Sport disciplines and cardiac remodeling in elite university athletes competing in 2017 Taipei Summer Universiade

Jose Ernesto B. Adea, Rona Marie L. Leonor, Cheng Hui Lu, Lung Chun Lin, Michael Wu, Kuang Tso Lee, Yu Sheng Lin, Shang-Hung Chang, Kuo Chun Hung, Fen-Chiung Lin, I-Chang Hsieh, Pao-Hsien Chu, Ming Shien Wen, Victor Chien Chia Wu*, Chun Li Wang*, Hidetaka Hamasaki

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

9 Scopus citations

Abstract

Cardiac remodeling is common in the athletes. Little data is available regarding the cardiac remodeling on the recently proposed 4 sport disciplines among the elite university athletes.A total of 7639 athletes participated in the 2017 Taipei Summer Universiade. Cardiac evaluation via history, ECG, and echocardiography were performed in 826 athletes who signed up for Check Up Your Heart. Athletes were grouped into one of 4 sport disciplines Skill, Power, Mixed, and Endurance.After excluding 66 participants with missing demographic data, 13 missing echocardiographic data, and 24 inadequate echocardiographic images, a total number of 723 university athletes (mean age 23 ± 3 years, 419 males) from 99 countries engaging in 25 different sporting events were analyzed. Electrocardiograms showed that Endurance group had a slower heart rate and higher percentage of left ventricular (LV) hypertrophy (39%). Echocardiograms showed there were significant differences in LV mass index (P < .001), LV geometry (P < .001), left atrial (LA) dilatation (P = .026), right ventricular (RV) dilatation (P < .001), right atrial (RA) dilatation (P < .0001), and tricuspid annular plane systolic excurse (P = .006). LV ejection fraction, LV strain, RV strain, and LV diastolic function showed no difference in 4 sport disciplines.Eccentric LV hypertrophy was the most common type of cardiac remodeling in the university athletes participated in 2017 Taipei Summer Universiade. Adaptive changes in chamber size were more commonly seen in Endurance sport. RA dilatation was the most sensitive to hemodynamic demand, followed by RV dilatation, LA dilatation, and LV dilatation.

Original languageEnglish
Pages (from-to)E23144
JournalMedicine (United States)
Volume99
Issue number45
DOIs
StatePublished - 06 11 2020

Bibliographical note

Publisher Copyright:
© 2020 Lippincott Williams and Wilkins. All rights reserved.

Keywords

  • cardiac remodelling
  • chamber dilatation
  • sport disciplines
  • university athletes

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