Apparent Ventricular Dysfunction in Elite Young Athletes: Another Form of Cardiac Adaptation of the Athlete's Heart

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dc.contributor.author Boraita, Araceli
dc.contributor.author Sánchez Testal, Miriam Victoria
dc.contributor.author Díaz González, Leonel
dc.contributor.author Heras Gómez, María Eugenia
dc.contributor.author Alcocer Ayuga, María
dc.contributor.author Rosa, Alejandro de la
dc.contributor.author Rabadán, Manuel
dc.contributor.author Abdul Jalbar, Beatriz
dc.contributor.author Pérez de la Isla, Leopoldo
dc.contributor.author Santos Lozano, Alejandro
dc.contributor.author Lucía Mulas, Alejandro
dc.date.accessioned 2019-06-07T09:37:56Z
dc.date.available 2019-06-07T09:37:56Z
dc.date.issued 2019
dc.identifier.citation Boraita, A., Sánchez-Testal, M. V., Díaz-González, L., Heras, M. E., Alcocer-Ayuga, M., Rosa, A. de la, … Lucía, A. (2019). Apparent Ventricular Dysfunction in Elite Young Athletes: Another Form of Cardiac Adaptation of the Athlete’s Heart. Journal of the American Society of Echocardiography, 32(8), 987-996. https://doi.org/10.1016/j.echo.2019.03.017 spa
dc.identifier.issn 0894-7317
dc.identifier.uri http://hdl.handle.net/11268/8011
dc.description.abstract Background The authors previously observed that some high-performance athletes, irrespective of type of sport, can show echocardiographically determined low left ventricular ejection fractions (LVEF; <52%) together with normal heart rates and nondilated left ventricular (LV) cavities under resting conditions. The aim of this study was to determine if this phenomenon is associated with dyssynchronous motion of the interventricular septum relative to the lateral LV wall. Methods Results of M-mode and two-dimensional echocardiography and pulsed-wave, pulsed-wave tissue, and color tissue Doppler were compared in 70 athletes (mean age, 20 ± 7 years; 77% men) with low LVEFs (<52%) participating in a wide variety of sports and a control group of 564 athletes (mean age, 22 ± 7 years; 61% men) with normal LVEFs (≥52%). Results No between-group differences were found in cardiac dimensions or QRS duration (indicating no electrical dyssynchrony in the low-LVEF group compared with the normal-LVEF group), but analysis of mechanical interventricular and intraventricular dyssynchrony showed that time intervals between QRS onset and the different systolic waves were all lengthened in the low-LVEF group (P < .05 for all). Values of interventricular mechanical delay were higher in the low-LVEF group (P = .012), though they did not reach pathologic limits. Peak aerobic performance was independent of LVEF. The results did not change materially when analyzing data separately by sex or sport. Conclusions Some young highly trained athletes might show depressed LVEF (<52%) with a nondilated LV cavities in the early phase of cardiac adaptations, which seems to be linked to longer LV contraction times, with the right ventricle unaffected. These echocardiographic findings, although not highly prevalent, could be considered another characteristic of the cardiac adaptations to the demands of elite sports with no detriment in performance. spa
dc.description.sponsorship Sin financiación spa
dc.language.iso eng spa
dc.title Apparent Ventricular Dysfunction in Elite Young Athletes: Another Form of Cardiac Adaptation of the Athlete's Heart spa
dc.type article spa
dc.description.impact 5.508 JCR (2019) Q1, 21/138 Cardiac & Cardiovascular System spa
dc.description.impact 3.567 SJR (2019) Q1, 11/362 Cardiology and Cardiovascular Medicine, 4/335 Radiology, Nuclear Medicine and Imaging spa
dc.description.impact No data IDR 2019 spa
dc.identifier.doi 10.1016/j.echo.2019.03.017
dc.rights.accessRights closedAccess spa
dc.subject.uem Deportistas spa
dc.subject.uem Sistema cardiovascular spa
dc.subject.uem Enfermedad spa
dc.subject.unesco Enfermedad cardiovascular spa
dc.subject.unesco Atleta spa
dc.description.filiation UEM spa
dc.peerreviewed Si spa

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