ArticleEuropean journal of applied physiology2022
Sex as a main determinant of bi-atrial acute and chronic adaptation to exercise.
Article in European journal of applied physiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 8 citations in OpenAlex.
- Observational
- Physiological assessment of left ventricular size indexed by peak oxygen uptake across sporting disciplines.European heart journal. Imaging methods and practice · 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
- 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
- The athlete's heart: insights from echocardiography.Echo research and practice · 2023Review
- Clinical Relevance of Right Atrial Strain Using Speckle-tracking Echocardiography: Emerging Insights and Future Prospective.Journal of cardiovascular echographyReview
Corrections and comments
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Authors and funding
8 authors at 4 institutions in 3 countries.
Funding
Abstract
purposeAthlete's heart encompasses multiple physiological cardiac adaptations, although less is known at atrial level. How sex may influence the type and extent of atrial adaptations to exercise stimuli is also unknown. Our objective was to compare gender differences of echocardiographic atrial function indices in response to exercise in endurance athletes (EAs).
methodsHighly trained (> 10 h/week) endurance athletes performed a maximal cardiopulmonary exercise test (CPET). Echocardiographic evaluation was performed at rest and immediately after exercise. Atria analysis consisted of standard and speckle-tracking echocardiographic assessment of atrial dimensions and contractile, reservoir, and conduit functions with myocardial deformation.
results80 EAs (55% women) were enrolled and performed excellent CPET (129.6% of predicted VO
conclusionIn highly trained EAs, women have similar or even lower atrial dimensions remodelling compared to men, but better function based on reservoir and conduit strain values both at rest and in response to exercise. This phenomenon should be confirmed in larger studies and its potential role in the development of supraventricular arrhythmias, addressed in a specifically designed protocol.
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Registered trials
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