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Global Longitudinal Strain in master athletes and in hypertensive patients with the same degree of septal thickness
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Zeitschriftentitel: | Scandinavian Journal of Medicine & Science in Sports |
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Personen und Körperschaften: | , , , , , , |
In: | Scandinavian Journal of Medicine & Science in Sports, 27, 2017, 11, S. 1411-1416 |
Format: | E-Article |
Sprache: | Englisch |
veröffentlicht: |
Wiley
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Schlagwörter: |
author_facet |
D'Elia, E. Ferrero, P. Vittori, C. Calabrese, A. Duino, V. Perlini, S. Senni, M. D'Elia, E. Ferrero, P. Vittori, C. Calabrese, A. Duino, V. Perlini, S. Senni, M. |
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author |
D'Elia, E. Ferrero, P. Vittori, C. Calabrese, A. Duino, V. Perlini, S. Senni, M. |
spellingShingle |
D'Elia, E. Ferrero, P. Vittori, C. Calabrese, A. Duino, V. Perlini, S. Senni, M. Scandinavian Journal of Medicine & Science in Sports Global Longitudinal Strain in master athletes and in hypertensive patients with the same degree of septal thickness Physical Therapy, Sports Therapy and Rehabilitation Orthopedics and Sports Medicine |
author_sort |
d'elia, e. |
spelling |
D'Elia, E. Ferrero, P. Vittori, C. Calabrese, A. Duino, V. Perlini, S. Senni, M. 0905-7188 1600-0838 Wiley Physical Therapy, Sports Therapy and Rehabilitation Orthopedics and Sports Medicine http://dx.doi.org/10.1111/sms.12788 <jats:p>Athletes may have electrocardiogram (<jats:styled-content style="fixed-case">ECG</jats:styled-content>) repolarization abnormalities during stress test suggestive for ischemia in the absence of ischemic coronary artery disease, often in a setting of myocardial septum hypertrophy. Global longitudinal strain (<jats:styled-content style="fixed-case">GLS</jats:styled-content>) might be altered in these athletes compared to hypertensive patients with the same degree of septal thickness. About 735 consecutive athletes were screened for mandatory assessment of fitness to participate in competitive sports. At the stress test, 23 (19 M, 4 F) were found to have <jats:styled-content style="fixed-case">ECG</jats:styled-content> repolarization abnormalities suggestive for ischemia in the presence of normal coronary vessels. They were matched to a control group of 23 hypertensive patients with no <jats:styled-content style="fixed-case">ECG</jats:styled-content> abnormalities during stress test and the same degree of septal thickness. A transthoracic echocardiography for evaluation of global longitudinal strain (<jats:styled-content style="fixed-case">GLS</jats:styled-content>) was performed. Interventricular septum thickness (<jats:styled-content style="fixed-case">IST</jats:styled-content>) and relative wall thickness (<jats:styled-content style="fixed-case">RWT</jats:styled-content>) were also calculated. A preserved ventricular function was seen in both groups (64 ± 8% in cases vs 60 ± 6% in controls, <jats:italic>P</jats:italic> = 0.42). <jats:styled-content style="fixed-case">IST</jats:styled-content> and <jats:styled-content style="fixed-case">RWT</jats:styled-content> were not significantly different. <jats:styled-content style="fixed-case">GLS</jats:styled-content> was significantly lower in athletes vs hypertensive patients (−18.7 ± 2.5 vs −21.67 ± 0.27, <jats:italic>P</jats:italic> = 0.001). In athletes with septal hypertrophy and a positive stress test not associated to coronary disease, <jats:styled-content style="fixed-case">GLS</jats:styled-content> is lower with respect to a population of hypertensive patient with the same degree of septal hypertrophy. Further investigations in a larger population are required to better define the potentiality of <jats:styled-content style="fixed-case">GLS</jats:styled-content> in differentiating pathological vs physiological septum hypertrophy.</jats:p> Global Longitudinal Strain in master athletes and in hypertensive patients with the same degree of septal thickness Scandinavian Journal of Medicine & Science in Sports |
doi_str_mv |
10.1111/sms.12788 |
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Online |
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Medizin |
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Wiley, 2017 |
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2017 |
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Wiley |
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Scandinavian Journal of Medicine & Science in Sports |
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title |
Global Longitudinal Strain in master athletes and in hypertensive patients with the same degree of septal thickness |
title_unstemmed |
Global Longitudinal Strain in master athletes and in hypertensive patients with the same degree of septal thickness |
title_full |
Global Longitudinal Strain in master athletes and in hypertensive patients with the same degree of septal thickness |
title_fullStr |
Global Longitudinal Strain in master athletes and in hypertensive patients with the same degree of septal thickness |
title_full_unstemmed |
Global Longitudinal Strain in master athletes and in hypertensive patients with the same degree of septal thickness |
title_short |
Global Longitudinal Strain in master athletes and in hypertensive patients with the same degree of septal thickness |
title_sort |
global longitudinal strain in master athletes and in hypertensive patients with the same degree of septal thickness |
topic |
Physical Therapy, Sports Therapy and Rehabilitation Orthopedics and Sports Medicine |
url |
http://dx.doi.org/10.1111/sms.12788 |
publishDate |
2017 |
physical |
1411-1416 |
description |
<jats:p>Athletes may have electrocardiogram (<jats:styled-content style="fixed-case">ECG</jats:styled-content>) repolarization abnormalities during stress test suggestive for ischemia in the absence of ischemic coronary artery disease, often in a setting of myocardial septum hypertrophy. Global longitudinal strain (<jats:styled-content style="fixed-case">GLS</jats:styled-content>) might be altered in these athletes compared to hypertensive patients with the same degree of septal thickness. About 735 consecutive athletes were screened for mandatory assessment of fitness to participate in competitive sports. At the stress test, 23 (19 M, 4 F) were found to have <jats:styled-content style="fixed-case">ECG</jats:styled-content> repolarization abnormalities suggestive for ischemia in the presence of normal coronary vessels. They were matched to a control group of 23 hypertensive patients with no <jats:styled-content style="fixed-case">ECG</jats:styled-content> abnormalities during stress test and the same degree of septal thickness. A transthoracic echocardiography for evaluation of global longitudinal strain (<jats:styled-content style="fixed-case">GLS</jats:styled-content>) was performed. Interventricular septum thickness (<jats:styled-content style="fixed-case">IST</jats:styled-content>) and relative wall thickness (<jats:styled-content style="fixed-case">RWT</jats:styled-content>) were also calculated. A preserved ventricular function was seen in both groups (64 ± 8% in cases vs 60 ± 6% in controls, <jats:italic>P</jats:italic> = 0.42). <jats:styled-content style="fixed-case">IST</jats:styled-content> and <jats:styled-content style="fixed-case">RWT</jats:styled-content> were not significantly different. <jats:styled-content style="fixed-case">GLS</jats:styled-content> was significantly lower in athletes vs hypertensive patients (−18.7 ± 2.5 vs −21.67 ± 0.27, <jats:italic>P</jats:italic> = 0.001). In athletes with septal hypertrophy and a positive stress test not associated to coronary disease, <jats:styled-content style="fixed-case">GLS</jats:styled-content> is lower with respect to a population of hypertensive patient with the same degree of septal hypertrophy. Further investigations in a larger population are required to better define the potentiality of <jats:styled-content style="fixed-case">GLS</jats:styled-content> in differentiating pathological vs physiological septum hypertrophy.</jats:p> |
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author | D'Elia, E., Ferrero, P., Vittori, C., Calabrese, A., Duino, V., Perlini, S., Senni, M. |
author_facet | D'Elia, E., Ferrero, P., Vittori, C., Calabrese, A., Duino, V., Perlini, S., Senni, M., D'Elia, E., Ferrero, P., Vittori, C., Calabrese, A., Duino, V., Perlini, S., Senni, M. |
author_sort | d'elia, e. |
container_issue | 11 |
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container_title | Scandinavian Journal of Medicine & Science in Sports |
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description | <jats:p>Athletes may have electrocardiogram (<jats:styled-content style="fixed-case">ECG</jats:styled-content>) repolarization abnormalities during stress test suggestive for ischemia in the absence of ischemic coronary artery disease, often in a setting of myocardial septum hypertrophy. Global longitudinal strain (<jats:styled-content style="fixed-case">GLS</jats:styled-content>) might be altered in these athletes compared to hypertensive patients with the same degree of septal thickness. About 735 consecutive athletes were screened for mandatory assessment of fitness to participate in competitive sports. At the stress test, 23 (19 M, 4 F) were found to have <jats:styled-content style="fixed-case">ECG</jats:styled-content> repolarization abnormalities suggestive for ischemia in the presence of normal coronary vessels. They were matched to a control group of 23 hypertensive patients with no <jats:styled-content style="fixed-case">ECG</jats:styled-content> abnormalities during stress test and the same degree of septal thickness. A transthoracic echocardiography for evaluation of global longitudinal strain (<jats:styled-content style="fixed-case">GLS</jats:styled-content>) was performed. Interventricular septum thickness (<jats:styled-content style="fixed-case">IST</jats:styled-content>) and relative wall thickness (<jats:styled-content style="fixed-case">RWT</jats:styled-content>) were also calculated. A preserved ventricular function was seen in both groups (64 ± 8% in cases vs 60 ± 6% in controls, <jats:italic>P</jats:italic> = 0.42). <jats:styled-content style="fixed-case">IST</jats:styled-content> and <jats:styled-content style="fixed-case">RWT</jats:styled-content> were not significantly different. <jats:styled-content style="fixed-case">GLS</jats:styled-content> was significantly lower in athletes vs hypertensive patients (−18.7 ± 2.5 vs −21.67 ± 0.27, <jats:italic>P</jats:italic> = 0.001). In athletes with septal hypertrophy and a positive stress test not associated to coronary disease, <jats:styled-content style="fixed-case">GLS</jats:styled-content> is lower with respect to a population of hypertensive patient with the same degree of septal hypertrophy. Further investigations in a larger population are required to better define the potentiality of <jats:styled-content style="fixed-case">GLS</jats:styled-content> in differentiating pathological vs physiological septum hypertrophy.</jats:p> |
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spelling | D'Elia, E. Ferrero, P. Vittori, C. Calabrese, A. Duino, V. Perlini, S. Senni, M. 0905-7188 1600-0838 Wiley Physical Therapy, Sports Therapy and Rehabilitation Orthopedics and Sports Medicine http://dx.doi.org/10.1111/sms.12788 <jats:p>Athletes may have electrocardiogram (<jats:styled-content style="fixed-case">ECG</jats:styled-content>) repolarization abnormalities during stress test suggestive for ischemia in the absence of ischemic coronary artery disease, often in a setting of myocardial septum hypertrophy. Global longitudinal strain (<jats:styled-content style="fixed-case">GLS</jats:styled-content>) might be altered in these athletes compared to hypertensive patients with the same degree of septal thickness. About 735 consecutive athletes were screened for mandatory assessment of fitness to participate in competitive sports. At the stress test, 23 (19 M, 4 F) were found to have <jats:styled-content style="fixed-case">ECG</jats:styled-content> repolarization abnormalities suggestive for ischemia in the presence of normal coronary vessels. They were matched to a control group of 23 hypertensive patients with no <jats:styled-content style="fixed-case">ECG</jats:styled-content> abnormalities during stress test and the same degree of septal thickness. A transthoracic echocardiography for evaluation of global longitudinal strain (<jats:styled-content style="fixed-case">GLS</jats:styled-content>) was performed. Interventricular septum thickness (<jats:styled-content style="fixed-case">IST</jats:styled-content>) and relative wall thickness (<jats:styled-content style="fixed-case">RWT</jats:styled-content>) were also calculated. A preserved ventricular function was seen in both groups (64 ± 8% in cases vs 60 ± 6% in controls, <jats:italic>P</jats:italic> = 0.42). <jats:styled-content style="fixed-case">IST</jats:styled-content> and <jats:styled-content style="fixed-case">RWT</jats:styled-content> were not significantly different. <jats:styled-content style="fixed-case">GLS</jats:styled-content> was significantly lower in athletes vs hypertensive patients (−18.7 ± 2.5 vs −21.67 ± 0.27, <jats:italic>P</jats:italic> = 0.001). In athletes with septal hypertrophy and a positive stress test not associated to coronary disease, <jats:styled-content style="fixed-case">GLS</jats:styled-content> is lower with respect to a population of hypertensive patient with the same degree of septal hypertrophy. Further investigations in a larger population are required to better define the potentiality of <jats:styled-content style="fixed-case">GLS</jats:styled-content> in differentiating pathological vs physiological septum hypertrophy.</jats:p> Global Longitudinal Strain in master athletes and in hypertensive patients with the same degree of septal thickness Scandinavian Journal of Medicine & Science in Sports |
spellingShingle | D'Elia, E., Ferrero, P., Vittori, C., Calabrese, A., Duino, V., Perlini, S., Senni, M., Scandinavian Journal of Medicine & Science in Sports, Global Longitudinal Strain in master athletes and in hypertensive patients with the same degree of septal thickness, Physical Therapy, Sports Therapy and Rehabilitation, Orthopedics and Sports Medicine |
title | Global Longitudinal Strain in master athletes and in hypertensive patients with the same degree of septal thickness |
title_full | Global Longitudinal Strain in master athletes and in hypertensive patients with the same degree of septal thickness |
title_fullStr | Global Longitudinal Strain in master athletes and in hypertensive patients with the same degree of septal thickness |
title_full_unstemmed | Global Longitudinal Strain in master athletes and in hypertensive patients with the same degree of septal thickness |
title_short | Global Longitudinal Strain in master athletes and in hypertensive patients with the same degree of septal thickness |
title_sort | global longitudinal strain in master athletes and in hypertensive patients with the same degree of septal thickness |
title_unstemmed | Global Longitudinal Strain in master athletes and in hypertensive patients with the same degree of septal thickness |
topic | Physical Therapy, Sports Therapy and Rehabilitation, Orthopedics and Sports Medicine |
url | http://dx.doi.org/10.1111/sms.12788 |