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   <subfield code="a">Long-term follow-up of former world-class swimmers: evaluation of cardiovascular function</subfield>
   <subfield code="h">[Elektronische Daten]</subfield>
   <subfield code="c">[Christian Knackstedt, Klaus Schmidt, Lukas Syrocki, Andreas Lang, Birna Bjarnason-Wehrens, Ursula Hildebrandt, Hans-Georg Predel]</subfield>
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   <subfield code="a">There is some evidence that long-term high-intensity endurance training might be associated with deterioration in cardiac function and might impose a potential risk for cardiovascular events. Thus, the intention was to retrospectively evaluate the cardiac status in former endurance athletes, particularly right ventricular (RV) dimension and function, to reveal potential cardiac damage. A group of 12 former world-class swimmers (45±1.5years) was examined 24.9±4.3years after cessation of high-intensity endurance training. They underwent history taking, physical examination, ECG, exercise testing and echocardiography. Furthermore, functional and echocardiography data that were also available from former evaluations were included in the analysis. There was a significant decline in exercise capacity. LV function was normal with a decrease in septal thickness to 9.1±1.3 (p&lt;0.05) and LV diastolic diameter to 48.9±5.6 (p&lt;0.05). Still, there was a remaining septal hypertrophy. RV function was 55.3±4.2% and there were normal RV dimensions adjusted for body surface area. 25years after the cessation of endurance training there was a normal RV and LV function with a normalization of almost all diameters, still there was a mild LV hypertrophy in some athletes. Consequently, no relevant long-term cardiac remodeling after intensive endurance training was depicted in this group of athletes.</subfield>
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   <subfield code="a">Springer Japan, 2014</subfield>
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   <subfield code="a">Elite athlete</subfield>
   <subfield code="2">nationallicence</subfield>
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   <subfield code="a">Athlete's heart</subfield>
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   <subfield code="a">Long-term follow-up</subfield>
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   <subfield code="a">Cardiovascular function</subfield>
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   <subfield code="a">BSA : Body surface area</subfield>
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   <subfield code="a">DF : Diastolic function</subfield>
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   <subfield code="a">LV : Left ventricle</subfield>
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   <subfield code="a">n.s. : Non-significant</subfield>
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   <subfield code="a">RA : Right atrial</subfield>
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   <subfield code="a">RV : Right ventricle</subfield>
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   <subfield code="a">VO2peak : Peak oxygen consumption</subfield>
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   <subfield code="a">2D : Two dimensional</subfield>
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   <subfield code="a">Knackstedt</subfield>
   <subfield code="D">Christian</subfield>
   <subfield code="u">Department of Cardiology, Maastricht University Medical Center, PO Box 5800, 6202 AZ, Maastricht, The Netherlands</subfield>
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   <subfield code="a">Schmidt</subfield>
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   <subfield code="u">Institute of Cardiology and Sports Medicine, German Sport University, Cologne, Germany</subfield>
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   <subfield code="a">Syrocki</subfield>
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   <subfield code="u">Institute of Cardiology and Sports Medicine, German Sport University, Cologne, Germany</subfield>
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   <subfield code="a">Predel</subfield>
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   <subfield code="t">Heart and Vessels</subfield>
   <subfield code="d">Springer Japan</subfield>
   <subfield code="g">30/3(2015-05-01), 369-378</subfield>
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   <subfield code="a">Metadata rights reserved</subfield>
   <subfield code="b">Springer special CC-BY-NC licence</subfield>
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