Right ventricular morphology and function in top-level athletes: A three-dimensional echocardiographic study

Journal of the American Society of Echocardiography

Volumn 25, Issue 12, 2012, Pages 1268-1276

  D'Andrea, Antonello ^a   Riegler, Lucia ^a   Morra, Salvatore ^a   Scarafile, Raffaella ^a   Salerno, Gemma ^a   Cocchia, Rosangela ^a   Golia, Enrica ^a   Martone, Francesca ^a   Di Salvo, Giovanni ^a   Limongelli, Giuseppe ^a   Pacileo, Giuseppe ^a   Bossone, Eduardo ^b   Calabrò, Raffaele ^a   Russo, Maria Giovanna ^a  

^a SECOND UNIVERSITY OF NAPLES   (Italy)

^b IRCCS POLICLINICO SAN DONATO   (Italy)

Author keywords

Athlete's heart; Doppler echocardiography; Endurance; Right ventricle; Three dimensional echocardiography; training

Indexed keywords

ADULT; ARTICLE; ATHLETE; BODY SURFACE; CONTROLLED STUDY; FEMALE; FUNCTIONAL MORPHOLOGY; HEART INDEX; HEART RATE; HEART RIGHT VENTRICLE ENDDIASTOLIC VOLUME; HEART RIGHT VENTRICLE ENDSYSTOLIC VOLUME; HEART RIGHT VENTRICLE FUNCTION; HEART RIGHT VENTRICLE VOLUME; HEART STROKE VOLUME; HUMAN; LUNG ARTERY PRESSURE; MALE; SYSTOLIC BLOOD PRESSURE; THREE DIMENSIONAL ECHOCARDIOGRAPHY; TWO DIMENSIONAL ECHOCARDIOGRAPHY;

ADOLESCENT; ADULT; BODY SIZE; ECHOCARDIOGRAPHY; FEMALE; HEART VENTRICLES; HUMANS; ITALY; MALE; ORGAN SIZE; REFERENCE VALUES; REPRODUCIBILITY OF RESULTS; SENSITIVITY AND SPECIFICITY; SEX FACTORS; SPORTS; YOUNG ADULT;

EID: 84870302500     PISSN: 08947317     EISSN: 10976795     Source Type: Journal    
DOI: 10.1016/j.echo.2012.07.020     Document Type: Article

References (48)

1. B.M. Pluim, A.H. Zwinderman, A. van der Laarse, and E.E. van der Wall The athlete's heart: a meta-analysis of cardiac structure and function Circulation 101 2000 336 344
2. L.G. Rudski, W.W. Lai, J. Afilalo, L. Hua, M.D. Handschumacher, and K. Chandrasekaran Guidelines for the echocardiographic assessment of the right heart in adults: a report from the American Society of Echocardiography endorsed by the European Association of Echocardiography, a registered branch of the European Society of Cardiology, and the Canadian Society of Echocardiography J Am Soc Echocardiogr 23 2010 685 713
3. A. Pelliccia, B.J. Maron, A. Spataro, M.A. Proschan, and P. Spirito The upper limit of physiologic cardiac hypertrophy in highly trained elite athletes N Engl J Med 324 1991 295 301
4. A. D'Andrea, G. Limongelli, P. Caso, B. Sarubbi, A. Della Pietra, and P. Brancaccio Association between left ventricular structure and cardiac performance during effort in two morphological forms of athlete's heart Int J Cardiol 86 2002 177 184
5. K.P. George, D.E. Warburton, D. Oxborough, J.M. Scott, B.T. Esch, and K. Williams Upper limits of physiological cardiac adaptation in ultramarathon runners J Am Coll Cardiol 57 2011 754 755
6. A. D'Andrea, P. Caso, R. Scarafile, G. Salerno, and G. De Corato Biventricular myocardial adaptation to different training protocols in competitive master athletes Int J Cardiol 115 2007 342 349
7. J. Morganroth, B.J. Maron, W.L. Henry, and S.E. Epstein Comparative left ventricular dimensions in trained athletes Ann Intern Med 82 1975 521 524
8. D'Andrea A, Cocchia R, Riegler L, Salerno G, Scarafile R, Citro R, et al. Aortic stiffness and distensibility in top-level athletes. J Am Soc Echocardiogr Epub 2012 Jan 13.
9. A. D'Andrea, R. Cocchia, L. Riegler, R. Scarafile, G. Salerno, and R. Gravino Left ventricular myocardial velocities and deformation indexes in top-level athletes J Am Soc Echocardiogr 23 2010 1281 1288
10. M. Vos, A.M. Hauser, R.H. Dressendorfer, T. Hashimoto, P. Dudlets, and S. Gordon Enlargement of the right heart in the endurance athlete: a two-dimensional echocardiographic study Int J Sports Med 6 1985 271 275
11. A. D'Andrea, P. Caso, B. Sarubbi, G. Limongelli, B. Liccardo, and G. Cice Right ventricular myocardial adaptation to different training protocols in top-level athletes Echocardiography 20 2003 329 336
12. D'Andrea A, Riegler L, Golia E, Cocchia R, Scarafile R, Salerno G, et al. Range of right heart measurements in top-level athletes: the training impact. Int J Cardiol Epub 2011 Jul 5.
13. La Gerche A, Burns AT, Mooney DJ, Inder WJ, Taylor AJ, Bogaert J, et al. Exercise-induced right ventricular dysfunction and structural remodelling in endurance athletes. Eur Heart J Epub 2011 Dec 6.
14. D. Oxborough, S. Sharma, R. Shave, G. Whyte, K. Birch, and N. Artis The right ventricle of the endurance athlete: the relationship between morphology and deformation J Am Soc Echocardiogr 25 2012 263 271
15. R.A. Foale, P. Nihoyannopoulos, and W. McKenna Echocardiographic measurement of normal adult right ventricle Br Heart J 56 1986 33 44
16. T. Shiota 3D echocardiography: evaluation of the right ventricle Curr Opin Cardiol 24 2009 410 414
17. A.M. Johri, J.J. Passeri, and M.H. Picard Three dimensional echocardiography: approaches and clinical utility Heart 96 2010 390 397
18. D. Corrado, A. Pelliccia, H.H. Bjornstad, L. Vanhees, A. Biffi, and M. Borjesson Cardiovascular pre-participation screening of young competitive athletes for prevention of sudden death: proposal for a common European protocol. Consensus Statement of the Study Group of Sport Cardiology of the Working Group of Cardiac Rehabilitation and Exercise Physiology and the Working Group of Myocardial and Pericardial Diseases of the European Society of Cardiology Eur Heart J 26 2005 516 524
19. G. de Simone, S.R. Daniels, R.B. Devereux, R.A. Meyer, M.J. Roman, and O. de Divitiis Left ventricular mass and body size in normotensive children and adults: assessment of allometric relations and impact of overweight J Am Coll Cardiol 20 1992 1251 1260
20. R.B. Devereux, and N. Reichek Echocardiographic determination of left ventricular mass in man: anatomic validation of the method Circulation 55 1977 613 618
21. W.H. Gaasch, M.R. Zile, P.K. Hoshino, C.S. Apstein, and A.S. Blaustein Stress-shortening relations and myocardial blood flow in compensated and failing canine hearts with pressure-overload hypertrophy Circulation 79 1989 872 883
22. R.M. Lang, M. Bierig, R.B. Devereux, F.A. Flachskampf, E. Foster, and P.A. Pellikka Recommendations for chamber quantification Eur J Echocardiogr 7 2006 79 108
23. A. D'Andrea, L. Riegler, R. Cocchia, R. Scarafile, G. Salerno, and R. Gravino Left atrial volume index in highly trained athletes Am Heart J 159 2010 1155 1161
24. S. Kaul, C. Tei, J.M. Hopkins, and P.M. Shah Assessment of right ventricular function using two dimensional echocardiography Am Heart J 128 1984 301 307
25. R.O. Bonow, B.A. Carabello, K. Chatterjee, A.C. de Leon Jr., D.P. Faxon, and M.D. Freed 2008 Focused update incorporated into the ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1998 Guidelines for the Management of Patients With Valvular Heart Disease): endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons Circulation 118 2008 e523 e661
26. S.F. Nagueh, H. Sun, H.A. Kopelen, K.J. Middleton, and D.S. Khoury Hemodynamic determinants of the mitral annulus diastolic velocities by tissue Doppler J Am Coll Cardiol 37 2001 278 285
27. J. Dubin, D.C. Wallerson, R.J. Cody, and R.B. Devereux Comparative accuracy of Doppler echocardiographic methods for clinical stroke volume determination Am Heart J 120 1990 116 123
28. E. Bossone, B.D. Bodini, A. Mazza, and L. Allegra Pulmonary arterial hypertension: the key role of echocardiography Chest 127 2005 1836 1843
29. J. Hung, R. Lang, F. Flachskampf, S.K. Shernan, M.L. McCulloch, and D.B. Adams 3D Echocardiography: a review of the current status and future directions J Am Soc Echocardiogr 20 2007 213 233
30. A.L. Baggish, K. Yared, R.B. Weiner, F. Wang, R. Demes, and M.H. Picard Differences in cardiac parameters among elite rowers and subelite rowers Med Sci Sports Exerc 42 2010 1215 1220
31. P. Caso, M. Galderisi, A. D'Andrea, D. Di Maggio, L. De Simone, and A.R. Martiniello Analysis by Doppler tissue imaging of ventricular interaction in long-distance competitive swimmers Am J Cardiol 90 2002 193 197
32. A. Pelliccia, N. Kinoshita, C. Pisicchio, F. Quattrini, F.M. Dipaolo, and R. Ciardo Long-term clinical consequences of intense, uninterrupted endurance training in Olympic athletes J Am Coll Cardiol 55 2010 1619 1625
33. A.J. Teske, N.H. Prakken, B.W. De Boeck, B.K. Velthuis, E.P. Martens, and P.A. Doevendans Echocardiographic tissue deformation imaging of right ventricular systolic function in endurance athletes Eur Heart J 30 2009 969 977
34. A. D'Andrea, P. Caso, E. Bossone, R. Scarafile, L. Riegler, and G. Di Salvo Right ventricular myocardial involvement in either physiological or pathological left ventricular hypertrophy: an ultrasound speckle-tracking two-dimensional strain analysis Eur J Echocardiogr 11 2010 492 500
35. A. La Gerche, K.A. Connelly, D.J. Mooney, A.I. MacIsaac, and D.L. Prior Biochemical and functional abnormalities of left and right ventricular function after ultra-endurance exercise Heart 94 2008 860 866
36. J.E. Trivax, B.A. Franklin, J.A. Goldstein, K.M. Chinnaiyan, M.J. Gallagher, and A.T. deJong Acute cardiac effects of marathon running J Appl Physiol 108 2010 1148 1153
37. T.G. Neilan, J.L. Januzzi, E. Lee-Lewandrowski, T.T. Ton-Nu, D.M. Yoerger, and D.S. Jassal Myocardial injury and ventricular dysfunction related to training levels among nonelite participants in the Boston marathon Circulation 114 2006 2325 2333
38. P.S. Douglas, M.L. O'Toole, W.D. Hiller, and N. Reichek Different effects of prolonged exercise on the right and left ventricles J Am Coll Cardiol 15 1990 64 69
39. A. La Gerche, H. Heidbüchel, A.T. Burns, D.J. Mooney, A.J. Taylor, and H.B. Pfluger Disproportionate exercise load and remodeling of the athlete's right ventricle Med Sci Sports Exerc 43 2011 974 981
40. A. La Gerche, C. Robberecht, C. Kuiperi, D. Nuyens, R. Willems, and T. de Ravel Lower than expected desmosomal gene mutation prevalence in endurance athletes with complex ventricular arrhythmias of right ventricular origin Heart 96 2010 1268 1274
41. M.K. Erol, and S. Karakelleoglu Assessment of right heart function in the athlete's heart Heart Vessels 16 2002 175 180
42. W.P. Santamore, and L.J. Dell'Italia Ventricular interdependence: significant left ventricular contributions to right ventricular systolic function Progr Cardiovasc Dis 40 1998 289 308
43. S.W. Patterson, and E.H. Starling On the mechanical factors which determine the output of the ventricles J Physiol 48 1914 357 379
44. A. D'Andrea, R. Naeije, M. D'Alto, P. Argiento, E. Golia, and R. Cocchia Range of pulmonary artery systolic pressure among highly-trained athletes: pulmonary artery systolic pressure in Athletes Chest 139 2011 788 794
45. R. Shave, A. Baggish, K. George, M. Wood, J. Scharhag, and G. Whyte Exercise-induced cardiac troponin elevation: evidence, mechanisms, and implications J Am Coll Cardiol 56 2010 169 176
46. E. Bossone, M. Rubenfire, D.S. Bach, M. Ricciardi, and W.F. Armstrong Range of tricuspid regurgitation velocity at rest and during exercise in normal adult males: implications for the diagnosis of pulmonary hypertension J Am Coll Cardiol 33 1999 1662 1666
47. E. Grünig, S. Weissmann, N. Ehlken, A. Fijalkowska, C. Fischer, and T. Fourme Stress Doppler echocardiography in relatives of patients with idiopathic and familial pulmonary arterial hypertension: results of a multicenter European analysis of pulmonary artery pressure response to exercise and hypoxia Circulation 119 2009 1747 1757
48. P. Argiento, N. Chesler, M. Mulè, M. D'Alto, E. Bossone, and P. Unger Exercise stress echocardiography for the study of the pulmonary circulation Eur Respir J 35 2010 1273 1278