Abstract
The objective of the study was to investigate whether a blood pressure increase during static exercises might affect the left ventricular function and whether a possible pressure overload might decrease cardio-respiratory adaptation to aerobic exercise in power lifting athletes. Nine resistance-trained athletes and ten age-matched untrained men participated in high intensity isometric exercise performed during the Valsalva maneuver and in an incremental arm cranking test. All subjects underwent echocardiographic evaluation. The combine effect of exercise and increased intrathoracic pressure due to the Valsalva maneuver was a significant increase in systolic blood pressure in the athletes compared with controls. Echocardiography demonstrated significant differences in left ventricular mass and left ventricular mass index; both being higher in the athletes than in controls. The intraventricular septum diameter and left ventricular posterior wall thickness were significantly greater and the myocardial performance index was lower in the athletes compared with controls, indicating a better left ventricular function in the athletes. A cumulative effect of mechanical compression of peripheral blood vessels by contracting muscles and intrathoracic pressure increase during the Valsalva maneuver did not compromise myocardial contractility and cardiorespiratory adaptation to incremental arm exercise in power lifting athletes.
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References
Barauna, V. G., Rosa, K. T., Irigoyen, M. C., & de Oliveira, E. M. (2007). Effects of resistance training on ventricular function and hypertrophy in a rat model. Clinical Medicine & Research, 5, 114–120.
Bell, C. (2008). Cardiovascular adaptation to chronic exercise. In C. Bell (Ed.), Cardiovascular physiology in exercise and sport (pp. 129–142). New York: Churchill Livingstone/Elsevier.
Bertovic, D. A., Waddell, T. K., Gatzka, C. D., Cameron, J. D., Dart, A. M., & Kingwell, B. A. (1999). Muscular strength training is associated with low arterial compliance and high pulse pressure. Hypertension, 33, 1385–1391.
Bruch, C., Schmermund, A., Marin, D., Katz, M., Bartel, T., Schaar, J., & Erbel, R. (2000). Tei-index in patients with mild-to-moderate congestive heart failure. European Heart Journal, 21, 1888–1895.
Calbet, J. A., Gonzalez-Alonso, J., Helge, J. W., Sondergaard, H., Munch-Andersen, T., Bushel, R., & Saltin, B. (2007). Cardiac output and leg and arm blood flow during incremental exercise to exhaustion on cycle ergometer. Journal of Applied Physiology, 103, 969–978.
Colan, S. D. (1992). Mechanics of left ventricular systolic and diastolic function in physiologic hypertrophy of the athlete heart. Cardiology Clinics, 10, 227–240.
Crowley, S. D., Gurley, S. B., Herrera, M. J., Ruiz, P., Griffiths, R., Kumar, A. P., Kim, H. S., Smithies, O., Le, T. H., & Coffman, T. M. (2006). Angiotensin II causes hypertension and cardiac hypertrophy through its receptors in the kidney. Proceedings of the National Academy of Sciences of the United States of America, 103, 17985–17990.
Devereux, R. B., & Reichek, N. (1997). Echocardiographic determination of left ventricular mass in man; validation of the method. Circulation, 55, 613–618.
Fagard, R. (2003). Athlete’s heart. Heart, 89, 1455–1461.
Fagard, R. H., Staessen, J. A. & Thijs, L. (1997). Relationships between changes in left ventricular mass and in clinic and ambulatory blood pressure in response to antihypertensive therapy. Journal of Hypertension, 15(12 Pt 1), 1493–1502.
Fleck, S. J. (1988). Cardiovascular adaptations to resistance training. Medicine and Science in Sports and Exercise, 20, 146–S151.
Gates, P. E., George, K. P., & Campbell, I. G. (2003). Concentric adaptation of the left ventricle in response to controlled upper body exercise training. Journal of Applied Physiology, 94, 549–554.
Haykowski, M. J., Quinnev, H. A., Gillis, R., & Thompson, C. R. (2000). Left ventricular morphology in junior and master resistance trained athletes. Medicine and Science in Sports and Exercise, 32, 349–352.
Haykowsky, M., Taylor, D., Teo, K., Quinney, A., & Humen, D. (2001). Left ventricular wall stress during leg-press exercise performed with a brief Valsalva maneuver. Chest, 1, 150–154.
Haykowsky, M. J., Dressendorfer, R., Taylor, D., Mandic, S., & Humen, D. (2002). Resistance training and cardiac hypertrophy: Unraveling the training effect. Sports Medicine, 32, 837–849.
Kacikciogli, E. (2004). Left ventricular Tei index in athletes. European Journal of Echocardiography, 5, 318.
Khamis, R. Y., & Mayet, J. (2008). Echocardiographic assessment of the left ventricular hypertrophy in elite athletes. Heart, 94, 1254–125.
Lentini, A. C., McKelvie, R. S., McCartney, N., Tomlinson, C. W., & MacDougall, J. D. (1993). Left ventricular response in healthy young men during heavy-intensity weight-lifting exercise. Journal of Applied Physiology, 75, 2703–2710.
Levy, D., Savage, D. D., Garrison, R. J., Anderson, K. M., Kannel, W. B., & Castelli, W. P. (1997). Echocardiographic criteria for left ventricular hypertrophy: The Framingham heart study. The American Journal of Cardiology, 59, 656–960.
Libonati, J. R., Ciccolo, J., & Glassberg, G. H. (2001). The Tei-index and exercise capacity. The Journal of Sports Medicine and Physical Fitness, 41, 108–113.
Lu, K., Clark, J. W., Jr., Ghorbel, F. H., Ware, D. L., & Bidani, A. (2001). A human cardiopulmonary system model applied to the analysis of the Valsalva maneuver. American Journal of Physiology. Heart and Circulatory Physiology, 281, 2661–2679.
MacDougall, J. D., Tuxen, D., Sale, D. G., Moroz, J. R., & Sutton, J. R. (1985). Arterial blood pressure response to heavy resistance exercise. Journal of Applied Physiology, 58, 785–790.
MacDougall, J. D., McKelvie, R. S., Moroz, D. E., Sale, D. G., McCartney, N., & Buick, F. (1992). Factors affecting blood pressure during heavy weight lifting and static contractions. Journal of Applied Physiology, 73, 1590–1597.
Makan, J., Sharma, S., Firoozi, S., Whyte, G., Jackson, P. G., & McKenna, W. J. (2005). Physiological upper limits of left ventricular cavity size in highly trained adolescent athletes. Heart, 91, 495–499.
Newcomer, S. C., Leuenberger, U. A., Hogeman, C. S., Handly, B. D., & Proctor, D. N. (2004). Different vasodilator responses to human arms and legs. The Journal of Physiology, 556, 1001–1011.
Pelliccia, A., Maron, B. J., Spataro, A., Proschan, M. A., & Spirito, P. (1991). The upper limits of physiologic cardiac hypertrophy in highly trained elite athletes. The New England Journal of Medicine, 324, 295–301.
Pelliccia, A., Spataro, A., Caselli, G., & Maron, B. J. (1993). Absence of left ventricular wall thickening in athletes engaged in intense power training. The American Journal of Cardiology, 72, 1048–1054.
Rich, B. S., & Havens, S. A. (2004). The athletic heart syndrome. Current Sports Medicine Reports, 3, 84–88.
Sahn, D. J., DeMaria, A., Kissolo, J., & Weyman, A. (1978). Recommendations regarding quantification in M-mode echocardiography: Results of a survey of echocardiographic measurements. Circulation, 58, 1072–1083.
Savage, D. D., Garrison, R. J., Kannel, W. B., Levy, D., Anderson, S. J., Stokes, J., 3rd, Feinleib, M., & Castelli, W. P. (1987). The spectrum of left ventricular hypertrophy in a general population sample: The Framingham study. Circulation, 75, 26–33.
Schneider, D. A., Philips, S. E., & Stoffolano, S. (1993). The simplified V-slope method of detecting gas exchange threshold. Medicine and Science in Sports and Exercise, 25, 1180–1184.
Secher, N. H., & Volianitis, S. (2006). Are the arms and legs in competition for cardiac output? Medicine and Science in Sports and Exercise, 38, 1797–1803.
Tei, C. (1995). New non-invasive index for combined systolic and diastolic ventricular function. Journal of Cardiology, 26, 135–136.
Tei, C., Nishimura, R. A., Seward, J. B., & Tajik, A. J. (1997). Noninvasive Doppler derived myocardial performance index: Correlation with simultaneous measurements of cardiac cauterization measurements. Journal of the American Society of Echocardiography, 10, 169–178.
Urhausen, A., & Kindermann, W. (1999). Sports-specific adaptations and differentiation of the athlete’s heart. Sports Medicine, 28, 237–244.
Volianitis, S., & Secher, N. H. (2002). Arm blood flow and metabolism during arm and combined arm and leg exercise in humans. The Journal of Physiology, 544, 977–984.
Wernstedt, P., Sjostedt, C., Ekman, I., Du, H., Thuomas, K. A., Areskog, N. H., & Nylander, E. (2002). Adaptation of cardiac morphology and function to endurance and strength training. A comparative study using MR imaging and echocardiography in males and females. Scandinavian Journal of Medicine & Science in Sports, 12, 17–25.
Williams, M. A., Haskell, W. L., Ades, P. A., Amsterdam, E. A., Bittner, V., Franklin, B. A., Gulanick, M., Laing, S. T., & Stewart, K. J. (2007). Resistance exercise in individuals with and without cardiovascular disease: 2007 update. A scientific statement from the American heart association council on clinical cardiology and council on nutrition, physical activity, and metabolism. Circulation, 116, 572–584.
Zoladz, J. A., Duda, K., & Majcherczyk, J. (1998). Oxygen uptake does not increase linearly at high power outputs during incremental exercise tests in humans. European Journal of Applied Physiology Occupational Physiology, 77, 445–451.
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Zebrowska, A., Gasior, Z., Jastrzebski, D. (2013). Cardiovascular Effects of the Valsalva Maneuver During Static Arm Exercise in Elite Power Lifting Athletes. In: Pokorski, M. (eds) Respiratory Regulation - Clinical Advances. Advances in Experimental Medicine and Biology, vol 755. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-4546-9_42
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DOI: https://doi.org/10.1007/978-94-007-4546-9_42
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