Possible new options and benefits to detect myocarditis, right ventricular remodeling and coronary anomalies by echocardiography in systematic preparticipation screening of athletes
| العنوان: | Possible new options and benefits to detect myocarditis, right ventricular remodeling and coronary anomalies by echocardiography in systematic preparticipation screening of athletes |
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| المؤلفون: | Sandra Tautenhahn, Robert Percy Marshall, Stephan Stöbe, Ulrich Laufs, Kati Fikenzer, Sven Fikenzer, Pierre Hepp, Tom Döbel, Andreas Hagendorff |
| المصدر: | The International Journal of Cardiovascular Imaging |
| بيانات النشر: | Springer Science and Business Media LLC, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Myocarditis, Transthoracic echocardiography, Coronary Vessel Anomalies, Echocardiography, Three-Dimensional, Risk Assessment, Doppler imaging, Sudden cardiac death, Young Adult, Predictive Value of Tests, Risk Factors, Internal medicine, medicine, Humans, Radiology, Nuclear Medicine and imaging, Ventricular remodeling, Isovolumetric contraction, Cardiac imaging, Retrospective Studies, Original Paper, Ventricular Remodeling, business.industry, Left ventricular remodeling, Hypertrophic cardiomyopathy, Cardiomyopathy, Hypertrophic, medicine.disease, Echocardiography, Doppler, Death, Sudden, Cardiac, medicine.anatomical_structure, Athletes, Ventricular Function, Right, cardiovascular system, Cardiology, Feasibility Studies, Cardiology and Cardiovascular Medicine, business, Artery |
| الوصف: | Exclusion of cardiac abnormalities should be performed at the beginning of the athlete’s career. Myocarditis, right ventricular remodeling and coronary anomalies are well-known causes of life-threatening events of athletes, major cardiovascular events and sudden cardiac death. The feasibility of an extended comprehensive echocardiographic protocol for the detection of structural cardiac abnormalities in athletes should be tested. This standardized protocol of transthoracic echocardiography includes two- and three-dimensional imaging, tissue Doppler imaging, and coronary artery scanning. Post processing was performed for deformation analysis of all compounds including layer strain. During 2017 and 2018, the feasibility of successful image acquisition and post processing analysis was retrospectively analyzed in 54 male elite athletes. In addition, noticeable findings inside the analyzed cohort are described. The extended image acquisition and data analyzing was feasible from 74 to 100%, depending on the used modalities. One case of myocarditis was detected in the present cohort. Coronary anomalies were not found. Right ventricular size and function were within normal ranges. Isovolumetric right ventricular relaxation time showed significant regional differences. One case of hypertrophic cardiomyopathy and two subjects with bicuspid aortic valves were found. Due to the excessive cardiac stress in highly competitive sports, high-quality and precise screening modalities are necessary, especially with respect to acquired cardiac diseases like acute myocarditis and pathological changes of left ventricular and RV geometry. The documented feasibility of the proposed extended protocol underlines the suitability to detect distinct morphological and functional cardiac alterations and documents the potential added value of a comprehensive echocardiography. |
| تدمد: | 1573-0743 1569-5794 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::1773501914416709f813b8a887548ca1Test https://doi.org/10.1007/s10554-020-01899-1Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....1773501914416709f813b8a887548ca1 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15730743 15695794 |
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