Comparison of left ventricular mechanics in runners versus bodybuilders using speckle tracking echocardiography

Ipoly Szauder, Attila Kovács, G. Pavlik

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Background: Athlete's heart is a common definition for a broad spectrum of adaptations induced by intense exercise. We intended to compare left ventricular (LV) mechanics in two sports disciplines with different exercise nature: marathon runners (endurance) and bodybuilders (power). Methods: 24 marathon or ultramarathon runners (R), 14 bodybuilders (B) and 15 healthy, sedentary male volunteers (N) were investigated. Beyond standard echocardiographic protocol, parasternal short-axis and apical recordings optimized for speckle tracking analysis were acquired (Esaote MyLab 25). Using dedicated software (TomTec 2D Performance Analysis), global longitudinal (GLS), circumferential (GCS) and radial strain (GRS) were calculated by averaging the corresponding 16 LV segments. Data are presented as mean ± SD. Results: Calculated LV mass was higher in bodybuilders compared to normal controls (R vs. B vs. N: 198 ± 52 vs. 224 ± 69 vs. 186 ± 30 g, p <0.05). We found no difference regarding conventional systolic function parameters among the groups (ejection fraction: 55 ± 9 vs. 60 ± 6 vs. 59 ± 5%; mitral lateral S' velocity: 10.7 ± 0.6 vs. 10.6 ± 0.4 vs. 11.0 ± 0.8 cm/s). However, speckle tracking analysis showed a different pattern of myocardial deformation in our groups: while GRS was similar, GLS was decreased in runners, GCS was decreased in bodybuilders compared to the other two groups (GLS: -19.4 ± 3.4 vs. -23.3 ± 2.1 vs. -24.1 ± 3.0; GCS: -26.6 ± 3.8 vs. -22.4 ± 4.3 vs. -26.4 ± 2.7%, p <0.05). Significant correlations were found in runners between GLS and end-diastolic volume (r = 0.46; p <0.05), and body surface area (r = 0.49; p <0.05). In bodybuilders, GCS was closely related to LV mass (r = 0.61; p <0.01) and systolic blood pressure (r = 0.42; p <0.05). Conclusions: While conventional morphological and functional echocardiographic parameters failed to distinguish between the athlete's heart of the two different sport disciplines, deformation parameters showed a different pattern of LV mechanics in runners versus bodybuilders.

Original languageEnglish
Article number002
JournalCardiovascular Ultrasound
Volume13
Issue number1
DOIs
Publication statusPublished - 2015

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Mechanics
Athletes
Sports
Echocardiography
Exercise
Blood Pressure
Body Surface Area
Volunteers
Software

Keywords

  • Athlete's heart
  • Bodybuilders
  • Runners
  • Speckle tracking
  • Strain

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging

Cite this

Comparison of left ventricular mechanics in runners versus bodybuilders using speckle tracking echocardiography. / Szauder, Ipoly; Kovács, Attila; Pavlik, G.

In: Cardiovascular Ultrasound, Vol. 13, No. 1, 002, 2015.

Research output: Contribution to journalArticle

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abstract = "Background: Athlete's heart is a common definition for a broad spectrum of adaptations induced by intense exercise. We intended to compare left ventricular (LV) mechanics in two sports disciplines with different exercise nature: marathon runners (endurance) and bodybuilders (power). Methods: 24 marathon or ultramarathon runners (R), 14 bodybuilders (B) and 15 healthy, sedentary male volunteers (N) were investigated. Beyond standard echocardiographic protocol, parasternal short-axis and apical recordings optimized for speckle tracking analysis were acquired (Esaote MyLab 25). Using dedicated software (TomTec 2D Performance Analysis), global longitudinal (GLS), circumferential (GCS) and radial strain (GRS) were calculated by averaging the corresponding 16 LV segments. Data are presented as mean ± SD. Results: Calculated LV mass was higher in bodybuilders compared to normal controls (R vs. B vs. N: 198 ± 52 vs. 224 ± 69 vs. 186 ± 30 g, p <0.05). We found no difference regarding conventional systolic function parameters among the groups (ejection fraction: 55 ± 9 vs. 60 ± 6 vs. 59 ± 5{\%}; mitral lateral S' velocity: 10.7 ± 0.6 vs. 10.6 ± 0.4 vs. 11.0 ± 0.8 cm/s). However, speckle tracking analysis showed a different pattern of myocardial deformation in our groups: while GRS was similar, GLS was decreased in runners, GCS was decreased in bodybuilders compared to the other two groups (GLS: -19.4 ± 3.4 vs. -23.3 ± 2.1 vs. -24.1 ± 3.0; GCS: -26.6 ± 3.8 vs. -22.4 ± 4.3 vs. -26.4 ± 2.7{\%}, p <0.05). Significant correlations were found in runners between GLS and end-diastolic volume (r = 0.46; p <0.05), and body surface area (r = 0.49; p <0.05). In bodybuilders, GCS was closely related to LV mass (r = 0.61; p <0.01) and systolic blood pressure (r = 0.42; p <0.05). Conclusions: While conventional morphological and functional echocardiographic parameters failed to distinguish between the athlete's heart of the two different sport disciplines, deformation parameters showed a different pattern of LV mechanics in runners versus bodybuilders.",
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