Cardiovascular function and the veteran athlete

The cardiovascular benefits of exercise are well known. In contrast, the impact of lifelong endurance exercise is less well understood. Long-term high-intensity endurance exercise is associated with changes in cardiac morphology together with electrocardiographic alterations that are believed to be...

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Bibliographic Details
Published in:European journal of applied physiology 2010-10, Vol.110 (3), p.459-478
Main Authors: Wilson, M., O’Hanlon, R., Basavarajaiah, S., George, K., Green, D., Ainslie, P., Sharma, S., Prasad, S., Murrell, C., Thijssen, D., Nevill, A., Whyte, G.
Format: Article
Language:English
Subjects:
Age
Aged
Aging
Aging - physiology
Athletes
Biological and medical sciences
Biomedical and Life Sciences
Biomedicine
Cardiac arrhythmia
Cardiovascular disease
Cardiovascular Physiological Phenomena
Cardiovascular system
Cardiovascular System - anatomy & histology
Cardiovascular System - pathology
Cardiovascular System - physiopathology
Endurance
Exercise
Female
Fundamental and applied biological sciences. Psychology
Human Physiology
Humans
Male
Middle Aged
Morphology
Occupational Medicine/Industrial Medicine
Physical fitness
Review Article
Sports Medicine
Vertebrates: body movement. Posture. Locomotion. Flight. Swimming. Physical exercise. Rest. Sports
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Summary:The cardiovascular benefits of exercise are well known. In contrast, the impact of lifelong endurance exercise is less well understood. Long-term high-intensity endurance exercise is associated with changes in cardiac morphology together with electrocardiographic alterations that are believed to be physiologic in nature. Recent data however has suggested a number of deleterious adaptive changes in cardiac structure, function and electrical activity, together with peripheral and cerebral vascular structure and function. This review serves to detail knowledge in relation to; (1) Cardiac structure and function in veteran endurance athletes focusing on the differentiation of physiological and pathological changes in cardiac remodelling; (2) Cardiac electrical activity and the veteran endurance athlete with attention to arrhythmias, the substrate for arrhythmia generation and the clinical significance of such arrhythmias; (3) Peripheral and cerebral vascular structure and function in ageing and endurance-trained individuals; and (4) directions for future research.
ISSN:1439-6319
1439-6327
DOI:10.1007/s00421-010-1534-3