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Systolic and early diastolic left ventricular velocities assessed by tissue Doppler imaging in 100 top-level handball players.
Eur J Cardiovasc Prev Rehabil. 2010 Jun; 17(3):342-8.EJ

Abstract

BACKGROUND AND OBJECTIVE

Echocardiographic tissue Doppler imaging (TDI) has been proposed for the differentiation of physiologic left ventricular hypertrophy and pathologic left ventricular hypertrophy in athletes. In addition, cutoff values for systolic (S'<9 cm/s) and early diastolic (E'<9 cm/s) myocardial velocities had been defined. The aim of our study was the analysis of the morphologic cardiac changes by standard echocardiography, and the myocardial velocities S' and E' by TDI in top-level handball players with respect to the predefined cutoff values.

PATIENTS AND METHODS

Pulsed-wave TDI of the systolic and early diastolic velocities was performed at the lateral and septal mitral annulus (MA) in the four-chamber view in 100 athletes (100 Caucasian men; professional handball players of the first German handball league and the German national team; mean age 25.8+/-4.8 years).

RESULTS

Global and regional left ventricular systolic function was normal in all athletes. They showed an eccentric hypertrophy of the left ventricle (LV), which was characterized by an increased mass of the LV (287.3+/-58.4 g), and an increased end diastolic diameter of the LV (LVEDD: 58+/-5.9 mm), but no echomorphologic signs of pathologic hypertrophy or hypertrophic cardiomyopathy. TDI showed a systolic velocity S' of the MA of 9.3+/-1.5 cm/s at the septal and 10.5+/-2.1 at the lateral MA. Ten of the 100 athletes showed a S'<9 cm/s at both sides of the MA. TDI showed an early diastolic velocity E' of the MA of 13.2+/-2.8 cm/s at the septal and of 16.6+/-3.4 cm/s at the lateral MA. None of the 100 athletes showed reduced systolic or early diastolic velocities below the proposed cutoff values (S' and E'<9 cm/s) at any sides of the MA.

CONCLUSION

Our study provides further insights into systolic and diastolic function as assessed by TDI in top-level handball players. Owing to the large cohort of individuals, our findings might be helpful as reference values for the echocardiographic assessment of handball players, who are performing a moderate static and high dynamic sport.

Authors+Show Affiliations

Department of Cardiology, Heart Center Northern-Westphalia, Bad Oeynhausen, Germany. Thomas.Butz@Marienhospital-Herne.deNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

20560167

Citation

Butz, Thomas, et al. "Systolic and Early Diastolic Left Ventricular Velocities Assessed By Tissue Doppler Imaging in 100 Top-level Handball Players." European Journal of Cardiovascular Prevention and Rehabilitation : Official Journal of the European Society of Cardiology, Working Groups On Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology, vol. 17, no. 3, 2010, pp. 342-8.
Butz T, van Buuren F, Mellwig KP, et al. Systolic and early diastolic left ventricular velocities assessed by tissue Doppler imaging in 100 top-level handball players. Eur J Cardiovasc Prev Rehabil. 2010;17(3):342-8.
Butz, T., van Buuren, F., Mellwig, K. P., Langer, C., Oldenburg, O., Treusch, K. A., Meissner, A., Plehn, G., Trappe, H. J., Horstkotte, D., & Faber, L. (2010). Systolic and early diastolic left ventricular velocities assessed by tissue Doppler imaging in 100 top-level handball players. European Journal of Cardiovascular Prevention and Rehabilitation : Official Journal of the European Society of Cardiology, Working Groups On Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology, 17(3), 342-8.
Butz T, et al. Systolic and Early Diastolic Left Ventricular Velocities Assessed By Tissue Doppler Imaging in 100 Top-level Handball Players. Eur J Cardiovasc Prev Rehabil. 2010;17(3):342-8. PubMed PMID: 20560167.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Systolic and early diastolic left ventricular velocities assessed by tissue Doppler imaging in 100 top-level handball players. AU - Butz,Thomas, AU - van Buuren,Frank, AU - Mellwig,Klaus Peter, AU - Langer,Christoph, AU - Oldenburg,Olaf, AU - Treusch,Kuno Alexander, AU - Meissner,Axel, AU - Plehn,Gunnar, AU - Trappe,Hans-Joachim, AU - Horstkotte,Dieter, AU - Faber,Lothar, PY - 2010/6/19/entrez PY - 2010/6/19/pubmed PY - 2010/10/5/medline SP - 342 EP - 8 JF - European journal of cardiovascular prevention and rehabilitation : official journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology JO - Eur J Cardiovasc Prev Rehabil VL - 17 IS - 3 N2 - BACKGROUND AND OBJECTIVE: Echocardiographic tissue Doppler imaging (TDI) has been proposed for the differentiation of physiologic left ventricular hypertrophy and pathologic left ventricular hypertrophy in athletes. In addition, cutoff values for systolic (S'<9 cm/s) and early diastolic (E'<9 cm/s) myocardial velocities had been defined. The aim of our study was the analysis of the morphologic cardiac changes by standard echocardiography, and the myocardial velocities S' and E' by TDI in top-level handball players with respect to the predefined cutoff values. PATIENTS AND METHODS: Pulsed-wave TDI of the systolic and early diastolic velocities was performed at the lateral and septal mitral annulus (MA) in the four-chamber view in 100 athletes (100 Caucasian men; professional handball players of the first German handball league and the German national team; mean age 25.8+/-4.8 years). RESULTS: Global and regional left ventricular systolic function was normal in all athletes. They showed an eccentric hypertrophy of the left ventricle (LV), which was characterized by an increased mass of the LV (287.3+/-58.4 g), and an increased end diastolic diameter of the LV (LVEDD: 58+/-5.9 mm), but no echomorphologic signs of pathologic hypertrophy or hypertrophic cardiomyopathy. TDI showed a systolic velocity S' of the MA of 9.3+/-1.5 cm/s at the septal and 10.5+/-2.1 at the lateral MA. Ten of the 100 athletes showed a S'<9 cm/s at both sides of the MA. TDI showed an early diastolic velocity E' of the MA of 13.2+/-2.8 cm/s at the septal and of 16.6+/-3.4 cm/s at the lateral MA. None of the 100 athletes showed reduced systolic or early diastolic velocities below the proposed cutoff values (S' and E'<9 cm/s) at any sides of the MA. CONCLUSION: Our study provides further insights into systolic and diastolic function as assessed by TDI in top-level handball players. Owing to the large cohort of individuals, our findings might be helpful as reference values for the echocardiographic assessment of handball players, who are performing a moderate static and high dynamic sport. SN - 1741-8275 UR - https://www.unboundmedicine.com/medline/citation/20560167/Systolic_and_early_diastolic_left_ventricular_velocities_assessed_by_tissue_Doppler_imaging_in_100_top_level_handball_players_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&amp;PAGE=linkout&amp;SEARCH=20560167.ui DB - PRIME DP - Unbound Medicine ER -