View More View Less
  • 1 Albert Szent-Györgyi Clinical Center, University of Szeged, Hungary
  • | 2 Albert Szent-Györgyi Clinical Center, University of Szeged, Hungary
  • | 3 University of Szeged, Hungary
Restricted access

Purchase article

USD  $25.00

1 year subscription (Individual Only)

USD  $752.00

Introduction

Myocardial contractility of the left ventricle (LV) is related to arterial distensibility. Sport activity is frequently associated with changes in both LV and arterial functions. This study aimed to find correlations between three-dimensional speckle-tracking echocardiography-derived segmental LV deformation parameters and echocardiographically assessed aortic stiffness index (ASI) in athletes. This study comprised 26 young elite athletes (mean age: 26.7 ± 8.4 years, nine men).

Results

Among segmental circumferential strains (CSs), only that of apical anterior (r = 0.40, p = 0.05), septal (r = 0.47, p = 0.01), inferior (r = 0.59, p = 0.001), lateral (r = 0.44, p < 0.05), and midventricular anteroseptal (r = 0.44, p < 0.05) segments correlated with ASI, whereas LV-CS of the midventricular anterior segment showed a correlation tendency. Only longitudinal strain of basal anteroseptal (r = −0.46, p < 0.05) and inferoseptal (r = −0.57, p < 0.01) segments showed correlations with ASI, whereas that of the basal anterior segment had only a tendency to correlate. Some segmental multidirectional strains also correlated with ASI.

Conclusions

Correlations could be demonstrated between increased aortic stiffness and circular function of the apical and midventricular LV fibers and longitudinal motion of the basal septum and LV anterior wall (part of LV outflow tract) in maintaining circulation in the elite athletes.

  • 1.

    Ammar KA , Paterick TE , Khanderia BK , Jan MF , Kramer C , Umland MM , Tercius AJ , Baratta L , Tajik AJ : Myocardial mechanics: understanding and applying three-dimensional speckle tracking echocardiography in clinical practice. Echocardiography 29, 861872 (2012)

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 2.

    Burr JF , Phillips AA , Drury TC , Ivey AC , Warburton DE : Temporal response of arterial stiffness to ultra-marathon. Int. J. Sports Med. 35, 658663 (2014)

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 3.

    D’Andrea A , Cocchia R , Riegler L , Salerno G , Scarafile R , Citro R , Vriz O , Limongelli G , Di Salvo G , Caso P , Bossone E , Calabrò R , Russo MG : Aortic stiffness and distensibility in top-level athletes. J. Am. Soc. Echocardiogr. 25, 561567 (2012)

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 4.

    Giraldeau G , Kobayashi Y , Finocchiaro G , Wheeler M , Perez M , Kuznetsova T , Lord R , George KP , Oxborough D , Schnittger I , Froelicher V , Liang D , Ashley E , Haddad F : Gender differences in ventricular remodeling and function in college athletes, insights from lean body mass scaling and deformation imaging. Am. J. Cardiol. 116, 16101616 (2015)

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 5.

    Kawaguchi M , Hay I , Fetics B , Kass DA : Combined ventricular systolic and arterial stiffening in patients with heart failure and preserved ejection fraction: implications for systolic and diastolic reserve limitations. Circulation 107, 714720 (2003)

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 6.

    Kleijn SA , Pandian NG , Thomas JD , Perez de Isla L , Kamp O , Zuber M , Nihoyannopoulos P , Forster T , Nesser HJ , Geibel A , Gorissen W , Zamorano JL : Normal reference values of left ventricular strain using three-dimensional speckle tracking echocardiography: results from a multicentre study. Eur. Heart J. Cardiovasc. Imaging 16, 410416 (2015)

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 7.

    Neilan TG , Ton-Nu TT , Jassal DS , Popovic ZB , Douglas PS , Halpern EF , Marshall JE , Thomas JD , Picard MH , Yoerger DM , Wood MJ : Myocardial adaptation to short-term high-intensity exercise in highly trained athletes. J. Am. Soc. Echocardiogr. 19, 12801285 (2006)

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 8.

    Nemes A , Forster T : Evaluation of vascular function by modern non-invasive methods. Orv. Hetil. 153, 18871895 (2012)

  • 9.

    Nemes A , Forster T : Recent echocardiographic examination of the left ventricle – from M-mode to 3D speckle-tracking imaging. Orv. Hetil. 156, 17231740 (2015)

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 10.

    Nemes A , Kalapos A , Domsik P , Forster T : Left ventricular rotation and twist of the heart. Clarification of some concepts. Orv. Hetil. 153, 15471551 (2012)

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 11.

    Nemes A , Kalapos A , Domsik P , Forster T : Three-dimensional speckle-tracking echocardiography – a further step in non-invasive three-dimensional cardiac imaging. Orv. Hetil. 153, 15701577 (2012)

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 12.

    Nemes A , Kalapos A , Domsik P , Lengyel C , Orosz A , Forster T : Correlations between echocardiographic aortic elastic properties and left ventricular rotation and twist – insights from the three-dimensional speckle-tracking echocardiographic MAGYAR-Healthy Study. Clin. Physiol. Funct. Imaging 33, 381385 (2013)

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 13.

    Nemes A , Piros , Domsik P , Kalapos A , Lengyel C , Orosz A , Forster T : Correlations between three-dimensional speckle-tracking echocardiographiy-derived left atrial functional parameters and aortic stiffness in healthy subjects – results from the MAGYAR-Healthy Study. Acta Physiol. Hung. 102, 197205 (2015)

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 14.

    Rátgéber L , Lenkey Z , Németh Á , Hidvégi E , Husznai R , Verzár Z , Miklós I , Bódis J , Cziráki A : The effect of physical exercise on arterial stiffness parameters in young sportsmen. Acta Cardiol. 70, 5965 (2015)

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 15.

    Schattke S , Xing Y , Lock J , Brechtel L , Schroeckh S , Spethmann S , Baumann G , Borges AC , Knebel F : Increased longitudinal contractility and diastolic function at rest in well-trained amateur Marathon runners: a speckle tracking echocardiography study. Cardiovasc. Ultrasound 12, 11 (2014)

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 16.

    Szauder I , Kovács A , Pavlik G : Comparison of left ventricular mechanics in runners versus bodybuilders using speckle tracking echocardiography. Cardiovasc. Ultrasound 13, 7 (2015)

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 17.

    Urbano-Moral JA , Patel AR , Maron MS , Arias-Godinez JA , Pandian NG : Three-dimensional speckle tracking echocardiography: methodological aspects and clinical potential. Echocardiography 29, 9971010 (2012)

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 18.

    Vitarelli A , Capotosto L , Placanica G , Caranci F , Pergolini M , Zardo F , Martino F , De Chiara S , Vitarelli M : Comprehensive assessment of biventricular function and aortic stiffness in athletes with different forms of training by three-dimensional echocardiography and strain imaging. Eur. Heart J. Cardiovasc. Imaging 14, 10101020 (2013)

    • Crossref
    • Search Google Scholar
    • Export Citation

Monthly Content Usage

Abstract Views Full Text Views PDF Downloads
Jan 2021 0 0 0
Feb 2021 13 0 0
Mar 2021 8 0 0
Apr 2021 8 0 0
May 2021 7 1 1
Jun 2021 2 0 0
Jul 2021 0 0 0