Geert Kleinnibbelink

Cardiac Remodelling in Olympic Athletes 4 103 10 0 35 30 25 20 15 -5 -10 -15 -20 -25 -30 5 Baseline systolic Baseline diastolic Follow-up systolic Follow-up diastolic RV area (cm 2 ) RV longitudinal strain (%) 10 0 35 30 25 20 15 -5 -10 -15 -20 -25 -30 5 Baseline systolic Baseline diastolic Follow-up systolic Follow-up diastolic Baseline systolic Baseline diastolic Follow-up systolic Follow-up diastolic 40 0 180 140 120 80 60 -5 -10 -15 -20 -25 5 100 160 Baseline systolic Baseline diastolic Follow-up systolic Follow-up diastolic 40 0 160 140 100 80 60 -5 -10 -15 -20 -25 5 120 LV longitudinal strain (%) A) B) LV volume (ml) RV longitudinal strain (%) RV area (cm 2 ) LV volume (ml) LV longitudinal strain (%) Females Females Males Males Figure 2 . A) Right and left ventricular strain-area/volume loop in elite rowers before (‘Pre Systolic’: blue lines, ‘Pre Diastolic’: blue dotted lines) and after (‘Post Systolic’: red lines, ‘Post Diastolic’: red dotted lines) a 9-month training period. B) Strain-volume/area loops distributed to sex.