (Hrsg) (2002) Herzfrequenzvaraibilität im Sport. Prävention – Rehabilitation – Training. Schriften der Deutschen Vereinigung für Sportwissenschaft, Bd 129

    Google Scholar 

  • Howorka K, Pumprla J, Haber P, Koller-Strametz J, Mondrzyk J, Schabmann A (1997) Effects of Physical training on heart rate variability in diabetic patients with various degrees of cardiovascular autonomic neuropathy. Cardiovascular Res 34: 206–214

    Article  CAS  Google Scholar 

  • Huikuri HV, Mäkikallio T, Airaksinen KEJ, Mitrani R, Castellanos A, Myerburg RJ (1999) Measurement of heart rate variability: a clinical tool or a research toy? JACC 34(7): 1878–1883

    Article  CAS  PubMed  Google Scholar 

  • Huston TP, Puffer JC, Rodny WM (1985) The athletic heart syndrome. New Engl J Med 313: 24–32

    Article  CAS  PubMed  Google Scholar 

  • James DVB, Barnes AJ, Lopes P, Wood DM (2002) Heart rate variability: response following a single bout of interval training. Int J Sports Med 23: 247–251

    Article  CAS  PubMed  Google Scholar 

  • Jeukendrup AE, Hesselink MK, Kuipers H, Keizer HA (1997) The Conconi test. Int J Sports Med 18(5): 393–6

    Article  CAS  PubMed  Google Scholar 

  • Jones AM, Doust JH (1997) The Conconi test in not valid for estimation of the lactate turnpoint in runners. J Sports Sci 15(4): 385–94

    Article  CAS  PubMed  Google Scholar 

  • Katz AM (2010) Physiology of the Heart, 5th ed. Wolters Kluwer & Lippincott Williams & Wilkins, Philadelphia

    Google Scholar 

  • Kirch E (1935) Anatomische Grundlagen des Sportherzens. Verh Dtsch Ges Inn Med 47: 73

    Google Scholar 

  • Kochiadakis GE, Kanoupakis,EM, Igoumenidis NE, Merketou ME, Solomou MC, Vardas PE (1998) Spectral analysis of heart rate variability during tilt-table testing in patients with vasovagal syncope. Int J Cardiol 64: 185–194

    Article  CAS  PubMed  Google Scholar 

  • Kristal-Boneh E, Raifel M, Froom P, Ribak J (1995) Heart rate variability in health and disease. Scand J Work Environ Health 21: 85–95

    Article  CAS  PubMed  Google Scholar 

  • Laube W, Martin J, Tank J, Baevski RM, Schubert E (1996) Heart rate variability – an indicator of the muscle fatigue after physical exercise. Perfusion 9(5): 225–229

    Google Scholar 

  • La Gerche A, Burns AT, Mooney DJ, Inder WJ, Taylor AJ, Bogaert J, Macisaac AI, Heidbüchel H, Prior DL (2012) Exercise-induced right ventricular dysfunction and structural remodelling in endurance athletes. Eur Heart J 33(8): 995–1006

    Article  CAS  Google Scholar 

  • Leitner H, Hofmann P, Gaisl G (1988) A method for the microcomputer aided determination of the anaerobic threshold by means of heart rate curve analysis. Conf. Proceedings 15 years: Biomedical Engineering in Austria, Graz, June 1988, pp 136–141

    Google Scholar 

  • Leitner H, Hofmann P, Leitner K (1992) Software zur Auswertung von Herzfrequenz und Laktatwerten in der Leistungsdiagnostik. Österr J Sportmed 22(4): 115–118

    Google Scholar 

  • Malfatto G, Facchini M, Bragato R, Branzi G, Sala L, Leonetti G (1996) Short and long term effects of exercise training on the tonic autonomic modulation of heart rate variability after myocardial infarction. Eur Heart J 17: 532–538

    Article  CAS  PubMed  Google Scholar 

  • Malfatto G, Branzi G, Riva B, Sala L, Leonetti G, Facchini M (2002) Recovery of cardiac autonomic responsiveness with low-intensity physical training in patients with chronic heart failure. EurJ Heart Failure 4: 159–166

    Article  Google Scholar 

  • Mann T, Lamberts RP, Lambert MI (2013) Methods of prescribing relative exercise intensity: physiological and practical considerations. Sports Med 43(7): 613–25

    Article  PubMed  Google Scholar 

  • Migliaro ER, Contreras P (2003) Heart rate variability: short-term studies are as useful as holter to differentiate diabetic patients from healthy subjects. Ann Noninvasive Electrocardiol 3(4): 313–320

    Article  Google Scholar 

  • Mistry JD, Kramer CM (2003) Imaging of cardiopulmonary diseases. Clin Sports Med 22: 197–212

    Article  PubMed  Google Scholar 

  • Moser M, Lehhofer M, Sedminek A, Lux M, Zapotoczky HG, Kenner T, Noordergraaf A (1994) Heart rate variability as a prognostic tool in cardiology. A contribution to the problem from a theoretical point of view. Circulation 90(2): 1078–1082

    Article  CAS  PubMed  Google Scholar 

  • Neumayer M (2005) Zusammenhang zwischen Sauerstoffaufnahme und Wattleistung am Fahrradergometer bei weiblichen und männlichen Sportstudenten. Institut für Sportwissenschaften

    Google Scholar 

  • Opie LM (2004) Heart Physiology: From Cell to Circulation, 4th ed. Lippincott Williams & Wilkins, Philadelphia

    Google Scholar 

  • Oxborough D, Birch K, Shave R, George K (2010) Exercise-induced cardiac fatigue: a review of the echocardiographic literature. Echocardiography 27(9): 1130–1140

    Article  PubMed  Google Scholar 

  • Parisi AF, Beckmann CH, Lancaster MC (1971) The spectrum of ST segment elevation in the electrocardiograms of healthy adult men. J Electrocardiol 4: 137–144

    Article  CAS  PubMed  Google Scholar 

  • Pellicia A, Maron JB, Spataro A, Proschan MA, Spirito P (1991) The upper limit of physiologic cardiac hypertrophy in highly trained elite athletes. N Engl J Med 324: 295–301

    Article  Google Scholar 

  • Pellicia A, Maron JB, Culasso F, Spataro A, Caselli G (1996) Athletes heart in women echocardiographic characterization of highly trained elite female athletes. JAMA 276: 211–215

    Article  Google Scholar 

  • Pellicia A, Culasso F, Di Paolo FM, Maron JB (1999) Physiologic left ventricular cavity dilatation in elite athletes. Ann Intern Meg 130: 23–31

    Article  Google Scholar 

  • Pellicia A, Maron BJ, Culasso F, Di Paolo FM, Spataro A, Biffi A, Caselli G, Piovano P (2000) Clinical significance of abnormal electrocardiographic patterns in trained athletes. Circulation 18(102): 278–84

    Article  Google Scholar 

  • Pellicia A, Di Paolo FM, Maron BJ (2002) The athlete′s heart: remodeling, electrocardiogram and oreparticipation screening. Cardiol Rev 10: 85–90

    Article  Google Scholar 

  • Pichot V, Busso T, Roche F, Garet M, Costes F, Duverney D, Lacour JR, Barthelemy JC (2002) Autonomic adaptations to intensive and overload training periods: a laboratory study. Med Sei Sports exerc 34(10): 1660–1666

    Article  Google Scholar 

  • Pokan R, Hofmann P (2000) Heart rate turn point and heart rate performance curve – current knowledge. The Tokai Sports Med Sci 12: 9–18

    Google Scholar 

  • Pokan R, Schmid P (2003) Die Arterielle Hypertonie aus Sicht der Sportmedizin. In: Eber B (Hrsg) Die arterielle Hypertonie aus interdisziplinärer Sicht. Hans Marseille Verlag GmbH, München, S 199–204

    Google Scholar 

  • Pokan R, Dickhuth HH, Dürr H, Huonker M, Keul J (1991) Kardiale Anpassung (Echokardiographie) und Leistungsbreite bei Leistungssportlerinnen unterschiedlicher Trainingsanamnese und untrainierten Frauen. Deut Z Sportmed 42(7): 309–315

    Google Scholar 

  • Pokan R, Hofmann P, Preidler K, Leitner H, Dusleag J, Eber B, Schwaberger G, Füger GF, Klein W (1993) Correlation between inflection of heart rate/work performance curve and myocardial function in exhaustive cycle ergometry. Eur J Appl Physiol 67: 385–388

    Article  CAS  Google Scholar 

  • Pokan R, Hofmann P, Lehmann M, Leitner H, Eber B, Gasser R, Schwaberger G, Schmid P, Keul J, Klein W (1995) Heart rate deflection related to lactate performance curve and plasma catecholamine response during incremental cycle ergometer exercise. Eur J Appl Physiol Occup Physiol 70(2): 175–9

    Article  CAS  PubMed  Google Scholar 

  • Pokan R, Hofmann P, von Duvillard SP, Beaufort F, Schumacher M, Fruhwald FM, Zweiker R, Eber B, Gasser R, Brandt D, Smekal G, Klein W, Schmid P (1997) Left ventricular function in response to the transition from aerobic to anaerobic metabolism. Med Sci Sports Exerc 29(8): 1040–1047

    Article  CAS  PubMed  Google Scholar 

  • Pokan R, Enne R, Hofmann P, Smekal G, von Duvillard SP, Leitner H, Bachl N, Schmid P (1998a) Performance diagnostics in aging women and men. Int J Sports Med 19: 28

    Google Scholar 

  • Pokan R, Hofmann P, von Duvillard SP, Beaufort F, Smekal G, Gasser R, Eber B, Bachl N, Schmid P (1998b) The heart rate performance curve and left ventricular function during exercise in patients after myocardial infarction. Med Sci Sports Exerc 30(10): 1475–1480

    Article  CAS  PubMed  Google Scholar 

  • Pokan R, Hofmann P, Von Duvillard SP, Schumacher M, Gasser R, Zweiker R, Fruhwald FM, Eber B, Smekal G, Bachl N, Schmid P (1998c) Parasympathetic receptor blockade and the heart rate performance curve. Med Sci Sports Exerc. 30(2): 229–33

    Article  CAS  PubMed  Google Scholar 

  • Pokan R, Hofmann P, von Duvillard SP, Smekal G, Högler R, Tschan H, Baron R, Schmid P, Bachl N (1999) The heart rate turn point, reliability and methodological aspects. Med Sci Sports Exerc 31(6): 903–907

    Article  CAS  PubMed  Google Scholar 

  • Pokan R, Ocenasek H, Hochgatterer R, Miehl M, Vonbank K, von Duvillard SP, Franklin B, Würth S, Volf I, Wonisch M, Hofmann P (2014) Myocardial Dimensions and Hemodynamics during 24-h Ultra-endurance Ergometry. Med Sci Sports Exerc 46(2): 268–275

    Article  PubMed  Google Scholar 

  • Pluim BM, Zwinderman AH, van der Laarse A, van der Wall EE (2000) The athlete’s heart. A meta-analysis of cardiac structure and function. Circulation 100: 336–344

    Article  Google Scholar 

  • Polar (1995) Polar precision performance software. User’s Manual. Polar Electro Professorintie 5 90440 Kempele, Finland

    Google Scholar 

  • Ribeiro JP, Fielding RA, Hughes V, Black A, Bochese MA, Knuttgen HG (1985) Heart rate break point may coincide with the anaerobic and not the aerobic threshold. Int J Sports Med 6(4): 220–4

    Article  CAS  PubMed  Google Scholar 

  • Roskamm H, Reindell H, Müller M (1966) Herzgröße und ergometrisch getestete Ausdauerleistungsfähigkeit bei Hochleistungssportlern aus 9 deutschen Nationalmannschaften. Z Kreislauff 55: 2–11

    CAS  Google Scholar 

  • Rost R (1984) Herz und Sport. Beiträge zur Sportmedizin, Bd 22. Perimed, Erlangen, S 47

    Google Scholar 

  • Schannwell CM, Schneppenheim M, Plehn G, Marx R, Strauer BE (2002) Left ventricular diastolic function in physiologic and pathologic hypertrophy. Am J Hypertens 15: 513–517

    Article  PubMed  Google Scholar 

  • Sentija D, Vucetic V, Markovic G (2007) Validity of the modified Conconi running test. Int J Sports Med 28(12): 1006–11

    Article  CAS  PubMed  Google Scholar 

  • Serra-Grima R, Estorch M, Carrio I, Subirana M, Berna L, Prat T(2000) Marked ventricular repolarization abnormalities in highly trained athletes’ electrocardiograms: clinical and prognostic implications. J Am Coll Cardiol 36: 1310–1316

    Article  CAS  PubMed  Google Scholar 

  • Sheehan GA, Bank R (1973) Electrocardiography in athletes. JAMA 224: 196

    Article  Google Scholar 

  • Stauss H M (2003) Heart rate variability. Am J Physiol Regul Inter Comp Physiol 285(5): R927–931

    Article  Google Scholar 

  • Stein R, Medeiros CM, Rosito GA, Zimerman LI, Ribeiro JP (2002) Intrinsic sinus and atrioventricular node electrophysiologic adaptations in endurance athletes. J Am Coll Cardiol 20: 1033–1038

    Article  Google Scholar 

  • Task Force of the European Society of Cardiology and the North American Society of pacing and Electrophysiology (1996) Heart rate variability. Standards of measurement, physiological interpretation, and clinical use. Circulation 93(5): 1043–1065

    Article  Google Scholar 

  • Urhausen A, Kindermann W (1999) Sports-specific adaptations and differentiation of the athlete’s heart. Sports Med 28(4): 237–244

    Article  CAS  PubMed  Google Scholar 

  • Uusitalo ALT, Uusitalo AJ, Rusko H (2000) Heart rate and blood pressure variability during heavy training and overtraining in the female athlete. Int J Sports Med 21: 45–53

    Article  CAS  PubMed  Google Scholar 

  • Venerando A (1979) Electrocardiography in sports medicine. J Sports Med Phys Fitness 19(2): 107–128

    CAS  PubMed  Google Scholar 

  • Wasserman K, Hansen JE, Sue DY, Stringer, WW, Whipp BJ (2005) Principles of Exercise Testing and Interpretation. Including Pathophysiology and Clinical Applications, 4th ed. Lippincott Williams & Wilkins, Philadelphia

    Google Scholar 

  • Williams RS, Eden RS, Moll ME, Lester RM, Wallace AG (1981) Autonomic mechanisms of training bradycardia: (3-)adrenergic receptors in humans. J Appl Physiol 51: 1232–1237

    CAS  PubMed  Google Scholar 

  • Winchell RJ, Hoyt DB (1997) Analysis of heart-rate variability: a noninvasive predictor of death and poor outcome in patients with severe head injury. The J Trauma Injury Infection Critical Care 43(6): 927–933

    Article  CAS  Google Scholar 

  • Wonisch M, Hofmann P, Fruhwald FM, Hoedl R, Schwaberger G, Pokan R, von Duvillard SP, Klein W (2002) Effect of beta(1)-selective adrenergic blockade on maximal blood lactate steady state in healthy men. Eur J Appl Physiol 87(1): 66–71

    Article  CAS  PubMed  Google Scholar 

  • Wonisch M, Hofmann P, Fruhwald FM, Kraxner W, Hödl R, Pokan R, Klein W (2003) Influence of beta-blocker use on percentage of target heart rate exercise prescription. Eur J Cariovascular Prevention Rehab 10(4): 296–301

    Article  Google Scholar 

  • Wonisch M, Berent R, Klicpera M, Laimer H, Marko C, Pokan R, Schmid P, Schwann H (2008) Praxisleitlinien Ergometrie. J Kardiol 15 (Suppl A): 2–17

    Google Scholar 

Weiterführende Literatur

  • Aubert H, Seps B, Beckers F (2003) Heart rate variability in athletes. Sports Med 33(12): 889–919

    Article  PubMed  Google Scholar 

  • Hottenrott K (Hrsg) (2002) Herzfrequenzvariabilität im Sport. Prävention – Rehabilitation – Training. Schriften der Deutschen Vereinigung für Sportwissenschaft, Bd 129. Czwalina Verlag, Hamburg

    Google Scholar 

  • Kindermann W, Dickhuth HH, Nieß A, Röcker K, Urhausen A (2003) Sportkardiologie. Körperliche Aktivität bei Herzerkrankungen. Steinkopff Verlag, Darmstad

    Google Scholar 

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Pokan, R., Hofmann, P., Wonisch, M., Hörtnagl, H. (2017). Funktionsdiagnostik akuter und chronischer Anpassung des Herz-Kreislauf-Systems an körperliche Belastungen. In: Wonisch, M., Hofmann, P., Förster, H., Hörtnagl, H., Ledl-Kurkowski, E., Pokan, R. (eds) Kompendium der Sportmedizin. Springer, Vienna. https://doi.org/10.1007/978-3-211-99716-1_10

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