The role of echocardiography in the evaluation of cardiac re-modelling and differentiation between physiological and pathological hypertrophy in teenagers engaged in competitive amateur sports

• Published in: Cardiology in the young Vol. 27; no. 4; p. 706
• Main Authors: Sulovic, Ljiljana S, Mahmutovic, Meho, Lazic, Snezana, Sulovic, Nenad
• Format: Journal Article
• Language: English
• Published: England 01-05-2017
• Subjects: Adaptation, Physiological; Adolescent; Cardiomegaly, Exercise-Induced; Case-Control Studies; Diastole; Echocardiography, Doppler; Female; Heart - diagnostic imaging; Heart Rate; Humans; Hypertrophy, Left Ventricular - diagnostic imaging; Hypertrophy, Left Ventricular - physiopathology; Male; Prospective Studies; Regression Analysis; Serbia; Sports; Ventricular Function, Left; Sport; left ventricular hypertrophy; teenagers; echocardiography
• ISSN: 1467-1107
• DOI: 10.1017/S1047951116001116

Aims "Athlete's heart" is a cardiac adaptation to long-term intensive training. The aims of this study were to show the prevalence of left ventricular hypertrophy in teenagers who participate in sports, to define the different types of cardiac re-modelling, and to differentiate between physiological and pathological hypertrophy.
Echocardiographic measurements were obtained by M-mode, two dimensional, and Doppler techniques of participants from sports and control groups.
The echocardiographic examinations included 100 healthy teenagers taking part in dynamic sports such as football and basketball and 100 healthy teenagers taking part in static sports such as karate and judo. The control group (n=100) included healthy, sedentary teenagers. Sports participants had significantly higher left ventricular mass when compared with the control group, (p0.05). Respondents from both groups had E/A ratios (transmitral flow velocity ratio)>1, preserved diastolic function, and statistically they did not differ from the control group.
Echocardiographic parameters show that physiological hypertrophy and cardiac re-modelling are present in teenagers who play sports. Unexpectedly, the prevalence of concentric and eccentric types of re-modelling is equally possible in the group of static sports participants.