Nonsymmetric Myocardial Contribution to Supranormal Right Ventricular Function in the Athlete's Heart: Combined Assessment by Speckle Tracking and Real Time Three-Dimensional Echocardiography

Autor: F.E.S.C. Maurizio Galderisi M.D., Vincenzo Schiano-Lomoriello, Roberta Esposito, Daniela De Palma, Matteo Cameli, Alessandro Santoro, Sergio Mondillo, Renato Ippolito, F.A.C.C. Giovanni De Simone M.D., Riccardo Muscariello, Germano Guerra, Ciro Santoro
Přispěvatelé: Esposito, Roberta, Galderisi, Maurizio, SCHIANO LOMORIELLO, Vincenzo, Santoro, Alessandro, DE PALMA, Daniela, Ippolito, Renato, Muscariello, R, Santoro, Ciro, Guerra, G, Cameli, M, Mondillo, S, DE SIMONE, Giovanni
Rok vydání: 2013
Předmět:
Adult
Male
medicine.medical_specialty
Right Ventricular chamber
Ventricular Dysfunction
Right
Echocardiography
Three-Dimensional
Speckle tracking echocardiography
right ventricle
Doppler echocardiography
Multimodal Imaging
Sensitivity and Specificity
athlete's heart
longitudinal strain
speckle tracking echocardiography
three-dimensional echocardiography
Elastic Modulus
Internal medicine
Heart rate
Humans
Medicine
Radiology
Nuclear Medicine and imaging
Cardiomegaly
Exercise-Induced
Lateral strain
Ejection fraction
medicine.diagnostic_test
business.industry
Reproducibility of Results
Stroke volume
Preload
Blood pressure
Echocardiography
Athlete's Heart
Ventricular Function
Right
cardiovascular system
Cardiology
Elasticity Imaging Techniques
Stress
Mechanical
Shear Strength
Cardiology and Cardiovascular Medicine
business
Sports
Zdroj: Echocardiography. 31:996-1004
ISSN: 0742-2822
Popis: Purpose To investigate determinants of right ventricular (RV) function in competitive athletes by a combined assessment of speckle tracking (STE) and real time 3D echocardiography (RT3DE). Methods Right ventricular function of 40 top-level rowers was compared to 43 sedentary normal controls by standard Doppler echocardiography, RT3DE, and STE. RV diameters and wall thickness, tricuspid annular plane systolic excursion (TAPSE), tricuspid E/A ratio, and pulsed tissue Doppler of lateral tricuspid annulus were analyzed. RV volumes, ejection fraction (EF), and stroke volume (SV) were determined. RV global longitudinal strain (GLS) (average of 6 regions), septal strain (average of 3 septal regions, septal longitudinal strain [SLS]), and lateral strain (average of 3 lateral regions, lateral longitudinal strain [LLS]) were estimated by STE. Results The 2 groups were comparable for age, body mass index, and blood pressure, but heart rate was lower in rowers. RV diameters were larger and TAPSE, tricuspid E/A ratio, and tissue Doppler-derived s′ and e′ velocities were higher in rowers. By RT3DE, RV end-diastolic volume (EDV) and end-systolic volume were greater in rowers (both P
Databáze: OpenAIRE
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