Echocardiographic Assessment of Left Ventricular Remodeling in American Style Footballers

Kegan James Moneghetti; Tamanna Singh; Kristofer Hedman; Jeffrey W. Christle; Zoe Kooreman; Yukari Kobayashi; Sara Bouajila; Myriam Amsallem; Matthew Wheeler; Andre La Gerche; Euan Ashley; Francois Haddad

doi:10.1055/a-1014-2994

International Journal of Sports Medicine, Inhaltsverzeichnis

Int J Sports Med 2020; 41(01): 27-35
DOI: 10.1055/a-1014-2994

Clinical Sciences

Echocardiographic Assessment of Left Ventricular Remodeling in American Style Footballers

Kegan James Moneghetti

¹School of Medicine, Cardiovascular Division, Stanford University, Stanford, United States

²Sports Cardiology, Stanford University, Stanford, United States

,

Tamanna Singh

¹School of Medicine, Cardiovascular Division, Stanford University, Stanford, United States

,

Kristofer Hedman

¹School of Medicine, Cardiovascular Division, Stanford University, Stanford, United States

,

Jeffrey W. Christle

²Sports Cardiology, Stanford University, Stanford, United States

,

Zoe Kooreman

¹School of Medicine, Cardiovascular Division, Stanford University, Stanford, United States

,

Yukari Kobayashi

¹School of Medicine, Cardiovascular Division, Stanford University, Stanford, United States

,

Sara Bouajila

¹School of Medicine, Cardiovascular Division, Stanford University, Stanford, United States

,

Myriam Amsallem

¹School of Medicine, Cardiovascular Division, Stanford University, Stanford, United States

,

Matthew Wheeler

¹School of Medicine, Cardiovascular Division, Stanford University, Stanford, United States

²Sports Cardiology, Stanford University, Stanford, United States

,

Andre La Gerche

³Baker IDI Heart and Diabetes Institute, Sports Cardiology Laboratory, Melbourne, Australia

,

Euan Ashley

¹School of Medicine, Cardiovascular Division, Stanford University, Stanford, United States

²Sports Cardiology, Stanford University, Stanford, United States

,

Francois Haddad

¹School of Medicine, Cardiovascular Division, Stanford University, Stanford, United States

› Institutsangaben

Abstract

Several athletic programs incorporate echocardiography during pre-participation screening of American Style Football (ASF) players with great variability in reported echocardiographic values. Pre-participation screening was performed in National Collegiate Athletic Association Division I ASF players from 2008 to 2016 at the Division of Sports Cardiology. The echocardiographic protocol focused on left ventricular (LV) mass, mass-to-volume ratio, sphericity, ejection fraction, and longitudinal Lagrangian strain. LV mass was calculated using the area-length method in end-diastole and end-systole. A total of two hundred and thirty players were included (18±1 years, 57% were Caucasian, body mass index 29±4 kg/m²) after four players (2%) were excluded for pathological findings. Although there was no difference in indexed LV mass by race (Caucasian 78±11 vs. African American 81±10 g/m², p=0.089) or sphericity (Caucasian 1.81±0.13 vs. African American 1.78±0.14, p=0.130), the mass-to-volume ratio was higher in African Americans (0.91±0.09 vs. 0.83±0.08, p<0.001). No race-specific differences were noted in LV longitudinal Lagrangian strain. Player position appeared to have a limited role in defining LV remodeling. In conclusion, significant echocardiographic differences were observed in mass-to-volume ratio between African American and Caucasian players. These demographics should be considered as part of pre-participation screening.

Key words

left ventricular mass - echocardiography - athletics - exercise

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References
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