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June 12, 2026European Journal of Preventive CardiologyOpen Access

Athletes with lower left ventricular efficiency were significantly older (40.92±9.30 vs 34.17±9.35 years, p=0.042) and exhibited reduced right ventricular-arterial coupling (RV FWS/PASP -1.11±0.65 vs -1.73±0.92, p=0.036) and higher pulse wave velocity (6.38±0.66 vs 5.68±0.74 m/s, p=0.011) despite similar exercise performance.

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Population

25 endurance athletes

Design

Cross-sectional

Authors

LFL FavaratoTGT Della GiustinaMCM Cittar

Discussion

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Overview

Age may reduce LV efficiency in endurance athletes; leaves open whether this is adaptive or warrants age-adjusted norms.

Key Points

  • The study aims to assess heart structural and functional adaptations related to left ventricular performance and right ventricular-arterial coupling in endurance athletes.
  • 25 endurance athletes underwent clinical evaluation and comprehensive echocardiography.
  • Participants divided into two groups based on cardiac contraction efficiency using global work efficiency and waste analysis.
  • Statistical analysis performed using unpaired t-tests with a significance level of P < 0.05.
  • Group 1 had lower efficiency and higher work waste compared to Group 2.
  • Significant differences in age (Group 1: 40.92 years, Group 2: 34.17 years, p=0.042) and pulse wave velocity (6.38 m/s vs 5.68 m/s, p=0.011) between groups.
  • Group 1 showed reduced right ventricular-arterial coupling and lower right ventricular strain metrics.

Structured PICO

P
Population
25 endurance athletes
O
Outcome
Heart structural and functional adaptation according to left ventricular performance and right ventricular-arterial couplingsurrogate

In endurance athletes, older age is associated with lower left ventricular efficiency, increased arterial stiffness, and reduced right ventricular-arterial coupling despite preserved exercise capacity.

Cite This Study

Favarato et al. (2026) studied this question.

synapsesocial.com/papers/6a2bd1386550ea4541ffe9a9https://doi.org/10.1093/eurjpc/zwag249.363
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Also Consider

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  1. 1Sex differences in cardiac adaptation and training patterns in elite cyclists2026
  2. 2Cardiac structure and systolic function in resistance-trained athletes versus untrained male adults2025
  3. 3Myocardial Work’s Impact in the Evaluation of Advanced Heart Failure2025
  4. 4Cardiovascular magnetic resonance to differentiate veteran athlete’s heart with cavity dilatation and mild dilated cardiomyopathy2025 · 4 citations
  5. 5Left ventricular hypertrophy and myocardial work in amateur marathon runners2025