Do endurance athletes have altered left ventricular pressure-volume relations compared to nonathletes?
The increased ventricular compliance in endurance athletes places them on the steep portion of the Starling curve, potentially providing a mechanical, nonautonomic explanation for orthostatic intolerance.
Endurance athletes have greater ventricular diastolic chamber compliance and distensibility than nonathletes and thus operate on the steep portion of their Starling curve. This may be a mechanical, nonautonomic cause of orthostatic intolerance.
Levine et al. (Sun,) studied this question.