Echocardiographic Assessment of Left Ventricular Remodeling in American Style Footballers.
Int J Sports Med
; 41(1): 27-35, 2020 Jan.
Article
in En
| MEDLINE
| ID: mdl-31791086
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.
Full text:
1
Database:
MEDLINE
Main subject:
Ventricular Remodeling
/
Football
/
Heart Ventricles
Type of study:
Observational_studies
Limits:
Adolescent
/
Adult
/
Humans
/
Male
Country/Region as subject:
America do norte
Language:
En
Journal:
Int J Sports Med
Year:
2020
Type:
Article
Affiliation country:
United States