Effect of ingesting carbohydrate only or carbohydrate plus casein protein hydrolysate during a multiday cycling race on left ventricular function, plasma volume expansion and cardiac biomarkers

2019 ◽  
Vol 119 (3) ◽  
pp. 697-711 ◽  
Author(s):  
Tanja Oosthuyse ◽  
Andrew N. Bosch ◽  
Aletta M. E. Millen
2020 ◽  
pp. 204748732090967 ◽  
Author(s):  
Martin Halle ◽  
Leonhard Binzenhöfer ◽  
Heiko Mahrholdt ◽  
Michael Johannes Schindler ◽  
Katrin Esefeld ◽  
...  

Myocarditis is an important cause of arrhythmias and sudden cardiac death (SCD) in both physically active individuals and athletes. Elite athletes seem to have an increased risk for viral infection and subsequent myocarditis due to increased exposure to pathogens (worldwide traveling/international competition) or impaired immune system (continuing training during infections/resuming training early thereafter, strenuous exercise training or competition, and exercising in extreme weather conditions). Initial clinical presentation is variable, but athletes characteristically express non-specific symptoms of fatigue, muscle soreness, increased heart rate at rest, as well as during exercise and reduced overall exercise capacity. Beyond resting electrocardiogram (ECG), cardiac biomarkers, echocardiography, and 24-hour Holter ECG, diagnostic work-up should include cardiac magnetic resonance imaging (CMR) assessing inflammation, oedema, and fibrosis by late gadolinium enhancement (LGE), respectively, as these measures are crucial for prognosis and sports eligibility. For patients with insufficient cardiac recovery, endomyocardial biopsy is recommended to clarify differential diagnoses and initiate specific treatment options. In uncomplicated cases with normal left ventricular function during acute phase and absent LGE, eligibility for sports can be attested to three months after clinical recovery. In those with persistent pathological findings, even after six months, the risk for SCD remains increased and resuming exercise beyond recreational activities can only be recommended individually based on course of disease, left ventricular function, arrhythmias, pattern of LGE in CMR, as well as intensity and volume of exercise performed during training and competition. For all athletes, follow-up examination should be performed yearly.


2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Ian A. Mazzetti ◽  
Michael J. Marcaccio ◽  
Odette Boutross-Tadross ◽  
Omid Salehian ◽  
Catherine Demers

A 62-year-old woman undergoing embolization of recurrent neuroendocrine tumor, positive for serotonin, developed chest pain and bradycardia with lateral ST-segment depression. Cardiac biomarkers were elevated, and echocardiography revealed akinesis of all basal segments with a normally contracting apex. The absence of flow-limiting coronary disease on angiography confirmed the presence of reverse Takotsubo cardiomyopathy. After optimal medical therapy for six weeks, left ventricular function returned to normal. Takotsubo cardiomyopathy has been described across a wide variety of hyperadrenergic states; the description of the reverse-type Takotsubo cardiomyopathy in the setting of embolization of recurrent neuroendocrine with serotonergic positivity tumour is novel.


2021 ◽  
Vol 77 (18) ◽  
pp. 3020
Author(s):  
Raquel Amier ◽  
N. Marcks ◽  
A. Leeuwis ◽  
Robin Nijveldt ◽  
GJ Biessels ◽  
...  

2009 ◽  
Vol 9 (2) ◽  
pp. 97-105 ◽  
Author(s):  
Karen Williams ◽  
Warren Gregson ◽  
Colin Robertson ◽  
Naomi Datson ◽  
Greg Whyte ◽  
...  

2011 ◽  
Vol 22 ◽  
pp. S101
Author(s):  
Amir Farhang Zand Parsa ◽  
Mahsa Sedaghti ◽  
Alireza Abdolahi ◽  
Mitra Mahdavimazdeh

2012 ◽  
Vol 64 (5) ◽  
pp. 479-483 ◽  
Author(s):  
Amir Farhang Zand Parsa ◽  
Alireza Abdolahi ◽  
Mitra Mahdavimazdeh

1981 ◽  
Vol 60 (4) ◽  
pp. 371-375 ◽  
Author(s):  
H. Valette ◽  
B. Raffestin ◽  
A. Lockhart

1. We have investigated left ventricular function in 25 selected patients with chronic bronchitis by use of atrial pacing and plasma volume expansion. Nine subjects had a past history of acute respiratory failure. None had either clinical or electrocardiographic signs of coronary heart disease. Paradoxical pulse was absent, since the difference between the highest and lowest systolic arterial pressure throughout the respiratory cycle was 5.4 ± 1.5 mmHg. 2. During atrial pacing, at a mean rate of 145 ±15, about 80% of the predicted maximal rate, none of the patients showed anginal pain or ventricular repolarization abnormality. Cardiac output remained unchanged compared with control values. 3. Plasma volume expansion was achieved by intravenous injection of 1 litre of gelatin over 30 min. Cardiac output, pulmonary wedge pressure and right atrial pressure rose as reported in literature for normal subjects. In four patients cardiac output did not increase although wedge pressure and right atrial pressure did; two of these four patients also had an overshoot in pulmonary wedge pressure just after atrial pacing, suggesting left ventricular dysfunction. Three out of 25 patients had high control right atrial pressures, probably in relation to impaired right ventricular function. No paradoxical pulse occurred during plasma volume expansion. Therefore competition for space in the pericardium between ventricles was unlikely. 4. Our data suggest that left ventricular dysfunction is rare in patients with chronic obstructuve pulmonary disease. There was no significant difference between subjects with and without a past history of acute respiratory failure.


Circulation ◽  
1973 ◽  
Vol 47 (4) ◽  
pp. 720-728 ◽  
Author(s):  
HENRY S. LOEB ◽  
SHAHBUDIN H. RAHIMTOOLA ◽  
KENNETH M. ROSEN ◽  
M. ZIAD SINNO ◽  
RUBEN CHUQUIMIA ◽  
...  

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