Right Ventricular Global and Regional Remodeling in American-Style Football Athletes: A Longitudinal 3D Echocardiographic Study
Amir Hodzic
(1, 2, 3)
,
Gabriel Bernardino
(4, 5)
,
Damien Legallois
(6)
,
Patrick Gendron
(7)
,
Helene Langet
(8)
,
Mathieu de Craene
(9)
,
Miguel A. Gonzalez Ballester
,
Paul Milliez
(2, 10, 11)
,
Herve Normand
(1, 2)
,
Bart Bijnens
(12, 13)
,
Eric Saloux
(14)
,
Francois Tournoux
(15)
1
COMETE -
Mobilités : Vieillissement, Pathologie, Santé
2 CHU Caen
3 Cyceron - GIP Cyceron
4 CREATIS - Centre de Recherche en Acquisition et Traitement de l'Image pour la Santé
5 MYRIAD - Modeling & analysis for medical imaging and Diagnosis
6 Service de cardiologie et de pathologie vasculaire [CHU Caen]
7 UdeM - Université de Montréal
8 Medisys - MedisysResearch Lab
9 Philips Research
10 SEILIRM - Signalisation, électrophysiologie et imagerie des lésions d’ischémie-reperfusion myocardique
11 FHU REMOD-VHF - Early Markers of Cardiovascular Remodeling in Valvulopathy and Heart Failure [CHU Rouen]
12 UPF - Universitat Pompeu Fabra [Barcelona]
13 ICREA - Institució Catalana de Recerca i Estudis Avançats = Catalan Institution for Research and Advanced Studies
14 PSIR - Physiopathologie et Stratégies d'Imagerie du Remodelage cardiovasculaire
15 CR CHUM - Centre de Recherche du Centre Hospitalier de l’Université de Montréal
2 CHU Caen
3 Cyceron - GIP Cyceron
4 CREATIS - Centre de Recherche en Acquisition et Traitement de l'Image pour la Santé
5 MYRIAD - Modeling & analysis for medical imaging and Diagnosis
6 Service de cardiologie et de pathologie vasculaire [CHU Caen]
7 UdeM - Université de Montréal
8 Medisys - MedisysResearch Lab
9 Philips Research
10 SEILIRM - Signalisation, électrophysiologie et imagerie des lésions d’ischémie-reperfusion myocardique
11 FHU REMOD-VHF - Early Markers of Cardiovascular Remodeling in Valvulopathy and Heart Failure [CHU Rouen]
12 UPF - Universitat Pompeu Fabra [Barcelona]
13 ICREA - Institució Catalana de Recerca i Estudis Avançats = Catalan Institution for Research and Advanced Studies
14 PSIR - Physiopathologie et Stratégies d'Imagerie du Remodelage cardiovasculaire
15 CR CHUM - Centre de Recherche du Centre Hospitalier de l’Université de Montréal
Gabriel Bernardino
- Fonction : Auteur
- PersonId : 748128
- IdHAL : gbernardino
- ORCID : 0000-0001-8741-2566
Miguel A. Gonzalez Ballester
- Fonction : Auteur
Résumé
Featured Application The present study described the physiological right ventricular response to intensive training using a geometry processing method to analyze regional volumetric remodeling. We confirmed that right ventricular enlargement is part of the exercise-induced cardiac adaptations to chronic exercise in American-style football-trained athletes. In future work, the use of this method to characterize athletes and clinical populations involving dilatation of the right ventricle might allow to better differentiate physiological remodeling from early pathological changes. Few data exist concerning the right ventricular (RV) physiological adaptation in American-style football (ASF) athletes. We aimed to analyze the RV global and regional responses among ASF-trained athletes. Fifty-nine (20 linemen and 39 non-linemen) ASF athletes were studied before and after inter-seasonal training. During this period, which lasted 7 months, all athletes were exposed to combined dynamic and static exercises. Cardiac longitudinal changes were examined using three-dimensional transthoracic echocardiography. A computational method based on geodesic distances was applied to volumetrically parcellate the RV into apical, outlet, and inlet regions. RV global and regional end-diastolic volumes increased significantly and similarly in linemen and non-linemen after training, with predominant changes in the apex and outlet regions. RV global and regional ejection fractions were preserved. Morphological changes were uniformly distributed among the four cardiac chambers, and it was independent of the field position. Assessment of RV end-diastolic global, inlet and apical volumes showed low intra-observer (3.3%, 4.1%, and 5.3%, respectively) and inter-observer (7%, 12.2%, and 9%, respectively) variability, whereas the outlet regional volumetric assessment was less reproducible. To conclude, ASF inter-seasonal training was associated with a proportionate biventricular enlargement, regardless of the field position. Regional RV analysis allowed us to quantify the amount of exercise-induced remodeling that was larger in the apical and outlet regions.
Domaines
Sciences du Vivant [q-bio]Format du dépôt | Notice |
---|---|
Type de dépôt | Article dans une revue |
Titre |
en
Right Ventricular Global and Regional Remodeling in American-Style Football Athletes: A Longitudinal 3D Echocardiographic Study
|
Résumé |
en
Featured Application The present study described the physiological right ventricular response to intensive training using a geometry processing method to analyze regional volumetric remodeling. We confirmed that right ventricular enlargement is part of the exercise-induced cardiac adaptations to chronic exercise in American-style football-trained athletes. In future work, the use of this method to characterize athletes and clinical populations involving dilatation of the right ventricle might allow to better differentiate physiological remodeling from early pathological changes. Few data exist concerning the right ventricular (RV) physiological adaptation in American-style football (ASF) athletes. We aimed to analyze the RV global and regional responses among ASF-trained athletes. Fifty-nine (20 linemen and 39 non-linemen) ASF athletes were studied before and after inter-seasonal training. During this period, which lasted 7 months, all athletes were exposed to combined dynamic and static exercises. Cardiac longitudinal changes were examined using three-dimensional transthoracic echocardiography. A computational method based on geodesic distances was applied to volumetrically parcellate the RV into apical, outlet, and inlet regions. RV global and regional end-diastolic volumes increased significantly and similarly in linemen and non-linemen after training, with predominant changes in the apex and outlet regions. RV global and regional ejection fractions were preserved. Morphological changes were uniformly distributed among the four cardiac chambers, and it was independent of the field position. Assessment of RV end-diastolic global, inlet and apical volumes showed low intra-observer (3.3%, 4.1%, and 5.3%, respectively) and inter-observer (7%, 12.2%, and 9%, respectively) variability, whereas the outlet regional volumetric assessment was less reproducible. To conclude, ASF inter-seasonal training was associated with a proportionate biventricular enlargement, regardless of the field position. Regional RV analysis allowed us to quantify the amount of exercise-induced remodeling that was larger in the apical and outlet regions.
|
Auteur(s) |
Amir Hodzic
1, 2, 3
, Gabriel Bernardino
4, 5
, Damien Legallois
6
, Patrick Gendron
7
, Helene Langet
8
, Mathieu de Craene
9
, Miguel A. Gonzalez Ballester
, Paul Milliez
2, 10, 11
, Herve Normand
1, 2
, Bart Bijnens
12, 13
, Eric Saloux
14
, Francois Tournoux
15
1
COMETE -
Mobilités : Vieillissement, Pathologie, Santé
( 526145 )
- 2 rue des Rochambelles 14032 Caen cedex 5
- France
2
CHU Caen
( 300185 )
- Avenue de la Côte de Nacre 14000 Caen
- France
3
Cyceron -
GIP Cyceron
( 17145 )
- Campus Jules Horowitz - Boulevard Henri Becquerel - BP 5229 - 14074 CAEN Cedex 5
- France
4
CREATIS -
Centre de Recherche en Acquisition et Traitement de l'Image pour la Santé
( 139739 )
- 7 avenue Jean Capelle, Bat Blaise Pascal, 69621 Villeurbanne Cedex
- France
5
MYRIAD -
Modeling & analysis for medical imaging and Diagnosis
( 1043804 )
- France
6
Service de cardiologie et de pathologie vasculaire [CHU Caen]
( 181288 )
- Centre Hospitalier Universitaire
Avenue de la Côte de Nacre
CS 30001
14033 CAEN cedex 9
- France
7
UdeM -
Université de Montréal
( 302452 )
- 2900 Boulevard Edouard-Montpetit, Montréal, QC H3T 1J4
- Canada
8
Medisys -
MedisysResearch Lab
( 83938 )
- 33 rue de Verdun BP 313 92156 Suresnes Cedex
- France
9
Philips Research
( 402753 )
- France
10
SEILIRM -
Signalisation, électrophysiologie et imagerie des lésions d’ischémie-reperfusion myocardique
( 166217 )
- Pôle Formation Recherche et Santé - 2, rue des Rochambelles 14032 Caen cedex 5
- France
11
FHU REMOD-VHF -
Early Markers of Cardiovascular Remodeling in Valvulopathy and Heart Failure [CHU Rouen]
( 569466 )
- 1 rue de Germont 76031 ROUEN Cedex
- France
12
UPF -
Universitat Pompeu Fabra [Barcelona]
( 128785 )
- Plaça de la Mercè, 10-12 - 08002 Barcelona
- Espagne
13
ICREA -
Institució Catalana de Recerca i Estudis Avançats = Catalan Institution for Research and Advanced Studies
( 300218 )
- Passeig Lluís Companys 23, 08010 Barcelona
- Espagne
14
PSIR -
Physiopathologie et Stratégies d'Imagerie du Remodelage cardiovasculaire
( 1089978 )
- Pôle Formation Recherche et Santé - 2, rue des Rochambelles 14032 Caen cedex 5
- France
15
CR CHUM -
Centre de Recherche du Centre Hospitalier de l’Université de Montréal
( 475557 )
- Canada
|
Comité de lecture |
Oui
|
Audience |
Internationale
|
Vulgarisation |
Non
|
Langue du document |
Anglais
|
Nom de la revue |
|
Volume |
11
|
Numéro |
8
|
Page/Identifiant |
--
|
Date de publication |
2021
|
Domaine(s) |
|
Financement |
|
Mots-clés |
en
3d echocardiography, chronic exercise, right ventricular volume, regional remodeling, football
|
DOI | 10.3390/app11083357 |
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