Influence of physical effort on aortic stiffness in young male athletes

OBJECTIVE: The progression of cardiovascular disease is blunted by regular exercise training as a common non-pharmacological treatment. Recent findings have confirmed that central aortic pressure is more strongly related to cardiovascular events than brachial blood pressure. The aim of the study was to evaluate the influence of a single bout of significant physical effort on central aortic pressure and pulse wave velocity in young male athletes.

PATIENTS AND METHODS: The study group consisted of 16 healthy male athletes undergoing regular endurance training. The subjects of the study (21.6 ± 2.85 years of age) underwent a submaximal exercise test consisting of cycling for 30 minutes. Aortic pulse wave velocity (PWV) and derivatives (augmentation index set to 75 heart beats, AIx75; pulse pressure amplification, PPA), ejection duration (ED), subendocardial viability ratio (SEVR) and central blood pressure were examined before and after the exercise test Blood pressure and pulse waveform were evaluated in the supine position after a 15-minute rest by means of the oscillometric method the oscillometric method.

RESULTS: Comparing the rest condition to the period immediately following the exercise test, athletes showed lower central than peripheral systolic blood pressure both before (129 ± 11 mmHg and 112 ± 8 mmHg, respectively, p < 0.001) and after (130 ± 10 mmHg to 112 ± 8 mmHg, respectively, p < 0.001) the test. They also showed a decrease of ED from 339.7 ± 44.4 ms to 326.9 ± 41.4 ms (p < 0.02) and an increase of PPA from 136.2 ± 5.4% to 140.3 ± 5.0% (p < 0.02), whereas PWV, AIx75 and SEVR changed insignificantly.

CONCLUSIONS: We confirm that PPA is sensitive to an instant change in aortic elasticity. Furthermore, the hemodynamic response to a single physical effort composed of shorter ejection time and increased relative elasticity of the aorta prevents impairment of oxygen supply to the heart musculature.

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