Left ventricular geometric sportsmen power sports heavyweight with arterial hypertension

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Abstract

Aim. To conduct a comparative analysis of the geometry of the left ventricle (LV) at sportsmen heavyweight power sports with hypertension.

Material and methods. We examined 238 representatives of power sports (weightlifting, powerlifting, bodybuilding) with an average body weight of 102.7±6.4 kg and arterial blood pressure at rest: systolic blood pressure – 157.4±5,6, diastolic blood pressure – 91.2±5.3. Along with the examination, all examined athletes underwent: bioimpedansometry, standard resting electrocardiogram, two-fold measurement of blood pressure, transthoracic echocardiography.

Results. A survey of 238 weightlifting athletes of heavy weight categories with arterial hypertension showed an increased fat component in powerlifters (SAT 31.8±3.3%; BMI 34.4±1.3 kg/m2; Fat Mass Index 10.9±1,1 kg/m2; Fat-to-Muscle Ratio 0.5±0.1) and a sufficiently large muscle component: bodybuilding Fat Free Mass Index (FFMI) 26.9±2.1 kg/m2; powerlifting FFMI 23.5±1.6 kg/m2 and weightlifting FFMI 23.7±1.8 kg/m2. The examination also showed a violation of the geometry of the LV. For athlete powerlifters, the following LV parameters were noted: LVMM 270.2±28.7 g; LVMI 123.7±7.9 g/m2; RWTLV 0.46±0.03 sm. For representatives of weightlifting; LVMM 267.8±32.3 g; LVMI 121.4±8.6 g/m2; RWTLV 0.45±0.02 sm. For bodybuilder athletes: LVMM 271.4±18.9 g; LVMI 120.1±6.3 g/m2; RWTLV 0.30±0.01 sm.

Conclusion. Thus, the patterns obtained in relation to the geometry of the heart of athletes of power sports, heavy weight categories with arterial hypertension, can serve as a scientific basis for the formation of some aspects of the preventive program of physical rehabilitation with a priority focus on “risk groups” in such men.

About the authors

Alexander B. Miroshnikov

Russian State University of Physical Culture, Sports, Youth and Tourism

Author for correspondence.
Email: benedikt116@mail.ru

Cand. Sci. (Med.), Russian State University of Physical Culture, Sports, Youth and Tourism

Russian Federation, Moscow

Andrey V. Smolensky

Russian State University of Physical Culture, Sports, Youth and Tourism

Email: benedikt116@mail.ru

D. Sci. (Med.), Prof., Russian State University of Physical Culture, Sports, Youth and Tourism

Russian Federation, Moscow

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2. Comparative characteristics of LV geometry in athletes with CBC in heavy weight categories with AH: a - normal geometry; b - concentric hypertrophy: weightlifting and powerlifting; c - eccentric hypertrophy: bodybuilding.

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