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Global and regional left ventricular circumferential strain during incremental cycling and isometric knee extension exercise

Beaumont, Alexander ORCID: https://orcid.org/0000-0002-5773-6356, Sculthorpe, Nicholas, Hough, John, Unnithan, Viswanath and Richards, Joanna (2018) Global and regional left ventricular circumferential strain during incremental cycling and isometric knee extension exercise. Echocardiography, 35 (8). pp. 1149-1156.

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Beaumont et al. Echocardiography- Accepted.pdf - Accepted Version

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Abstract

BACKGROUND: The objective of this study was to investigate left ventricular (LV) circumferential strain responses to incremental cycling and isometric knee extension exercises.
METHODS: Twenty-six healthy male participants (age = 30 ± 6 years) were used to study LV global (GCS) and regional circumferential strain at the apex (ACS) and base (BCS) during incremental cycling at 30% and 60% work rate maximum (Wmax ) and short-duration (15 seconds contractions) isometric knee extensions at 40% and 75% maximum voluntary contraction (MVC) using two-dimensional speckle tracking echocardiography.
RESULTS: During cycling (n = 22), GCS increased progressively from rest to 60% Wmax (-22.85 ± 3.26% to -29.87 ± 2.59%, P < .01). ACS increased from rest to 30% Wmax (-26.29 ± 4.84% to -36.84 ± 6.94%, P < .01) and then remained unchanged to 60% Wmax (-40.72 ± 4.06%, P = .068). BCS decreased from rest to 30% Wmax (-19.41 ± 2.79 to -17.51 ± 4.66%, P = .05) and then remained unchanged to 60% Wmax . During isometric knee extension (n = 23), GCS decreased from rest to 40% MVC (-22.63 ± 3.46 to -20.10 ± 2.78%, P < .05) and then remained unchanged to 75% MVC. Similarly, BCS decreased from rest to 40% MVC (-19.21 ± 2.58% to -13.55 ± 3.45%, P < .01) and then remained unchanged, whereas ACS did not change with exercise intensity (rest, -26.05 ± 5.34%; 40% MVC, -26.64 ± 4.53% and 75% MVC -27.22 ± 5.34%, all P > .05).
CONCLUSION: Global circumferential strain increased stepwise during incremental cycling, mediated by the apex with trivial changes at the base. In contrast, GCS decreased during the isometric knee extension to 40% MVC and then plateaued, due to decreased BCS as ACS was maintained. A novel finding is that the GCS response appears to be exercise modality dependant and is the consequence of region-specific changes.

Item Type: Article
Additional Information: "This is the peer reviewed version of this article which may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving."
Status: Published
DOI: https://doi.org/10.1111/echo.13894
Subjects: G Geography. Anthropology. Recreation > GV Recreation Leisure > GV435-436.7 Physical measurements. Physical tests, etc.
G Geography. Anthropology. Recreation > GV Recreation Leisure > GV557 Sports
Q Science > QP Physiology
School/Department: School of Science, Technology and Health
URI: http://ray.yorksj.ac.uk/id/eprint/3578

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