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Right ventricular structure and function in senior and academy elite footballers

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Author
Popple, Emily
George, Keith
Somauroo, John
Sharma, Sanjay
Utomi, Victor
Lord, Rachel
Cooper, Robert
Malhotra, Aneil
Forster, Jan
Oxborough, David
Date
2018-08-13
Acceptance date
2018-08-02
Type
Article
Publisher
Wiley
ISSN
0905-7188
1600-0838 (online)
Metadata
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Abstract
Aims Right ventricular (RV) adaptation is a common finding in the athlete's heart. The aim of this study was to establish the extent of RV structural and functional adaptation in elite and academy professional footballers compared to age‐matched controls. Methods and Results 100 senior and 100 academy elite footballers, 20 senior and 19 academy age‐matched controls were recruited. All participants underwent 2D, Doppler, tissue Doppler and strain (ε) echocardiography of the right heart. Structural indices were derived and indexed allometrically for individual differences in body surface area. Standard RV function was assessed alongside peak RV ε and strain rate (SR). Senior football players had larger scaled RV structural parameters than players for the RV outflow (RVOTplax) (32.7±4.2 and 29.5±4.0 mm(m2)0.326, P<0.001), the proximal RV outflow (RVOT1) (26.6±3.5 and 24.7±3.9 mm(m2)0.335, P<0.001), the basal RV inflow (RVD1) (33.1±4.1 and 30.7±3.2 mm(m2)0.404, P=0.020), RV length (RVD3) (66.5±6.1 and 62.9±5.1 mm(m2)0.431, P<0.001) and RV diastolic area (RVDarea) (16.9±2.6 and 15.7±2.6 mm(m2)0.735, P<0.001). Both academy and senior football players demonstrated larger scaled structural RV parameters in comparison to age matched controls. Systolic SR (SRS) was lower in the senior players compared to academy players in the mid (‐1.52±0.49 and ‐1.41±0.34 l/s, P=0.019) and apical (‐1.97±0.74 and ‐1.72±0.42 l/s, P=0.025) wall regions, respectively. Conclusion RV structural adaptation occurs in both senior and academy football players with senior players having larger RV dimensions. Although senior players have slightly lower peak SRS than academy players, all global ε and SR are within normal ranges.
Journal/conference proceeding
Scandinavian Journal of Medicine and Science in Sports
Citation
Popple, E., George, K., Somauroo, J., Sharma, S., Utomi, V., Lord, R., Cooper, R., Malhotra, A., Forster, J. and Oxborough, D., (2018) 'Right Ventricular Structure and Function in Senior and Academy Elite Footballers', Scandinavian Journal of Medicine & Science in Sports.
URI
http://hdl.handle.net/10369/9913
DOI
https://doi.org/10.1111/sms.13272
Description
Article published in Scandinavian Journal of Medicine & Science in Sports available at https://doi.org/10.1111/sms.13272
Rights
http://www.rioxx.net/licenses/under-embargo-all-rights-reserved
Sponsorship
Cardiff Metropolitan University (Grant ID: Cardiff Metropolian (Internal))
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