Effects of Exercise in Volume Overload: Insights from a Model of Aortic Regurgitation

Aortic valve regurgitation (AR) imposes a pathologic volume overload to the left ventricle (LV), whereas aerobic exercise causes physiologic volume overloading. The impact of combining both LV volume overloads (pathologic and physiologic) is unknown. Considering the known beneficial effects of aerob...

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Veröffentlicht in:Medicine and science in sports and exercise 2009-06, Vol.41 (6), p.1230-1238
Hauptverfasser: LACHANCE, Dominic, CHAMPETIER, Serge, PLANTE, Eric, BOUCHARD-THOMASSIN, Andrée-Anne, ROUSSEL, Elise, COUET, Jacques, ARSENAULT, Marie
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container_end_page 1238
container_issue 6
container_start_page 1230
container_title Medicine and science in sports and exercise
container_volume 41
creator LACHANCE, Dominic
CHAMPETIER, Serge
PLANTE, Eric
BOUCHARD-THOMASSIN, Andrée-Anne
ROUSSEL, Elise
COUET, Jacques
ARSENAULT, Marie
description Aortic valve regurgitation (AR) imposes a pathologic volume overload to the left ventricle (LV), whereas aerobic exercise causes physiologic volume overloading. The impact of combining both LV volume overloads (pathologic and physiologic) is unknown. Considering the known beneficial effects of aerobic training on the cardiovascular system, we hypothesized that the positive effects would outweigh the negative ones and that exercise would improve the tolerance of the LV to AR. Forty female adult Wistar rats were randomly divided in the following groups: 1) sham sedentary (SS), 2) sham trained (ST), 3) AR sedentary (ARS), and 4) AR trained (ART). Training consisted in treadmill running for 30 min five times per week at 20 m x s(-1) for 24 wk. In vivo follow-up was made by echocardiography and invasive intracardiac pressure measurements. Hearts were harvested for tissue analysis. Echocardiography revealed less LV dilation and hypertrophy in ART versus ARS as well as improved myocardial performance index. LV ejection fractions remained similar and within normal range in ART versus ARS. Invasive cardiac pressures yielded improved dP/dt- in ART versus ARS but similar dP/dt+. beta(1)-Adrenergic receptor mRNA expression was improved in the ART group versus ARS. Our data suggest that a moderate aerobic exercise program helps minimize LV dilation and hypertrophy and improves diastolic cardiac performance in heart submitted to chronic volume overload due to severe aortic valve regurgitation in this animal model.
doi_str_mv 10.1249/MSS.0b013e318195b938
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Invasive cardiac pressures yielded improved dP/dt- in ART versus ARS but similar dP/dt+. beta(1)-Adrenergic receptor mRNA expression was improved in the ART group versus ARS. 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source MEDLINE; Journals@Ovid LWW Legacy Archive; Journals@Ovid Complete
subjects Animals
Aortic Valve Insufficiency - diagnostic imaging
Aortic Valve Insufficiency - physiopathology
Aortic Valve Insufficiency - prevention & control
Biological and medical sciences
Cardiomyopathy, Hypertrophic - diagnostic imaging
Cardiomyopathy, Hypertrophic - physiopathology
Cardiomyopathy, Hypertrophic - prevention & control
Disease Models, Animal
Exercise Tolerance
Female
Fundamental and applied biological sciences. Psychology
Hemodynamics
Hypertrophy, Left Ventricular - diagnostic imaging
Hypertrophy, Left Ventricular - physiopathology
Hypertrophy, Left Ventricular - prevention & control
Rats
Space life sciences
Ultrasonography
Vertebrates: body movement. Posture. Locomotion. Flight. Swimming. Physical exercise. Rest. Sports
title Effects of Exercise in Volume Overload: Insights from a Model of Aortic Regurgitation
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