Increased myocardial mass and attenuation of myocardial strain in professional male soccer players and competitive male triathletes
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Increased myocardial mass and attenuation of myocardial strain in professional male soccer players and competitive male triathletes. / Starekova, Jitka; Thottakara, Tilo; Lund, Gunnar K; Welsch, Götz H; Brunner, Fabian J; Muellerleile, Kai; Adam, Gerhard; Regier, Marc; Tahir, Enver.
In: INT J CARDIOVAS IMAG, Vol. 36, No. 11, 11.2020, p. 2187-2197.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Increased myocardial mass and attenuation of myocardial strain in professional male soccer players and competitive male triathletes
AU - Starekova, Jitka
AU - Thottakara, Tilo
AU - Lund, Gunnar K
AU - Welsch, Götz H
AU - Brunner, Fabian J
AU - Muellerleile, Kai
AU - Adam, Gerhard
AU - Regier, Marc
AU - Tahir, Enver
PY - 2020/11
Y1 - 2020/11
N2 - The purpose of this prospective study was to analyze the relationship between ventricular morphology and parameters of cardiac function in two different athletic groups and controls, using feature tracking cardiac magnetic resonance (FT-CMR). Twenty-three professional soccer players (22 ± 4 years), 19 competitive triathletes (28 ± 6 years) and 16 controls (26 ± 3 years) were included in the study. CMR was performed using a 1.5 T scanner. Cardiac chamber volumes, mass and biventricular global myocardial strain were obtained and compared. In comparison to the control subjects, athletes were characterized by a higher cardiac volume (p < 0.0001), higher cardiac mass (p < 0.001), reduced longitudinal strain of the left and right ventricle (p < 0.05 and p < 0.01 respectively) and reduced left ventricular radial strain (p < 0.05). Soccer players revealed higher amounts of left ventricular mass (87 ± 15 vs. 75 ± 13 g/m2, p < 0.05) than triathletes. Moreover, they showed a greater decrease in left and right ventricular longitudinal strain (p < 0.05 and p < 0.05) as well as in radial left ventricular strain (p < 0.05) in comparison to triathletes. An increase in left ventricular mass correlated significantly with a decrease in longitudinal (r = 0.47, p < 0.001) and radial (r = - 0.28, p < 0.05) strain. In athletes, attenuation of strain values is associated with cardiac hypertrophy and differ between soccer players and triathletes. Further studies are needed to investigate whether it is an adaptive or maladaptive change of the heart induced by intense athletic training.
AB - The purpose of this prospective study was to analyze the relationship between ventricular morphology and parameters of cardiac function in two different athletic groups and controls, using feature tracking cardiac magnetic resonance (FT-CMR). Twenty-three professional soccer players (22 ± 4 years), 19 competitive triathletes (28 ± 6 years) and 16 controls (26 ± 3 years) were included in the study. CMR was performed using a 1.5 T scanner. Cardiac chamber volumes, mass and biventricular global myocardial strain were obtained and compared. In comparison to the control subjects, athletes were characterized by a higher cardiac volume (p < 0.0001), higher cardiac mass (p < 0.001), reduced longitudinal strain of the left and right ventricle (p < 0.05 and p < 0.01 respectively) and reduced left ventricular radial strain (p < 0.05). Soccer players revealed higher amounts of left ventricular mass (87 ± 15 vs. 75 ± 13 g/m2, p < 0.05) than triathletes. Moreover, they showed a greater decrease in left and right ventricular longitudinal strain (p < 0.05 and p < 0.05) as well as in radial left ventricular strain (p < 0.05) in comparison to triathletes. An increase in left ventricular mass correlated significantly with a decrease in longitudinal (r = 0.47, p < 0.001) and radial (r = - 0.28, p < 0.05) strain. In athletes, attenuation of strain values is associated with cardiac hypertrophy and differ between soccer players and triathletes. Further studies are needed to investigate whether it is an adaptive or maladaptive change of the heart induced by intense athletic training.
KW - Adolescent
KW - Adult
KW - Athletes
KW - Bicycling
KW - Cardiomegaly, Exercise-Induced
KW - Case-Control Studies
KW - Competitive Behavior
KW - Heart Ventricles/diagnostic imaging
KW - Humans
KW - Magnetic Resonance Imaging, Cine
KW - Male
KW - Myocardial Contraction
KW - Predictive Value of Tests
KW - Prospective Studies
KW - Running
KW - Soccer
KW - Swimming
KW - Ventricular Function, Left
KW - Ventricular Function, Right
KW - Ventricular Remodeling
KW - Young Adult
U2 - 10.1007/s10554-020-01918-1
DO - 10.1007/s10554-020-01918-1
M3 - SCORING: Journal article
C2 - 32564331
VL - 36
SP - 2187
EP - 2197
JO - INT J CARDIOVAS IMAG
JF - INT J CARDIOVAS IMAG
SN - 1569-5794
IS - 11
ER -
