Saratov JOURNAL of Medical and Scientific Research

Functional heart capacity in athletes with different levels of blood pressure in the Republic of Sakha (Yakutia)

Year: 2020, volume 16 Issue: №2 Pages: 452-458
Heading: Cardiology Article type: Original article
Authors: Mestnikova E.N., Zakharova F.A., Pinigina I.A., Makharova N.V.
Organization: Republican Center for Sports Training of National Teams of the Republic of Sakha (Yakutia)
Summary:

Objective: to evaluate the reserve capacity of the heart in athletes with different levels of blood pressure in the Republic of Sakha (Yakutia). Material and Methods. 205 males of Yakut nationality aged 18 to 30 years old were examined (average age was 22.2±4.04), 147 of them were professional athletes, 58 control persons. Anthropometry was performed in all subjects, measurement of office blood pressure levels, ambulatory monitoring of blood pressure, echocardiography, bioimpedansometry, genetic research. Results. In our study, the masked hypertension was detected in 40.8% of the athletes, and more often observed in athletes with the "master of sports" qualification (x2=5.68, df=1, p=0.013)and does not depend on the orientation of the training activity (kind of sport) (x2=2.09, df=1, p=0.107). Despite the same sports experience and orientation of training activity, athletes with masked hypertension have low values of heart stroke volume (p=0.033) and, accordingly, heart stroke index (p=0.041), a high double product, and high left ventricle (LV) wall thickness, LV myocardial mass index and a decrease in the end-diastolic volume of the left ventricle compared with athletes with a normal blood pressure level. Conclusion. In athletes with masked hypertension, a decrease in the reserve capacity of the heart and a less economical mode of work at rest were noted, as evidenced by the indicators of central hemodynamics and the structural and functional parameters of the LV.

Bibliography:
1. Maron BJ, Pelliccia A. The heart of trained athletes: cardiac remodeling and the risks of sports, including sudden death. Circulation 2006; 14 (15): 1633-44.
2. SmolenskiyAV, Mikhailova AV, Borisova YuA. Features of physiological remodeling of a sports heart. Physiotherapy and Sports Medicine 2012; 6 (102): 9-14.
3. Belotserkovskiy ZB. Ergometric and cardiological criteria for physical performance in athletes. Moscow: Sovestky sport, 2005; 312 p.
4. Boytsov SA, Kolos IP, Lidov PI, et al. National recommendations for admission to sports and participation in competitions of athletes with deviations from the cardiovascular system. Rational Pharmacotherapy in Cardiology 2011; 7 (6): 33-4.
5. Cuspidi С, Negri F, Sala С, et al. Masked hypertension and echocardiographic left ventricular hypertrophy: an updated overview. Blood Press Monit 2012; 17 (1): 8-13.
6. Berge HM, Isern CB, Berge E. Blood pressure and hypertension in athletes: a systematic review. Br J Sports Med 2015;49:716-23.
7. ESC/ESH Guidelines for the management of arterial hypertension, 2018. Russian Journal of Cardiology 2018; 23 (12): 143-228. URL: http://dx.doi.org/10.15829/1560-4071-201 8-12-143-228.
8. Aronov DM, Lupanov VP Functional tests in cardiology. 3rd edition. Moscow: MEDpress-inform, 2007; 328 p.
9. Bryn VB, Zonis BY. Physiology of systemic circulation: Formulas and calculations. Rostov: Publishing House of Rostov University, 1984; 88 p.
10. Akhmetov II. Molecular genetics of sports. Moscow: Soviet Sport, 2009; p. 268-9.
11. Bubnova VS, Lebedev EV, Shaposhnikll. Hypertension at a young age: Features of diagnosis and treatment. Arterial Hypertension 2007; 2 (3): 128-30.
12. Gorbunov VM. Daily monitoring of blood pressure: modern aspects. Moscow: Logosphere, 2015; 240 p.
13. Vatutin NT, Sklyannaya EV. The prevalence of hypertension and risk factors in young adults. Archive of Internal Medicine 2017; (1): 30-4.
14. Ronzhina ОА. Arterial hypertension and myocardial dysfunction in athletes training the quality of power: PhD abstract. Kemerovo, 2014; 21 p.
15. Fagard RH, Cornelissen VA. Incidence of cardiovascular events in white-coat, masked and sustained hypertension versus true normotension: a meta-analysis. J Hypertens 2007; (25): 2193-8.

AttachmentSize
2020_02_452-458.pdf444.96 KB

No votes yet