PMID- 36865888 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230304 IS - 2297-055X (Print) IS - 2297-055X (Electronic) IS - 2297-055X (Linking) VI - 10 DP - 2023 TI - Time domain adaptation of left ventricular diastolic intraventricular pressure in elite female ice hockey athletes. PG - 1057129 LID - 10.3389/fcvm.2023.1057129 [doi] LID - 1057129 AB - BACKGROUND: Ice hockey is a high-intensity dynamic sport for which competitive athletes train for longer than 20 hours each week for several years. The cumulative time of myocardial exposure to hemodynamic stress affects cardiac remodeling. However, the intracardiac pressure distribution of the elite ice hockey athletes' heart during adaptation to long-term training remains to be explored. This study aimed to compare the diastolic intraventricular pressure difference (IVPD) of the left ventricle (LV) between healthy volunteers and ice hockey athletes with different training times. METHODS: Fifty-three female ice hockey athletes (27 elite and 26 casual) and 24 healthy controls were included. The diastolic IVPD of the LV during diastole was measured by vector flow mapping. The peak amplitude of the IVPD during isovolumic relaxation (P0), diastolic rapid filling (P1), and atrial systole (P4); the difference in the peak amplitude between adjacent phases (DiffP01, DiffP14); the time interval between the peak amplitude of adjacent phases (P0P1, P1P4); and the maximum decrease rate in diastolic IVPD were calculated. Differences between groups, as well as correlations between hemodynamic parameters and training time, were analyzed. RESULTS: Structural parameters of the LV were significantly higher in elite athletes than in casual players and controls. No significant difference in the peak amplitude of the IVPD during the diastolic phase was found among the three groups. The analysis of covariance with heart rate as a covariate showed that P1P4 in the elite athlete and casual player groups was significantly longer than that in the healthy control group (p < 0.001 for all). An increased P1P4 was significantly associated with an increased training year (beta = 4.90, p < 0.001). CONCLUSIONS: The diastolic cardiac hemodynamics of the LV in elite female ice hockey athletes could be characterized by a prolonged diastolic IVPD, and P1P4 prolonged with an increase in the training years, reflecting a time-domain adaptation in diastolic hemodynamics after long-term training. CI - Copyright (c) 2023 Yang, Zhang, Xue, Bai, Yang, Zhang and He. FAU - Yang, Ping AU - Yang P AD - Postdoctoral Mobile Station of Sports Science, Chengdu Sport University, Chengdu, Sichuan, China. FAU - Zhang, Jianmei AU - Zhang J AD - Institute of Sports Medicine, General Administration of Sport of China, Beijing, China. FAU - Xue, Jun AU - Xue J AD - National Emergency Medical Research Center, Emergency General Hospital, Beijing, China. FAU - Bai, Yunfei AU - Bai Y AD - Institute of Sports Medicine, General Administration of Sport of China, Beijing, China. FAU - Yang, Hui AU - Yang H AD - Department of Physical Education, Jiangxi Science and Technology Normal University, Nanchang, Jiangxi, China. FAU - Zhang, Ruiping AU - Zhang R AD - Institute of Sports Medicine, General Administration of Sport of China, Beijing, China. FAU - He, Benxiang AU - He B AD - Postdoctoral Mobile Station of Sports Science, Chengdu Sport University, Chengdu, Sichuan, China. LA - eng PT - Journal Article DEP - 20230214 PL - Switzerland TA - Front Cardiovasc Med JT - Frontiers in cardiovascular medicine JID - 101653388 PMC - PMC9971929 OTO - NOTNLM OT - athlete's heart OT - diastolic hemodynamics OT - ice hockey OT - intraventricular pressure difference (IVPD) OT - vector flow mapping (VFM) COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2023/03/04 06:00 MHDA- 2023/03/04 06:01 PMCR- 2023/01/01 CRDT- 2023/03/03 02:37 PHST- 2022/09/29 00:00 [received] PHST- 2023/01/30 00:00 [accepted] PHST- 2023/03/03 02:37 [entrez] PHST- 2023/03/04 06:00 [pubmed] PHST- 2023/03/04 06:01 [medline] PHST- 2023/01/01 00:00 [pmc-release] AID - 10.3389/fcvm.2023.1057129 [doi] PST - epublish SO - Front Cardiovasc Med. 2023 Feb 14;10:1057129. doi: 10.3389/fcvm.2023.1057129. eCollection 2023.