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Artery Research

In Press, Corrected Proof, Available Online: 12 December 2020

Radial Pulse Wave Analysis in Young Male Elite Athletes

Authors
Fernando Clara1, 3, *, ORCID, José Alfie2, Gustavo Blanco1, Cecilia Resina1, Meschino Gustavo3, ORCID, Mariana Fita1
1Unidad Cardiometabólica, Centro de Especialidades Médicas Ambulatorias (CEMA), Mar del Plata, Argentina
2Unidad de Hipertensión Arterial, Servicio de Clínica Médica, Hospital Italiano de Buenos Aires, Argentina
3Instituto de Investigaciones Científicas y Tecnológicas en Electrónica, Universidad Nacional de Mar del Plata/ CONICET, Argentina
*Corresponding author. Email: fermclar@gmail.com
Corresponding Author
Fernando Clara
Received 18 February 2020, Accepted 23 November 2020, Available Online 12 December 2020.
DOI
https://doi.org/10.2991/artres.k.201208.001How to use a DOI?
Keywords
Augmentation index, central pressure, pulse wave velocity, pulse pressure, diastolic amplitude
Abstract

Background: Indicators obtained from the analysis of the radial pulse wave allow an indirect evaluation of the interaction between cardiac ejection and arterial walls.

Objectives: To analyze the characteristics of the arterial pulse in young elite athletes through a cross-sectional observational study.

Methods: We evaluated the radial pulse wave in 35 high performance young male athletes, who practice various sports, comparing them with 36 healthy men of similar ages, using the applanation tonometry technique. We computed conventional indicators of central increase in central pressure and aortic propagation velocity, and added two new indicators: the slope of the increase in radial pressure and the amplitude of the oscillatory component during diastole.

Results: In relation to controls, athletes exhibited lower heart rate (61.6 ± 9.1 vs. 71.4 ± 10.6 bpm, p < 0.001), lower pulse wave velocity (7.0 ± 1.0 vs. 7.5 ± 0.8 m/s, p < 0.001), lower diastolic blood pressure (67.6 ± 8.2 vs. 78.5 ± 7.3 mmHg, p < 0.001) and higher brachial pulse pressure (53.6 ± 8.3 vs. 46.7 ± 7.1 mmHg, p < 0.001). The systolic slope (0.70 ± 0.15 vs. 0.59 ± 0.13 mmHg/ms, p < 0.001) and the amplitude of diastolic oscillation (25.7 ± 6.4 vs. 18.4 ± 4.7%, p < 0.001) were significantly higher in athletes than in controls.

Conclusion: Young athlete presented low aortic velocity, but significantly higher systolic slope and diastolic oscillation amplitude than controls. The steeper systolic slope and the lower diastolic blood pressure could underlie a higher stroke volume and a lower peripheral resistance respectively. The greater diastolic oscillation could be the consequence of the eccentric remodeling and increased compliance of the distal arteries, in response to intense training. We propose new pulse wave parameters obtained from the analysis of the radial waveform for the assessment of the cardiovascular adaptation to intense training.

HIGHLIGHTS
  • Pulse wave contour of athletes is characterized by a steeper pressure slope and greater diastolic oscillation.

  • In contrast, traditional tonometric indicators did not differ significantly between athletes and controls.

  • The cardiovascular adaptation to high performance training could be evaluated by pulse wave analysis.

Copyright
© 2020 Association for Research into Arterial Structure and Physiology. Publishing services by Atlantis Press International B.V.
Open Access
This is an open access article distributed under the CC BY-NC 4.0 license (http://creativecommons.org/licenses/by-nc/4.0/).

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Journal
Artery Research
Publication Date
2020/12
ISSN (Online)
1876-4401
ISSN (Print)
1872-9312
DOI
https://doi.org/10.2991/artres.k.201208.001How to use a DOI?
Copyright
© 2020 Association for Research into Arterial Structure and Physiology. Publishing services by Atlantis Press International B.V.
Open Access
This is an open access article distributed under the CC BY-NC 4.0 license (http://creativecommons.org/licenses/by-nc/4.0/).

Cite this article

TY  - JOUR
AU  - Fernando Clara
AU  - José Alfie
AU  - Gustavo Blanco
AU  - Cecilia Resina
AU  - Meschino Gustavo
AU  - Mariana Fita
PY  - 2020
DA  - 2020/12
TI  - Radial Pulse Wave Analysis in Young Male Elite Athletes
JO  - Artery Research
SN  - 1876-4401
UR  - https://doi.org/10.2991/artres.k.201208.001
DO  - https://doi.org/10.2991/artres.k.201208.001
ID  - Clara2020
ER  -