Forsythe, L; Somauroo, J; George, K; Papadakis, M; Brown, B; Qasem, M; Oxborough, D
(2019)
The right heart of the elite senior rugby football league athlete.
Echocardiography, 36 (5).
pp. 888-896.
ISSN 1540-8175
https://doi.org/10.1111/echo.14330
SGUL Authors: Papadakis, Michael
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Abstract
BACKGROUND: Right heart enlargement is common in the athletes' heart phenotype; however, few data exist regarding interpretation of normal athletic adaptation during Preparticipation Cardiac Screening (PCS) of Rugby Football League (RFL) athletes. Echocardiography is utilized during PCS and thus the primary aim of this study was to establish the normal right ventricular (RV) phenotype in elite RFL athletes using standard 2-D echocardiography and myocardial mechanics. The secondary aim was to describe right atrial (RA) structure and function using 2-D echocardiography. METHODS: 139 male RFL athletes underwent echocardiographic evaluation of the right heart including RV strain (ɛ) and strain rate (SR) imaging using speckle tracking echocardiography (STE). Nonathletic males were used for comparison and allometric scaling was applied for conventional echocardiographic parameters. RESULTS: Scaled RV dimensions were larger in athletes (P < 0.05) with the exception of the mid-cavity. No differences (P > 0.05) in RV fractional area change (FAC) and RV longitudinal ɛ were observed between groups. Tissue Doppler imaging (TDI)-indexed parameters and global strain rate (SR) were lower (P < 0.05) in athletes with HR and weight found to have co-variance with SR. The RA was larger in athletes (P < 0.001) with no functional difference (P > 0.05) observed by volume assessment. CONCLUSIONS: Reduction in SR and indexed TDI are partly associated with lower HR and increased body mass and are likely to represent normal physiological adaptation in RFL athletes. RA enlargement appears proportional to RV enlargement. These data may aid interpretation of normal athletic adaptation during PCS of RFL athletes.
Item Type: |
Article
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Additional Information: |
This is the peer reviewed version of the following article: Forsythe, L, Somauroo, J, George, K, et al. The right heart of the elite senior rugby football league athlete. Echocardiography. 2019; 36: 888–896, which has been published in final form at https://doi.org/10.1111/echo.14330. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. |
Keywords: |
athletes' heart, echocardiography, right heart, strain, 1102 Cardiovascular Medicine And Haematology, Cardiovascular System & Hematology |
SGUL Research Institute / Research Centre: |
Academic Structure > Molecular and Clinical Sciences Research Institute (MCS) |
Journal or Publication Title: |
Echocardiography |
ISSN: |
1540-8175 |
Language: |
eng |
Dates: |
Date | Event |
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7 May 2019 | Published | 4 April 2019 | Published Online | 6 March 2019 | Accepted |
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Publisher License: |
Publisher's own licence |
Projects: |
Project ID | Funder | Funder ID |
---|
UNSPECIFIED | Cardiac Risk in the Young | UNSPECIFIED |
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PubMed ID: |
30947373 |
![](http://static.pubmed.gov/portal/portal3rc.fcgi/2745237/img/27842) |
Go to PubMed abstract |
URI: |
https://openaccess.sgul.ac.uk/id/eprint/110824 |
Publisher's version: |
https://doi.org/10.1111/echo.14330 |
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