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Updated: May 18, 2026

Evaluation of Left Ventricular Structure and Function using 3D Echocardiography
Published on: October 28, 2020
A systematic review of resting left ventricular systolic and diastolic function and adaptation in elite weightlifters
Hardev Dhamu1, Pete Malliaras, Richard Twycross-Lewis
1Centre for Sports & Exercise Medicine, William Harvey Research Institute, Queen Mary University of London, London E1 4DG, UK.
Background:
This review aims to establish what effect weightlifting has on the systolic and diastolic function of the left ventricular (LV).
Sources Of Data:
PubMed; ISI Web of Knowledge; Cochrane Library and Ovid Medline were searched in February 2012 to find literature on the effect of weightlifting on the LV cardiac function.
Areas Of Agreement:
Stroke volume, posterior wall thickness and ventricular filling time and rate were seen to increase. A decrease in the resting heart rate was seen.
Areas Of Controversy:
Blood pressure and LV morphological changes were equivocal.
Growing Points:
Weightlifting causes recognizable functional change to the LV, some of these changes may confer benefits such as improvements in the systolic function.
Areas Timely For Developing Research:
Discrepancies exist with regard to regional LV morphological change, as the evidence suggests the LV does not adapt in a homogenous manner. Attempts should be made to separate performance-enhancing drug users from those who compete drug free.
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