Speckle tracking evaluation in endurance athletes: the 'optimal' myocardial work
| Autor: | Vincenzo Evola, Giulia Elena Mandoli, Antonello D'Andrea, Ciro Santoro, Flavio D'Ascenzi, Matteo Cameli, Andreina Carbone, Eduardo Bossone, Juri Radmilovic, Maurizio Galderisi, Francesco Bandera |
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| Přispěvatelé: | D'Andrea, A., Radmilovic, J., Carbone, A., Mandoli, G. E., Santoro, C., Evola, V., Bandera, F., D'Ascenzi, F., Bossone, E., Galderisi, M., Cameli, M. |
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
Time Factors Predictive Value of Test 030204 cardiovascular system & hematology Ventricular Function Left Heart Ventricle Endurance athlete 0302 clinical medicine Eccentric 030212 general & internal medicine Prospective Studies Myocardial work Observer Variation Ejection fraction Two-dimensional strain Exercise Tolerance biology Ventricular Remodeling Tinea Pedi Echocardiography Doppler medicine.anatomical_structure Cardiology Endurance athletes Female Cardiology and Cardiovascular Medicine Case-Control Studie Echocardiography Stress Human Adult medicine.medical_specialty Time Factor Heart Ventricles Reproducibility of Result 03 medical and health sciences Athlete Endurance training Predictive Value of Tests Internal medicine Echocardiography Stre medicine Stress Echocardiography Humans Radiology Nuclear Medicine and imaging Exertion Athletes business.industry Reproducibility of Results Tinea Pedis Contractile reserve Stroke Volume biology.organism_classification Myocardial Contraction Stress echocardiography Prospective Studie Blood pressure Ventricle Case-Control Studies Exercise Test Physical Endurance business |
| Popis: | To analyze left ventricular myocardial deformation and contractile reserve in endurance athletes at rest and during exercise, and their possible correlations with functional capacity. The athlete’s heart in endurance training is characterized by physiologic eccentric remodeling, with left ventricle adaptation at rest and echocardiographic parameters at low end of normality. Assessment of left ventricle systolic function and contractile reserve has an important role in the decision-making and in differential diagnosis with cardiomyopathies. Standard echo, lung ultrasound, left ventricle 2D speckle-tracking strain and myocardial work were performed at rest and during exercise in endurance athletes and in age- and sex-comparable healthy controls. 350 endurance athletes (male sex 58.5%; 31.6 ± 4.2 years) and 150 healthy controls were enrolled. Left ventricular ejection fraction at baseline was comparable between the two groups. Resting left ventricular global longitudinal strain was reduced in endurance athletes (− 18.4 ± 2.6% vs. − 22.4 ± 3.3% in controls; p |
| Databáze: | OpenAIRE |
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