ArticleEuropean journal of applied physiology2015
Training-induced dynamic changes in left atrial reservoir, conduit, and active volumes in professional soccer players.
Article in European journal of applied physiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- Left atrial function in elite athletes: A meta-analysis of two-dimensional speckle tracking echocardiographic studies.Clinical cardiology · 2019Pooled it
- Cardiac Effects of Prolonged Endurance Exercise in Young and Older Athletes.Scandinavian journal of medicine & science in sports · 2025Article
- Long-term left atrial adaptations to reduced training load in former elite athletes: a long-term follow-up longitudinal observational study.BMJ open sport & exercise medicine · 2025Article
- Differences in cardiac adaptation to exercise in male and female athletes assessed by noninvasive techniques: a state-of-the-art review.American journal of physiology. Heart and circulatory physiology · 2024Review
- Left atrial to ventricular volume ratio and relation to fitness, cardiovascular risk factors, and diastolic function in healthy individuals: the HUNT Study.European heart journal. Imaging methods and practice · 2024Article
- Atrial remodelling associated with sporting discipline, sex and duration in elite sports: a cross-sectional echocardiographic study among Danish elite athletes.BMJ open sport & exercise medicine · 2024Article
- Seasonal variation of cardiac structure and function in the elite rugby football league athlete.Echo research and practice · 2023Article
- Effects of training adaption in endurance athletes with atrial fibrillation: protocol for a multicentre randomised controlled trial.BMJ open sport & exercise medicine · 2023Article
- Sex as a main determinant of bi-atrial acute and chronic adaptation to exercise.European journal of applied physiology · 2022Article
- May Strenuous Endurance Sports Activity Damage the Cardiovascular System of Healthy Athletes? A Narrative Review.Journal of cardiovascular development and disease · 2022Review
- The Acute Effects of an Ultramarathon on Atrial Function and Supraventricular Arrhythmias in Master Athletes.Journal of clinical medicine · 2022Article
- The impact of demographic, anthropometric and athletic characteristics on left atrial size in athletes.Clinical cardiology · 2020Review
- Increased active phase atrial contraction is related to marathon runner performance.European journal of applied physiology · 2018Article
- P-wave morphology is unaffected by training-induced biatrial dilatation: a prospective, longitudinal study in healthy athletes.The international journal of cardiovascular imaging · 2016Article
- Assessment of left atrial morphological and functional differences in professional male football players: a prospective, case-control study.Cardiovascular journal of AfricaArticle
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Authors and funding
12 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeAlthough left atrial (LA) enlargement is a recognized component of athlete's heart, dynamic cavity changes occurring during the training period remain to be elucidated. We aimed to investigate the adaptive changes of LA reservoir, conduit, and active volumes in elite athletes vs. controls and their response to different training loads.
methodsLA maximum, pre-P, and minimum volumes were assessed in 26 top-level athletes and 23 controls. In athletes, LA volumes were measured at pre-, mid-, end-training, and post-detraining time points using conventional 2D echocardiography.
resultsAthletes had larger maximum (27.5 ± 3.2 vs. 20.3 ± 5.8 mL/m(2), p = 0.001), pre-P (11.5 ± 0.9 vs. 9.8 ± 2.2 mL/m(2), p = 0.001), and minimum (6.6 ± 0.9 vs. 5.0 ± 1.2 mL/m(2), p < 0.001) LA indexed volumes, compared with controls. Total and passive emptying volume indices were also larger in athletes compared with controls (18.7 ± 3.1 vs. 15.3 ± 4.9 mL/m(2), p < 0.05 and 13.8 ± 2.9 vs. 10.5 ± 4.6 mL/m(2), p < 0.05, respectively), while active emptying volume was similar (p = 0.74). During training, LA maximum (p < 0.0001), pre-P (p < 0.0001), minimum (p < 0.0001), total (p < 0.005), and passive (p < 0.05) emptying volume indices progressively increased, while active emptying volume (p = 0.10) and E/e' ratio (p = 0.32) remained unchanged. After detraining, LA volume measurements were not different from pre-training ones. End-training left ventricular mass index was the only independent predictor of the respective maximum LA volume (β = 0.74, p < 0.005).
conclusionsTop-level athletes exhibit a dynamic morphological and functional LA remodeling, induced by training, with an increase in reservoir and conduit volumes, but stable active volume. LA remodeling is closely associated with left ventricular adaptation to exercise and both completely regress after detraining.
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