Echocardiographic deformation imaging reveals preserved regional systolic function in endurance athletes with left ventricular hypertrophy

Background Left ventricular hypertrophy (LVH) is often observed in athletes, which should be differentiated from hypertrophic cardiomyopathy. The aim of the study was to explore the functional changes measured using tissue Doppler imaging (TDI) deformation analysis in athletes fulfilling LVH criteri...

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Published in:British journal of sports medicine 2010-09, Vol.44 (12), p.872-878
Main Authors: Teske, A J, Prakken, N H, De Boeck, B W, Velthuis, B K, Doevendans, P A, Cramer, M J
Format: Article
Language:English
Subjects:
Adolescent
Adult
Age
Athletes
Cardiovascular disease
Case-Control Studies
Echocardiography
Electrocardiography
Female
Heart
Heart failure
Humans
Hypertension
Hypertrophy, Left Ventricular - diagnostic imaging
Hypertrophy, Left Ventricular - physiopathology
Male
Morphology
Physical Endurance - physiology
Physiology
Population
Sports - physiology
Sports medicine
Studies
Systole
Ultrasonic imaging
Values
Velocity
Ventricular Function, Left - physiology
Ventricular Remodeling - physiology
Young Adult
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cited_by cdi_FETCH-LOGICAL-b501t-e17fe29242aa8a7c58d172ab6a69452788b80c0fc275cf81065b40431b31b2da3
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container_title British journal of sports medicine
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creator Teske, A J
Prakken, N H
De Boeck, B W
Velthuis, B K
Doevendans, P A
Cramer, M J
description Background Left ventricular hypertrophy (LVH) is often observed in athletes, which should be differentiated from hypertrophic cardiomyopathy. The aim of the study was to explore the functional changes measured using tissue Doppler imaging (TDI) deformation analysis in athletes fulfilling LVH criteria participating in different endurance sports. Methods Healthy controls (n = 62, 58% men) and endurance athletes (n = 120, 62% men) aged 18–40 years were prospectively enrolled and underwent both standard echocardiography as well as TDI. Longitudinal TDI-derived strain and strain rate (SR) were calculated in the septal and posterior wall in three segments. LVH was defined as a left ventricular mass (LVM) over 132 g/m2 in men and over 109 g/m2 in women. Results Echocardiographic LVH was observed in 33 athletes (67% men). LVM was significantly increased in both athlete groups (102.6 g/m2 (SD 16.0) and 135.7 g/m2 (SD 15.9) vs 88.0 g/m2 (SD 16.5) in controls, p
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The aim of the study was to explore the functional changes measured using tissue Doppler imaging (TDI) deformation analysis in athletes fulfilling LVH criteria participating in different endurance sports. Methods Healthy controls (n = 62, 58% men) and endurance athletes (n = 120, 62% men) aged 18–40 years were prospectively enrolled and underwent both standard echocardiography as well as TDI. Longitudinal TDI-derived strain and strain rate (SR) were calculated in the septal and posterior wall in three segments. LVH was defined as a left ventricular mass (LVM) over 132 g/m2 in men and over 109 g/m2 in women. Results Echocardiographic LVH was observed in 33 athletes (67% men). LVM was significantly increased in both athlete groups (102.6 g/m2 (SD 16.0) and 135.7 g/m2 (SD 15.9) vs 88.0 g/m2 (SD 16.5) in controls, p&lt;0.001). Diastolic parameters were not significantly different between groups. Athletes with LVH showed no significant difference in strain and SR values in any segment of the septal or posterior wall compared with controls or those without LVH. A weak but significant correlation (also after multivariate analysis) was found for septal wall thickness and LVM in peak systolic strain (r = 0.26, p&lt;0.01 and 0.23, p&lt;0.01) and SR (r = 0.27, p&lt;0.01 and 0.29, p&lt;0.01). Nevertheless, strain and SR values were still within normal limits in all athletes. Conclusion Athletes with LVH overall show normal deformation values in the left ventricle. These data suggest that a moderate reduction in regional septal deformation should not be considered as pathological when evaluating the endurance athlete with echocardiographic LVH of unknown origin.</description><identifier>ISSN: 0306-3674</identifier><identifier>EISSN: 1473-0480</identifier><identifier>DOI: 10.1136/bjsm.2008.054346</identifier><identifier>PMID: 19136502</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine</publisher><subject>Adolescent ; Adult ; Age ; Athletes ; Cardiovascular disease ; Case-Control Studies ; Echocardiography ; Electrocardiography ; Female ; Heart ; Heart failure ; Humans ; Hypertension ; Hypertrophy, Left Ventricular - diagnostic imaging ; Hypertrophy, Left Ventricular - physiopathology ; Male ; Morphology ; Physical Endurance - physiology ; Physiology ; Population ; Sports - physiology ; Sports medicine ; Studies ; Systole ; Ultrasonic imaging ; Values ; Velocity ; Ventricular Function, Left - physiology ; Ventricular Remodeling - physiology ; Young Adult</subject><ispartof>British journal of sports medicine, 2010-09, Vol.44 (12), p.872-878</ispartof><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><rights>Copyright: 2010 Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><rights>Copyright BMJ Publishing Group Sep 2010</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b501t-e17fe29242aa8a7c58d172ab6a69452788b80c0fc275cf81065b40431b31b2da3</citedby><cites>FETCH-LOGICAL-b501t-e17fe29242aa8a7c58d172ab6a69452788b80c0fc275cf81065b40431b31b2da3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://bjsm.bmj.com/content/44/12/872.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttp://bjsm.bmj.com/content/44/12/872.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>112,113,314,780,784,3194,27924,27925,77594,77595</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19136502$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Teske, A J</creatorcontrib><creatorcontrib>Prakken, N H</creatorcontrib><creatorcontrib>De Boeck, B W</creatorcontrib><creatorcontrib>Velthuis, B K</creatorcontrib><creatorcontrib>Doevendans, P A</creatorcontrib><creatorcontrib>Cramer, M J</creatorcontrib><title>Echocardiographic deformation imaging reveals preserved regional systolic function in endurance athletes with left ventricular hypertrophy</title><title>British journal of sports medicine</title><addtitle>Br J Sports Med</addtitle><description>Background Left ventricular hypertrophy (LVH) is often observed in athletes, which should be differentiated from hypertrophic cardiomyopathy. The aim of the study was to explore the functional changes measured using tissue Doppler imaging (TDI) deformation analysis in athletes fulfilling LVH criteria participating in different endurance sports. Methods Healthy controls (n = 62, 58% men) and endurance athletes (n = 120, 62% men) aged 18–40 years were prospectively enrolled and underwent both standard echocardiography as well as TDI. Longitudinal TDI-derived strain and strain rate (SR) were calculated in the septal and posterior wall in three segments. LVH was defined as a left ventricular mass (LVM) over 132 g/m2 in men and over 109 g/m2 in women. Results Echocardiographic LVH was observed in 33 athletes (67% men). LVM was significantly increased in both athlete groups (102.6 g/m2 (SD 16.0) and 135.7 g/m2 (SD 15.9) vs 88.0 g/m2 (SD 16.5) in controls, p&lt;0.001). Diastolic parameters were not significantly different between groups. Athletes with LVH showed no significant difference in strain and SR values in any segment of the septal or posterior wall compared with controls or those without LVH. A weak but significant correlation (also after multivariate analysis) was found for septal wall thickness and LVM in peak systolic strain (r = 0.26, p&lt;0.01 and 0.23, p&lt;0.01) and SR (r = 0.27, p&lt;0.01 and 0.29, p&lt;0.01). Nevertheless, strain and SR values were still within normal limits in all athletes. Conclusion Athletes with LVH overall show normal deformation values in the left ventricle. 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The aim of the study was to explore the functional changes measured using tissue Doppler imaging (TDI) deformation analysis in athletes fulfilling LVH criteria participating in different endurance sports. Methods Healthy controls (n = 62, 58% men) and endurance athletes (n = 120, 62% men) aged 18–40 years were prospectively enrolled and underwent both standard echocardiography as well as TDI. Longitudinal TDI-derived strain and strain rate (SR) were calculated in the septal and posterior wall in three segments. LVH was defined as a left ventricular mass (LVM) over 132 g/m2 in men and over 109 g/m2 in women. Results Echocardiographic LVH was observed in 33 athletes (67% men). LVM was significantly increased in both athlete groups (102.6 g/m2 (SD 16.0) and 135.7 g/m2 (SD 15.9) vs 88.0 g/m2 (SD 16.5) in controls, p&lt;0.001). Diastolic parameters were not significantly different between groups. Athletes with LVH showed no significant difference in strain and SR values in any segment of the septal or posterior wall compared with controls or those without LVH. A weak but significant correlation (also after multivariate analysis) was found for septal wall thickness and LVM in peak systolic strain (r = 0.26, p&lt;0.01 and 0.23, p&lt;0.01) and SR (r = 0.27, p&lt;0.01 and 0.29, p&lt;0.01). Nevertheless, strain and SR values were still within normal limits in all athletes. Conclusion Athletes with LVH overall show normal deformation values in the left ventricle. These data suggest that a moderate reduction in regional septal deformation should not be considered as pathological when evaluating the endurance athlete with echocardiographic LVH of unknown origin.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine</pub><pmid>19136502</pmid><doi>10.1136/bjsm.2008.054346</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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source BMJ journals single titles
subjects Adolescent
Adult
Age
Athletes
Cardiovascular disease
Case-Control Studies
Echocardiography
Electrocardiography
Female
Heart
Heart failure
Humans
Hypertension
Hypertrophy, Left Ventricular - diagnostic imaging
Hypertrophy, Left Ventricular - physiopathology
Male
Morphology
Physical Endurance - physiology
Physiology
Population
Sports - physiology
Sports medicine
Studies
Systole
Ultrasonic imaging
Values
Velocity
Ventricular Function, Left - physiology
Ventricular Remodeling - physiology
Young Adult
title Echocardiographic deformation imaging reveals preserved regional systolic function in endurance athletes with left ventricular hypertrophy
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