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Martinez VCorresponding AuthorLa Garza MsAuthorGrazioli GAuthorBijnens, BhAuthorSitges MAuthor

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February 25, 2019
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Cardiac performance after an endurance open water swimming race

Publicated to:European Journal Of Applied Physiology. 119 (4): 961-970 - 2019-04-01 119(4), DOI: 10.1007/s00421-019-04085-x

Authors: Martinez, Vanessa; Sanz-de la Garza, Maria; Grazioli, Gonzalo; Bijnens, Bart H; Trape, Jaume; Garcia, Gloria; Corzan, Pilar; Clemente, Angels; Gonzalez, Barbara; Sitges, Marta

Affiliations

Cardiovascular Institute, Hospital Clinic, IDIBAPS, University of Barcelona, Barcelona, Spain - Author
Department of cardiology, Fundació Althaia, Xarxa Assistencial Universitaria de Manresa, Dr Joan Soler 1-3, 08243, Manresa, Barcelona, Spain - Author
Department of Laboratory Medicine, Fundació Althaia, Xarxa Assistencial Universitaria de Manresa, Manresa, Barcelona, Spain - Author
ICREA, Universitat Pompeu Fabra, Barcelona, Spain - Author
Univ Barcelona, Hosp Clin, IDIBAPS, Cardiovasc Inst, Barcelona, Spain - Author
Univ Pompeu Fabra, ICREA, Barcelona, Spain - Author
Xarxa Assistencial Univ Manresa, Fundacio Althaia, Dept Cardiol, Dr Joan Soler 1-3, Barcelona 08243, Spain - Author
Xarxa Assistencial Univ Manresa, Fundacio Althaia, Dept Lab Med, Barcelona, Spain - Author
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Abstract

Endurance exercise competitions have shown a transient negative effect on global right ventricular (RV) performance. Most published studies are based on terrestrial sports. The aim of our study was to evaluate the cardiac effects after an open water swimming race.We evaluated 33 healthy swimmers (mean age 40.9 ± 7.2) participating in a 9.5 km open water swimming race. All subjects underwent a standard transthoracic echocardiography including an evaluation of dimensions and myocardial ventricular deformation. Echocardiography was performed 24 h before and within the first hour of arrival at the finish line. Cardiac troponin I (cTn I), NT-ProBNP and leukocytes were also evaluated.No changes in left ventricle (LV) ejection fraction or LV global longitudinal strain were observed. A significant increase in RV end-diastolic area (RVEDA) was noted after the race (RVEDA at baseline 15.12 ± 1.86; RVEDA after race 16.06 ± 2.27, p < 0.05), but no changes were seen in RV fractional area change or RV global longitudinal strain. Cardiac biomarkers and leukocytes significantly increased. No association was detected between the increase in cTn I or NT-proBNP and the RV acute dilatation or LV performance. A significant association was observed between cTn I and leukocytes (r = 0.375, p < 0.05).An acute RV dilatation but without an impairment in RV deformation was observed after participating in an endurance swimming race. The correlation between the increase in cTn I and leukocytes, but not with ventricular performance, may support the hypothesis of an exercise-induced increase in myocardial sarcolemmal permeability due to an inflammatory response rather than myocardial injury.

Keywords

arrhythmiascapacitycardiac performancedeformationendurance swimmingexerciseheartlungrecommendationsright ventricle remodellingtroponin-t releaseAdolescentAdultAthletesCardiac performanceEchocardiographyEndurance swimmingFemaleHeart ventriclesHumansMaleMiddle agedMyocardiumPhysical enduranceRight ventricle remodellingRight-ventricular dysfunctionStroke volumeSwimmingVentricular function, leftVentricular function, rightWaterYoung adult

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal European Journal Of Applied Physiology due to its progression and the good impact it has achieved in recent years, according to the agency Scopus (SJR), it has become a reference in its field. In the year of publication of the work, 2019, it was in position , thus managing to position itself as a Q1 (Primer Cuartil), in the category Orthopedics and Sports Medicine.

From a relative perspective, and based on the normalized impact indicator calculated from the Field Citation Ratio (FCR) of the Dimensions source, it yields a value of: 3.67, which indicates that, compared to works in the same discipline and in the same year of publication, it ranks as a work cited above average. (source consulted: Dimensions Aug 2025)

Specifically, and according to different indexing agencies, this work has accumulated citations as of 2025-08-02, the following number of citations:

  • WoS: 9
  • Scopus: 12
  • Europe PMC: 6
  • Google Scholar: 18

Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-08-02:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 66.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 69 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 2.35.
  • The number of mentions on the social network X (formerly Twitter): 4 (Altmetric).

Leadership analysis of institutional authors

There is a significant leadership presence as some of the institution’s authors appear as the first or last signer, detailed as follows: First Author (Martinez, Vanesa Gabriela) and Last Author (Sitges Carreño, Marta).

the author responsible for correspondence tasks has been Martinez, Vanesa Gabriela.