Myocardial response to a triathlon in male athletes evaluated by Doppler tissue imaging and biochemical parameters

Scandinavian Journal of Medicine and Science in Sports

Volumn 18, Issue 6, 2008, Pages 698-705

  Leetmaa, T H ^a,b   Dam, A ^b   Glintborg, D ^b   Markenvard, J D ^b  

^a Fredericia Hospital ^*  (Denmark)

^b Fredericia Sygehus   (Denmark)

Author keywords

Brain natriuretic peptide; Cardiac fatigue; Doppler tissue imaging; Exercise

Indexed keywords

BIOLOGICAL MARKER; BRAIN NATRIURETIC PEPTIDE; TROPONIN T;

ADULT; ARTICLE; BLOOD; EXERCISE; HEART OUTPUT; HUMAN; MALE; MIDDLE AGED; PHYSIOLOGY; THREE DIMENSIONAL ECHOCARDIOGRAPHY;

ADULT; BIOLOGICAL MARKERS; CARDIAC OUTPUT; ECHOCARDIOGRAPHY, THREE-DIMENSIONAL; HUMANS; MALE; MIDDLE AGED; NATRIURETIC PEPTIDE, BRAIN; PHYSICAL EXERTION; TROPONIN T;

EID: 56849132867     PISSN: 09057188     EISSN: 16000838     Source Type: Journal    
DOI: 10.1111/j.1600-0838.2007.00647.x     Document Type: Article

References (41)

1. Adams JE III., Bodor GS, Davila-Roman VG, Delmez JA, Apple FS, Ladenson JH, Jaffe AS. Cardiac troponin I. A marker with high specificity for cardiac injury. Circulation 1993 : 88 : 101 106.
2. Andersen NH, Poulsen SH. Evaluation of the longitudinal contraction of the left ventricle in normal subjects by Doppler tissue tracking and strain rate. J Am Soc Echo 2003 : 16 : 716 723.
3. Caso P, D'Andrea A, Galderisi M, Liccardo B, Severino S, De Simone L, Izzo A, D'Andrea L, Mininni N. Pulsed Doppler tissue imaging in endurance athletes: relation between regional left ventricular preload and myocardial regional diastolic function. Am J Cardiol 2000 : 865 : 1131 1136.
4. Cleave P, Boswell TD, Speedy DB, Baswell DR. Plasma cardiac troponin concentrations after extreme exercise. Clin Chem 2001 : 47 : 608 610.
5. D'Andrea A, Caso P, Severino S, Galderisi M, Sarubbi B, Limongelli G, Cice G, D'Andrea L, Scherillo M, Mininni N, Calabro R. Effects of different training protocols on left ventricular myocardial function in competitive athletes: a Doppler tissue imaging study. Ital Heart J 2002 : 3 : 34 40.
6. Devereux RB, Reicheck N. Echocardiographic determination of left ventricular mass in man: anatomic validation of the method. Circulation 1977 : 55 : 613 618.
7. Douglas PS, O'Toole ML, Hiller WD, Hackney K, Reichek N. Cardiac fatigue after prolonged exercise. Circulation 1987 : 76 : 1206 1213.
8. Douglas PS, O'Toole ML, Katz SE. Prolonged exercise alters cardiac chronotropic responsiveness in endurance athletes. J Sports Med Phys Fitness 1998 : 38 : 158 163.
9. Freda BJ, Tang WH, Van Lente F, Peacock WF, Francis GS. Cardiac troponins in renal insufficiency: review and clinical implications. J Am Coll Cardiol 2002 : 40 : 2065 2071.
10. Gardner RS, Ozalp F, Murday AJ, Robb SD, McDonagh TA. N-terminal pro-brain natriuretic peptide. A new gold standard in predicting mortality in patients with advanced heart failure. Eur Heart J 2003 : 24 : 1735 1743.
11. Gerhardt W, Ljungdahl L, Herbert AK. Troponin-T and CK MB (mass) in early diagnosis of ischemic myocardial injury. The Helsingborg study 1992. Clin Biochem 1993 : 26 : 231 240.
12. Herrmann M, Scharhag J, Miclea M, Urhausen A, Herrmann W, Kindermann W. Post-race kinetics of cardiac troponin T and I and N-terminal pro-brain natriuretic peptide in marathon runners. Clin Chem 2003 : 49 : 831 834.
13. Huang WS, Lee MS, Perng HW, Yang SP, Kuo SW, Chang HD. Circulating brain natriuretic peptide values in healthy men before and after exercise. Metabolism 2002 : 51 (11) : 1423 1426.
14. Katus HA, Looser S, Hallermayer K, Remppis A, Scheffold T, Borgya A, Essig U, Geuss U. Development and in vitro characterization of a new immunonassay of cardiac troponin T. Clin Chem 1992 : 38 : 386 393.
15. Katus HA, Remppis A, Scheffold T, Diederich KW, Kuebler W. Intracellular compartmentation of cardiac troponin T and its release kinetics in patients with reperfused and nonreperfused myocardial infarction. Am J Cardiol 1991 : 67 : 1360 1367.
16. König D, Schumacher YO, Heinrich L, Schmid A, Berg A, Dickhuth H. Myocardial stress after competitive exercise in professional road cyclists. Am J Med Sci Sports Exercise 2003 : 35 : 1679 1683.
17. Koller A, Mair J, Mayr M, Calzolari C, Larue C, Puschendorf B. Diagnosis of myocardial injury in marathon runners. Ann NY Acad Sci 1995 : 752 : 234 235.
18. Kvitting JP, Wigström L, Strotmann JM, Sutherland GR. How accurate is visual assessment of synchronicity in myocardial motion? An In vitro study with computer-simulated regional delay in myocardial motion: clinical implications for rest and stress echocardiography studies. J Am Soc Echocardiogr 1999 : 12 : 698 705.
19. Laslett L, Eisenbud E, Lind R. Evidence of myocardial injury during prolonged strenuous exercise. Am J Cardiol 1996 : 78 : 488 490.
20. Lijnen P, Hespel P, Fagard R, Lysens R, Vanden EE, Goris M, Goossens W, Lissens W, Amery A. Indicators of cell breakdown in plasma of men during and after a marathon race. Int J Sports Med 1988 : 9 : 108 113.
21. Lucia A, Serratosa L, Saborido A, Pardo J, Boraita A, Moran M, Bandres F, Megias A, Chicharro JL. Short-term effects of marathon running: no evidence of cardiac dysfunction. Med Sci Sports Exerc 1999 : 1414 1421.
22. McCullough PA. B-type natriuretic peptides: a diagnostic breakthrough in heart failure. Minerva Cardioangiol 2003 : 51 : 121 129.
23. Musha H, Nagashima J, Awaya T, Oomia K, Takada H, Murayama M. Myocardial injury in a 100-km ultramarathon. Curr Ther Res Clin E 1997 : 58 : 587 593.
24. Neilan TG, Januzzi JL, Lee-Lewandrowski E, Ton-Nu TT, Yoerger DM, Jassal DS, Lewandrowski KB, Siegel AJ, Marshall JE, Douglas PS, Lawlor D, Picard MH, Wood MJ. Myocardial injury and ventricular dysfunction related to training levels among nonelite participants in the Boston Marathon. Circulation 2006 : 114 : 2325 2333.
25. Neumayr G, Pfister R, Mitterbauer G, Maurer A, Gaenzer H, Sturm W, Hoertnagl H. Effects of the "Race Across The Alps" in elite cyclists on plasma cardiac troponin I and T. Am J Cardiol 2002 : 89 : 484 486.
26. Ohba H, Takada H, Musha H, Nagashima J, Mori N, Awaya T, Omiya K, Murayama M. Effects of prolonged strenuous exercise on plasma levels of atrial natriuretic peptide and brain natriuretic peptide in healthy men. Am Heart J 2001 : 141 : 751 758.
27. Pan C, Hoffmann R, Kühl H, Severin E, Franke A, Hanrath P. Tissue tracking allows rapid and accurate visual evaluation of left ventricual function. Eur J Echocardiogr 2001 : 2 : 197 202.
28. Ravkilde J, Horder M, Gerhardt W, Ljungdahl L, Pettersson T, Tryding N, Moller BH, Hamfelt A, Graven T, Asberg A. Diagnostic performance and prognostic value of serum troponin T in suspected acute myocardial infarction. Scand J Clin Lab Invest 1993 : 53 : 677 685.
29. Remppis A, Scheffold T, Greten J, Haass M, Greten T, Kubler W, Katus HA. Intracellular compartmentation of troponin T: release kinetics after global ischemia and calcium paradox in the isolated perfused rat heart. J Mol Cell Cardiol 1995 : 27 : 793 803.
30. Remme WJ, Swedberg K. Guidelines for diagnosis and treatment of chronic heart failure. Eur Heart J 2001 : 22 : 1527 1560.
31. Rifai N, Douglas PS, O'Toole M, Rimm E, Ginsburg GS. Cardiac Troponin T and I, echocardiographic wall motion analyses, and ejection fractions in athletes participating in the Hawaii Ironman Triathlon. Am J Cardiol 1999 : 83 : 1085 1089.
32. Seals DR, Rogers MA, Hagberg JM, Jamamoto C, Cryer PE, Ehsani AA. Left ventricular dysfunction after prolonged strenuous exercise in healthy subjects. Am J Cardiol 1988 : 61 : 675 679.
33. Shave RE, Dawson E, Whyte G, George K, Ball D, Gaze DC, Collinson PO. Evidence of exercise-induced cardiac dysfunction and elevated cTnT in seperate cohorts competing in an ultra-endurance mountain marathon race. Int J Sports Med 2002 : 23 : 489 494.
34. Siegel AJ, Lewandrowski EL, Chun KY, Sholar MB, Fischman AJ, Lewandrowski KB. Changes in cardiac markers including B-natriuretic peptide in runners after the Boston marathon. Am J Cardiol 2001 : 88 : 920 923.
35. Steele IC, McDowell G, Moore A, Campell NP, Shaw C, Buchanan KD, Nicholls DP. Reponses of atrial natriuretic peptide and brain natriuretic peptide to exercise in patients with chronic heart failure and normal control subjects. Eur J Clin Invest 1997 : 27 : 270 276.
36. Sutherland GR, Stewart MJ, Groundstroem KW, Moran GM, Fleming A, Guell-Peris FJ, Riemersma RA, Fenn LN, Fox KA, McDicken WN. Color Doppler myocardial imaging: a new technique for the assessment of myocardial function. J Am Soc Echocardiogr 1994 : 7 : 441 458.
37. Tanabe K, Yamamoto A, Suzuki N, Akashi Y, Seki A, Samejima H, Oya M, Murabayashi T, Nakayama M, Yokoyama Y, Osada N, Omiya K, Itoh H, Miyake F, Murayama M. Exercise-induced changes in plasma atrial natriuretic peptide and brain natriuretic peptide concentrations in healthy subjects with chronic sleep deprivation. Jpn Circ J 1999 : 63 : 447 452.
38. Tanaka M, Ishizuka Y, Ishiyama Y, Kato J, Kida O, Kitamura K, Kangawa K, Matsuo H, Eto T. Exercise-induced secretion of brain natriuretic peptide in essential hypertension and normal subjects. Hypertens Res 1995 : 18 : 159 166.
39. Thompson GR. Harzards of running a marathon: creatine kinase MB can be raised without myocardial infarction. Br Med J 1997 : 314 : 1023 1025.
40. Weidemann F, Kowalski M, D'Hooge J, Bijnens B, Sutherland GR. Doppler myocardial imaging. A new tool to assess regional inhomogeneity in cardiac function. Basic Res Cardiol 2001 : 96 : 595 605.
41. Whyte GP, George K, Sharma S, Lumley S, Gates P, Prasad K, McKenna WJ. Cardiac fatigue following prolonged endurance exercise of different distances. Med Sci Sports Exerc 2000 : 32 : 1067 1072.