Acute effect of static exercise in patients with aortic regurgitation assessed by cardiovascular magnetic resonance: role of left ventricular remodelling
Martinez-Micaelo, N; La Gerche, A; Franco-Bonafonte, L; Rubio-Pérez, F; Montero, M; Alegret, JM; Calvo, N
Abstract
OBJECTIVE:
In patients with aortic regurgitation (AR), the effect of static exercise (SE) on global ventricular function and AR severity has not been previously studied.
METHODS:
Resting and SE cardiovascular magnetic resonance (CMR) were prospectively performed in 23 asymptomatic patients with AR.
RESULTS:
During SE, we observed a decrease in regurgitant volume in both end-diastolic (EDV) and end-systolic (ESV) volume in both ventricles, as well as a slight decrease in LV ejection fraction (EF). Interestingly, responses varied depending on the degree of LV remodelling. Among patients with a greater degree of LV remodelling, we observed a decrease in LVEF (56 ± 4 % at rest vs 48 ± 7 % during SE, p = 0.001) as a result of a lower decrease in LVESV (with respect to LVEDV. Among patients with a lower degree of LV remodelling, LVEF remained unchanged. RVEF remained unchanged in both groups.
CONCLUSIONS:
In patients with AR, SE provoked a reduction in preload, LV stroke volume, and regurgitant volume. In those patients with higher LV remodelling, we observed a decrease in LVEF, suggesting a lower LV contractile reserve.
KEY POINTS:
• In patients with aortic regurgitation, static exercise reduced preload volume. • In patients with aortic regurgitation, static exercise reduced stroke volume. • In patients with aortic regurgitation, static exercise reduced regurgitant volume. • In patients with greater remodelling, static exercise unmasked a lower contractile reserve. • Effect of static exercise on aortic regurgitation was assessed by cardiac MR.
| Journal | EUR RADIOL |
| ISSN | 0938-7994 |
| Published | 01 Apr 2017 |
| Volume | 27 |
| Issue | 4 |
| Pages | 1424-30 |
| DOI | 10.1007/s00330-016-4520-2 |
| Type | Journal Article |
| Sponsorship |
Consejo Superior de Deportes, Government of Spain; Societat Catalana de Cardiologia
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