Assessment of Left Ventricular Myocardial Function in Wrestlers: A Focus on Speckle Tracking Echocardiography

Year 2022, , 248 - 254, 14.07.2022

Onur Argan , Serdar Bozyel , Kadriye Akay , Eyüp Avcı , Tuncay Kırış

https://doi.org/10.53424/balikesirsbd.1028121

Abstract

Objective: Athlete’s heart is related with physiological adaptation as a result of recurrent cardiac overloading. However, these exercise-induced changes can be confused with pathological conditions and it can be difficult to differentiate with traditional echocardiographic parameters. Recently, speckle tracking echocardiography (STE) has provided new perspectives in differentiating athlete's heart from pathological heart disease. In specific sports such as wrestling, there is not enough data on this method. The aim of study was to evaluate myocardial function of wrestlers using 2D-speckle tracking echocardiography imaging. Material and Methods: 23 healthy individuals and 20 wrestlers were included in the study. Ventricular strain values were evaluated by apical 2,3 and 4 chamber imaging. Global longitudinal strain (GLS) was calculated by averaging three apical views. Results: Left ventricular (LV) longitudinal two, three and four chamber strain and LV GLS were slightly lower but not statistically significant in the wrestlers [-17.9(16.4-19.5)] compared with control group [-19.1(16.2-20.7)], (p=0.084, p=0.603, p=0.119, p=0.228, respectively]. There was not any difference regarding the left ventricle ejection fraction (p=0.455). E wave, A wave, e’wave, E/A and E/e’ ratio were similar between groups (p=0.210, p=0.826, p=0.505, p=0.468, p=0.451, respectively). GLS showed significant correlation with e’wave (r=0.561, p<0.001). Conclusion:LV myocardial deformation evaluated by GLS was slightly lower but similar in the wrestlers compared to the healty individuals. It may be useful to clinicians in evaluating athelet’s heart in addition to conventional echocardiographic parameters.

Keywords

Sport Medicine, Transthoracic Echocardiography, Wrestling

Thanks

The authors would like to thanks to Wrestling Referee Okan Durak for his contribution.

Güreşçilerde Sol Ventriküler Miyokard Fonksiyonunun Değerlendirilmesi: Benek İzleme Ekokardiyografisi Odaklı Görüntüleme

Abstract

Amaç: Atlet kalbi, egzersiz kaynaklı kalbin aşırı yüklenmesiyle oluşan fizyolojik bir adaptasyondur. Ancak egzersize bağlı değişiklikler patolojik durumlarla karışabilmekte ve geleneksel ekokardiyografik parametreler ile ayrım zorlaşabilmektedir. Benek takibi ekokardiyografisi atlet kalbi ile kalp hastalıklarını ayırmada yeni bakış açıları sağlamıştır. Güreşçilik gibi spesifik spor dallarında ise bu yöntemle ilgili yeterince veri yoktur. Bu çalışmanın amacı, benek takibi ekokardiyografisi kullanarak güreşçilerin miyokardiyal fonksiyonunu değerlendirmektir. Gereç ve Yöntem: Çalışmaya 20 güreşçi ve 23 sağlıklı birey dahil edildi. Ventriküler gerilme değerleri apikal iki, üç ve dört boşluk görüntüleri ile değerlendirildi. Global longitudinal gerilme (GLS) 3 görünümün ortalaması alınarak hesaplandı. Bulgular: Güreşçilerde sol ventrikül longitudinal 2, 3 ve 4 boşluk gerilme ve sol ventrikül GLS değerleri [güreşçilerde -17.9 (16.4-19.5), kontrol grubunda -19.1(16.2-20.7)] hafif düşük olmakla birlikte istatistiki olarak anlamlı fark saptanmadı (p=0.084,p=0.603, p=0.119,p=0.228,sırasıyla). Sol ventrikül ejeksiyon fraksiyonları arasında fark yoktu (p=0.455). E, A, e’ dalgası, E/A ve E/e’ oranı gruplar arasında benzerdi (p=0.210,p=0.826,p=0.505,p=0.468,p=0.451,sırasıyla). GLS, e’ ile anlamlı olarak koreleydi (r=0.561,p<0.001). Sonuç: GLS ile değerlendirilen sol ventrikül miyokard deformasyonu güreşçilerde sağlıklı bireylere göre daha düşük olmakla birlikte istatistiki olarak benzer saptandı. GLS, konvansiyonel ekokardiyografik parametrelere ek olarak sporcu kalbinin değerlendirilmesinde klinisyenlere fayda sağlayabilir.

Keywords

Spor Tıbbı, Transtorasik Ekokardiyografi, Güreş

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