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Right Ventricular Structure and Function in Senior and Academy Elite Footballers.

Popple, E; George, K; Somauroo, J; Sharma, S; Utomi, V; Lord, R; Cooper, R; Malhotra, A; Forster, J; Oxborough, D (2018) Right Ventricular Structure and Function in Senior and Academy Elite Footballers. Scand J Med Sci Sports, 28 (12). pp. 2617-2624. ISSN 1600-0838 https://doi.org/10.1111/sms.13272
SGUL Authors: Sharma, Sanjay

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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. This article is protected by copyright. All rights reserved.

Item Type: Article
Additional Information: This is the peer reviewed version of the following article: Popple E, George K, Somauroo J, et al. Right ventricular structure and function in senior and academy elite footballers. Scand J Med Sci Sports. 2018;28:2617–2624., which has been published in final form at https://doi.org/10.1111/sms.13272. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.
Keywords: Age, Echocardiography, Football, Right Ventricle, Strain Imaging, Sport Sciences, 1106 Human Movement And Sports Science
SGUL Research Institute / Research Centre: Academic Structure > Molecular and Clinical Sciences Research Institute (MCS)
Journal or Publication Title: Scand J Med Sci Sports
ISSN: 1600-0838
Language: eng
Dates:
DateEvent
7 November 2018Published
2 September 2018Published Online
13 August 2018Published Online
31 July 2018Accepted
Publisher License: Publisher's own licence
PubMed ID: 30102797
Go to PubMed abstract
URI: https://openaccess.sgul.ac.uk/id/eprint/110064
Publisher's version: https://doi.org/10.1111/sms.13272

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