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Echocardiography and strain analysis in Malaysian elite athletes versus young healthy adults

Roslan A 1 , Stanislaus R 1 , Yee Sin T 1 , Aris FA 1 , Ashari A 1 , Shaparudin AA 1 Show all authors , Rahimi Shah WFW 1 , Hui Beng K 1 , Tjen Jhung L 1 , Tantawi Jauhari Aktifanus A 1 , Kamsani SH 1 , Rusani BI 1 , Win NT 1 , Abdul Rani MNH 1 , Ai Ming T 1 , Aedrus N 1 , Azman K 1 , Halim MNA 1 , Zainal MDY 1 , Hussein K 2 , Shariff Hamid M 3 , Puji A 2 , Khairuddin A 1

Affiliations 

  • 1 Department of Cardiology, Institut Jantung Negara, Kuala Lumpur, Malaysia
  • 2 Institut Sukan Negara, Kuala Lumpur, Malaysia
  • 3 University of Malaya, Kuala Lumpur, Malaysia
Int J Cardiol Heart Vasc, 2023 Aug;47:101242.
PMID: 37576081 DOI: 10.1016/j.ijcha.2023.101242

Abstract

BACKGROUND: Athletes have changes that can mimic pathological cardiomyopathy.

METHODS: Echocardiographic study of 50 male, female athletes (MA, FA) and non-athletes (MNA, FNA) age 18 to 30 years. These athletes participate in sports with predominantly endurance component. All participants exhibit no known medical illnesses or symptoms.

RESULTS: MA have thicker wall (IVSd) than MNA. No MA have IVSd > 1.2 cm and no FA have IVSd > 1.0 cm. Left ventricle internal dimension (LVIDd), left ventricle end diastolic volume index (LVEDVi) is bigger in athletes. None have LVIDd > 5.8 cm. Right ventricle fractional area change (FAC) is lower in athletes. (MA vs MNA, p = 0.013, FA vs FNA, p = 0.025). Athletes have higher septal and lateral e' (Septal e'; MA 13.57 ± 2.66 cm/s vs MNA 11.46 ± 2.93 cm/s, p  1.2 cm and/or LVIDd > 5.8 cm. There is no difference in GLS, RVFWS and GCS but athletes have smaller LArS and LAbS.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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