Physiological right ventricular adaptation in elite athletes of African and afro-caribbean origin

Circulation

Volumn 127, Issue 17, 2013, Pages 1783-1792

  Zaidi, Abbas ^a,b   Ghani, Saqib ^a,b   Sharma, Rajan ^a   Oxborough, David ^c   Panoulas, Vasileios F ^d   Sheikh, Nabeel ^a,b   Gati, Sabiha ^a,b   Papadakis, Michael ^a   Sharma, Sanjay ^a,b  

^a ST GEORGE'S UNIVERSITY OF LONDON   (United Kingdom)

^b UNIVERSITY HOSPITAL LEWISHAM   (United Kingdom)

^c LIVERPOOL JOHN MOORES UNIVERSITY   (United Kingdom)

^d IMPERIAL COLLEGE HEALTHCARE NHS TRUST   (United Kingdom)

Author keywords

Cardiomyopathy; Echocardiography; Electrocardiographic screening; Ethnicity; Exercise

Indexed keywords

ADAPTATION; ADULT; AFRICAN CARIBBEAN; ARTICLE; ATHLETE; CARDIOVASCULAR MAGNETIC RESONANCE; COMPARATIVE STUDY; CONTROLLED STUDY; ECHOCARDIOGRAPHY; ELECTROCARDIOGRAM; ETHNIC DIFFERENCE; ETHNICITY; FAMILY HISTORY; FEMALE; HEART LEFT VENTRICLE ENDDIASTOLIC VOLUME; HEART LEFT VENTRICLE HYPERTROPHY; HEART RIGHT VENTRICLE; HEART RIGHT VENTRICLE DYSPLASIA; HEART RIGHT VENTRICLE ENDDIASTOLIC VOLUME; HEART RIGHT VENTRICLE OUTFLOW TRACT; HEART SIZE; HEART VENTRICLE EXTRASYSTOLE; HEART VENTRICLE TACHYCARDIA; HEART VENTRICLE WALL; HOLTER MONITORING; HUMAN; MAJOR CLINICAL STUDY; MALE; NEGRO; PRIORITY JOURNAL; RESTING HEART RATE; ST SEGMENT ELEVATION; SYSTOLIC BLOOD PRESSURE; T WAVE INVERSION; TRANSTHORACIC ECHOCARDIOGRAPHY;

ADAPTATION, PHYSIOLOGICAL; ADOLESCENT; ADULT; AFRICAN AMERICANS; ATHLETES; CARIBBEAN REGION; ECHOCARDIOGRAPHY, TRANSESOPHAGEAL; ELECTROCARDIOGRAPHY; FEMALE; HEART VENTRICLES; HUMANS; MALE; SPORTS; VENTRICULAR FUNCTION, RIGHT; VENTRICULAR REMODELING; YOUNG ADULT;

EID: 84876998563     PISSN: 00097322     EISSN: 15244539     Source Type: Journal    
DOI: 10.1161/CIRCULATIONAHA.112.000270     Document Type: Article

References (32)

1. Pelliccia A, Maron BJ, Spataro A, Proschan M.A., Spirito P. The upper limit of physiologic cardiac hypertrophy in highly trained elite athletes. N Engl J Med. 1991;324:295-301.
2. Pelliccia A, Culasso F, Di Paolo FM, Maron BJ Physiologic left ventricular cavity dilatation in elite athletes. Ann Intern Med. 1999;130:23-31.
3. Corrado D, Basso C, Rizzoli G., Schiavon M, Thiene G. Does sports activity enhance the risk of sudden death in adolescents and young adults? J Am Coll Cardiol. 2003;42:1959-1963.
4. Maron BJ, Pelliccia A, Spirito P. Cardiac disease in young trained athletes: insights into methods for distinguishing athlete's heart from structural heart disease, with particular emphasis on hypertrophic cardiomyopathy. Circulation. 1995;91:1596-1601.
5. Hauser AM, Dressendorfer RH, Vos M, Hashimoto T., Gordon S, Timmis GC Symmetric cardiac enlargement in highly trained endurance athletes: a two-dimensional echocardiographic study. Am Heart J. 1985;109(pt 1): 1038-1044.
6. Scharhag J, Schneider G, Urhausen A., Rochette V, Kramann B, Kindermann W. Right and left ventricular mass and function in male endurance athletes and untrained individuals determined by magnetic resonance imaging. J Am Coll Cardiol. 2002;40:1856-1863.
7. Bauce B, Frigo G, Benini G., Michieli P, Basso C, Folino A.F., Rigato I., Mazzotti E, Daliento L, Thiene G., Nava A. Differences and similarities between arrhythmogenic right ventricular cardiomyopathy and athlete's heart adaptations. Br J Sports Med. 2010;44:148-154.
8. de Noronha S.V., Sharma S, Papadakis M., Desai S, Whyte G, Sheppard MN Aetiology of sudden cardiac death in athletes in the United Kingdom: a pathological study. Heart. 2009;95:1409-1414.
9. Sharma S, Maron BJ, Whyte G, Firoozi S., Elliott PM, McKenna WJ Physiologic limits of left ventricular hypertrophy in elite junior athletes: relevance to differential diagnosis of athlete's heart and hypertrophic car-diomyopathy. J Am Coll Cardiol. 2002;40:1431-1436.
10. Basavarajaiah S, Boraita A, Whyte G., Wilson M, Carby L, Shah A., Sharma S. Ethnic differences in left ventricular remodeling in highly-trained athletes: relevance to differentiating physiologic left ventricular hypertrophy from hypertrophic cardiomyopathy. J Am Coll Cardiol. 2008;51:2256-2262.
11. Rawlins J, Carre F, Kervio G., Papadakis M, Chandra N, Edwards C., Whyte GP, Sharma S. Ethnic differences in physiological cardiac adaptation to intense physical exercise in highly trained female athletes. Circulation. 2010;121:1078-1085.
12. Papadakis M, Carre F, Kervio G., Rawlins J, Panoulas VF, Chandra N, Basavarajaiah S., Carby L, Fonseca T, Sharma S. The prevalence, distribution, and clinical outcomes of electrocardiographic repolarization patterns in male athletes of African/Afro-Caribbean origin. Eur Heart J. 2011;32:2304-2313.
13. Maron BJ, Carney KP, Lever H.M., Lewis JF, Barac I, Casey SA, Sherrid MV Relationship of race to sudden cardiac death in competitive athletes with hypertrophic cardiomyopathy. J Am Coll Cardiol. 2003;41:974-980.
14. Mitchell JH, Haskell W, Snell P., Van Camp SP. Task Force 8: classification of sports. J Am Coll Cardiol. 2005;45:1364-1367.
15. Surawicz B, Knilans TK Right bundle branch block. In: Andjelkowicz N, ed. Chou's Electrocardiography in Clinical Practice. Philadelphia, PA: Elsevier Saunders; 2008:95-107.
16. Marcus FI, McKenna WJ, Sherrill D, Basso C., Bauce B, Bluemke DA, Calkins H, Corrado D., Cox MG, Daubert JP, Fontaine G, Gear K., Hauer R, Nava A, Picard MH, Protonotarios N, Saffitz JE, Sanborn DM, Steinberg JS, Tandri H, Thiene G, Towbin JA, Tsatsopoulou A, Wichter T, Zareba W. Diagnosis of arrhythmogenic right ventricular cardiomyopathy/dysplasia: proposed modification of the task force criteria. Circulation. 2010;121:1533-1541.
17. Lang RM, Bierig M, Devereux R.B., Flachskampf FA, Foster E, Pellikka PA, Picard M.H., Roman MJ, Seward J, Shanewise J, Solomon S., Spencer KT, St John Sutton M, Stewart W; American Society of Echocardiography's Nomenclature and Standards Committee; Task Force on Chamber Quantification; American College of Cardiology Echocardiography Committee; American Heart Association; European Association of Echocardiography, European Society of Cardiology. Recommendations for chamber quantification. Eur J Echocardiogr. 2006;7:79-108.
18. Rudski LG, Lai WW, Afilalo J, Hua L., Handschumacher MD, Chandrasekaran K, Solomon SD, Louie E.K., Schiller NB Guidelines for the echocardiographic assessment of the right heart in adults: a report from the American Society of Echocardiography. J Am Soc Echocardiogr. 2010;23:685-713.
19. DuBois D, DuBois E. A formula to estimate the approximate surface area if height and weight be known. Arch Intern Med. 1916;17:863-871.
20. Pelliccia A, Maron BJ, Culasso F, Spataro A., Caselli G. Athlete's heart in women: echocardiographic characterization of highly trained elite female athletes. JAMA. 1996;276:211-215.
21. Bruce RA. Exercise testing of patients with coronary heart disease: principles and normal standards for evaluation. Ann Clin Res. 1971;3:323-332.
22. Cain M, Anderson J, Arnsdorf M., Mason J, Scheinman M, Waldo A. Signal-averaged electrocardiography: ACC Expert Consensus Document. J Am Coll Cardiol. 1996;27:238-249.
23. Grothues F, Moon JC, Bellenger N.G., Smith GS, Klein HU, Pennell DJ Interstudy reproducibility of right ventricular volumes, function, and mass with cardiovascular magnetic resonance. Am Heart J. 2004;147:218-223.
24. D'Andrea A., Riegler L, Golia E., Cocchia R, Scarafile R, Salerno G., Pezzullo E, Nunziata L, Citro R., Cuomo S, Caso P, Di Salvo G, Cittadini A, Russo MG, Calabrò R, Bossone E. Range of right heart measurements in top-level athletes: the training impact. Int J Cardiol. 2011;164:48-57.
25. La Gerche A., Burns AT, D'Hooge J, Macisaac AI, Heidbüchel H, Prior DL Exercise strain rate imaging demonstrates normal right ventricular contractile reserve and clarifies ambiguous resting measures in endurance athletes. J Am Soc Echocardiogr. 2012;25:253-262.e1.
26. Kim JH, Noseworthy PA, McCarty D, Yared K., Weiner R, Wang F, Wood M.J., Hutter AM, Picard MH, Baggish AL Significance of electrocardio-graphic right bundle branch block in trained athletes. Am J Cardiol. 2011;107:1083-1089.
27. Teske AJ, Prakken NH, De Boeck BW, Velthuis BK, Martens EP, Doevendans PA, Cramer MJ Echocardiographic tissue deformation imaging of right ventricular systolic function in endurance athletes. Eur Heart J. 2009;30:969-977.
28. Willis J, Augustine D, Shah R., Stevens C, Easaw J. Right ventricular normal measurements: time to index? J Am Soc Echocardiogr. 2012;25:1259-1267.
29. Biffi A, Verdile L, Ansalone G., Spataro A, Spada R, Fernando F., Caselli G, Santini M. Lack of correlation between ventricular late potentials and left ventricular mass in top-level male athletes. Med Sci Sports Exerc. 1999;31:359-361.
30. Kawut SM, Lima JA, Barr R.G., Chahal H., Jain A, Tandri H, Praestgaard A., Bagiella E, Kizer JR, Johnson W.C., Kronmal RA, Bluemke DA. Sex and race differences in right ventricular structure and function: the MultiEthnic Study of Atherosclerosis-Right Ventricle Study. Circulation. 2011;123:2542-2551.
31. Teske AJ, Cox MG, De Boeck BW, Doevendans PA, Hauer RN, Cramer MJ Echocardiographic tissue deformation imaging quantifies abnormal regional right ventricular function in arrhythmogenic right ventricular dysplasia/ cardiomyopathy. J Am Soc Echocardiogr. 2009;22:920-927.
32. Oxborough D, Sharma S, Shave R., Whyte G, Birch K, Artis N., Batterham AM, George K. The right ventricle of the endurance athlete: the relationship between morphology and deformation. J Am Soc Echocardiogr. 2012;25:263-271.