Systolic and diastolic LV mechanics during and following resistance exercise

Stöhr, Eric J, Stembridge, Mike, Shave, Rob, Samuel, T Jake, Stone, Keeron J ORCID: 0000-0001-6572-7874 and Esformes, Joseph I (2017) Systolic and diastolic LV mechanics during and following resistance exercise. Medicine and Science in Sports and Exercise, 49 (10). pp. 2025-2031. doi:10.1249/MSS.0000000000001326

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Purpose: To improve the current understanding of the impact of resistance exercise on the heart, by examining the acute responses of left ventricular (LV) strain, twist and untwisting rate ('LV mechanics'). Methods: LV echocardiographic images were recorded in systole and diastole before, during and immediately after (7-12 s) double leg press exercise at two intensities (30% and 60% of maximum strength, 1-repetition-maximum, 1RM). Speckle tracking analysis generated LV strain, twist and untwisting rate data. Additionally, beat-by-beat blood pressure was recorded and systemic vascular resistance (SVR) and LV wall stress were calculated. Results: Responses in both exercise trials were statistically similar (P > 0.05). During effort, stroke volume decreased while SVR and LV wall stress increased (P < 0.05). Immediately following effort, stroke volume returned to baseline while SVR and wall stress decreased (P < 0.05). Similarly, acute exercise was accompanied by a significant decrease in systolic parameters of LV muscle mechanics (P < 0.05). However, diastolic parameters, including LV untwisting rate, were statistically unaltered (P > 0.05). Immediately following exercise, systolic LV mechanics returned to baseline levels (P < 0.05) but LV untwisting rate increased significantly (P < 0.05). Conclusions: A single, acute bout of double leg-press resistance exercise transiently reduces systolic LV mechanics, but increases diastolic mechanics following exercise, suggesting that resistance exercise has a differential impact on systolic and diastolic heart muscle function. The findings may explain why acute resistance exercise has been associated with reduced stroke volume but chronic exercise training may result in increased LV volumes. © 2017 American College of Sports Medicine

Item Type: Article
Article Type: Article
Additional Information: This is a non-final version of an article published in final form in Medicine & Science in Sport & Exercise.
Uncontrolled Keywords: Resistance exercise; LV twist; Diastolic function; Athlete's heart
Subjects: G Geography. Anthropology. Recreation > GV Recreation Leisure > GV557 Sports
R Medicine > RC Internal medicine > RC1200 Sports Medicine
Divisions: Schools and Research Institutes > School of Education and Science
Research Priority Areas: Health, Life Sciences, Sport and Wellbeing
Depositing User: Rhiannon Goodland
Date Deposited: 21 Jul 2017 08:09
Last Modified: 31 Aug 2023 09:08

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