The comparison of 2D and 3D speckle-tracking echocardiography values in young athletes
https://doi.org/ 10.17238/ISSN2223-2524.2018.3.49
Abstract
Objective: to analyze the parameters of 2D and 3D transthoracic echocardiography (TEE) with speckle-tracking technology in young athletes. Materials and methods: 79 athletes (52 male, 27 female, median age 20,5±3,7 years) undergone prospective analysis. Participants were divided into groups by level of training (group A-professionals and group B-amateurs) and by gender (group 1-men and group 2-women). Athletes underwent 12-lead ECG, 2D TTE and 3D TTE with a speckle-tracking. The evaluation of LV function was performed using the speckle-tracking method with the assessment of LV longitudinal strain in the Automated Function Imaging mode. Results: significant differences in LDV (р <0,0001), LAV (р <0,0001), LVEF (р <0,0001) between 2D (р<0,05) and 3D (р<0,0001) assessment, and differences in 2D (р <0,0001) and 3D (р=0,007) GLS values and in 3D GCS assessment (р=0,02) were registered. Significantly lower values of GLS were obtained in the group A in 2D (р=0,0002) and 3D (р=0,007) echo. Conclusions: 3D visualization with speckle-tracking allows careful and detailed assessment of left ventricular systolic function. The usage of left ventricle deformation quantitative analysis can detect early signs of systolic dysfunction with normal ejection fraction with a great value in young athletes.
About the Authors
O. P. Mamaeva
City Hospital №40
Russian Federation
Russian Federation
N. E. Pavlova
City Hospital №40
Russian Federation
Russian Federation
A. M. Podlesov
City Hospital №2; St. Petersburg State Pediatric Medical University
Russian Federation
Russian Federation
A. A. Khilchuk
City Hospital №40
Russian Federation
Russian Federation
A. M. Sarana
City Hospital №40; Saint-Petersburg State University
Russian Federation
Russian Federation
S. G. Shcherbak
City Hospital №40; Saint-Petersburg State University
Russian Federation
Russian Federation
References
1. Maron BJ, Pelliccia A, Spirito P. Cardiac disease in young trained athletes: insights into methods for distinguishing athlete’s heart from structural heart disease, with particular emphasis on hypertrophic cardiomyopathy // Circulation. 1995. Vol.91. P. 1596-601. DOI: 10.1161/01.CIR.91.5.1596.
2. Maron BJ, Thompson PD, Ackerman MJ, Balady G, Berger S, Cohen D, Dimeff R, Douglas PS, Glover DW, Hutter AM Jr, Krauss MD, Maron MS, Mitten MJ, Roberts WO, Puffer JC. Recommendations and considerations related to preparticipation screening for cardiovascular abnormalities in competitive athletes: 2007 update: a scientific statement from the American Heart Association Councilon Nutrition, Physical Activity, and Metabolism: endorsed by the American College of Cardiology Foundation // Circulation. 2007. Vol. 115, №12. P. 1643-455. DOI: 10.1161/CIRCULATIONAHA.107.181423.
3. Макаров Л.М. Холтеровское мониторирование. 4-е издание. М.: ИД «Медпрактика-М», 2017. 504 с.
4. Christiaans I, van Engelen K, van Langen IM, Birnie E, Bonsel GJ, Elliott PM, Wilde AAM. Risk stratification for sudden cardiac death in hypertrophic cardiomyopathy: systematic review of clinical risk markers // Europace. 2010. Vol.12. P 313-21. DOI: 10.1093/europace/eup431.
5. Delise1 P, Allocca G, Marras E, Giustetto C, Gaita F, Sciarra L, Calo L, Proclemer A, Marziali M, Rebellato L, Berton G, Coro L, Sitta N. Risk stratification in individuals with the Brugada type 1 ECG pattern without previous cardiac arrest: usefulness of a combined clinical and electrophysiologic approach // Euro Heart J. 2011. Vol.32. P. 169-76. DOI: 10.1093/eurheartj/ehq381.
6. Бойцов С.А., Колос И.П., Лидов П.И., Смоленский А.В. Национальные рекомендации по допуску спортсменов с отклонениями со стороны сердечно-сосудистой системы к тренировочно-соревновательному процессу // Рациональная фармакотерапия в кардиологии. 2011. №7. С. 4-60.
7. Национальные рекомендации по определению риска и профилактике внезапной сердечной смерти // Клиническая практика. 2012. №4. С. 6-94.
8. Sugeng L, Mor-Avi V, Lang RM. Three-dimensional echocardiography: coming of age // Heart. 2008. Vol.94. P 1123-5. DOI: 10.1136/hrt 2007.133702.
9. Lang RM, Dent JM. Three-Dimensional Echocardiography: Is it ready for Every day Clinical Use? // J Am Coll Cardiol Img. 2009. Vol.2. P. 114-7. DOI: 10.1016/j.acvd.2010.01.007.
10. Leung K, Bosch JG. Automated border detection in threedimensional echocardiography: principles and promises // Eur. J. Echocardiography. 2010. Vol.11, №2. P 97-108. DOI: 10.1093/ ejechocard/jeq005.
11. Алехин М.Н. Ультразвуковые методики оценки деформации миокарда и их клиническое значение // Ультразвуковая и функциональная диагностика. 2011. №3. С. 107-20.
12. Muraru D, Badano LP, Piccoli G. Validation of a novel automated border-detection algorithm for rapid and accurate quantitation of left ventricular volumes based on three-dimensional echocardiography // European Journal of Echocardiography. 2010. Vol.11, №4. P 359-68. DOI: 10.1093/ejechocard/jep217.
13. Iskandrian AE, Hage FG. Imaging Acute MI in the 21st Century // JACC Cardiovasc Imaging. 2013. Vol.6, №3. P. 370-2. DOI: 10.1016/j.jcmg.2012.11.010.
14. Luigi P Badano. Defining normative values for 3D LV volumes // JACC:cardiovascular imaging. 2013. Vol.6, №4. P. 526-31. DOI: 10.1016/j.jcmg.2013.01.008.
15. Guidelines and standards EAE/ASE recommendations for image acquisition and display using hree-dimensional echocardiography // J Am Soc Echocardiogr. 2012. Vol.25. P. 3-46. DOI: 10.1093/ehjci/jer316.
16. Denisa Muraru, Umberto Cucchini, Sorina Mihail, Luigi P Badano. Left Ventricular Myocardial Strain by Three-Dimensional Speckle-Tracking Echocardiography in Healthy Subjects: Reference Values and Analysis of Their. Physiologic and Technical Determinants // J Am Soc Echocardiogr. 2014. Vol.27, №8. P. 858-71. DOI: 10.1016/j.echo.2014.05.010.
17. Altman M, Bergerot C, Aussoleil A, Davidsen ES, Sibellas F, Ovize M, Bonnefoy-Cudraz E, Thibault H, Derumeaux G. Assessment of left ventricular systolic function by deformation imaging derived from speckle tracking: a comparison between 2D and 3D echo modalities // Eur Heart J Cardiovasc Imaging. 2014. Vol.15. P. 316-23. DOI: 10.1093/ehjci/jet103.
18. Reant P, Barbot L, Touche C, Dijos M, Arsac F, Pillois X, Landelle M, Roudaut R, Lafitte S. Evaluation of global left ventricular systolic function using three-dimensional echocardiography speckle-tracking strain parameters // J Am Soc Echocardiogr. 2012. Vol.25. P. 68-79. DOI: 10.1016/j.echo.2011.10.009.
19. Wu VC, Takeuchi M, Otani K, Haruki N, Yoshitani H, Tamura M, Abe H, Lin F, Otsuji Y. Effect of through-plane and twisting motion on left ventricular strain calculation: direct comparison between two-dimensional and threedimensional speckle-tracking echocardiography // J Am Soc Echocardiogr. 2013. Vol.26. P. 1274-81. DOI: 10.1007/s10554-016-0961-6.
Review
For citations:
Mamaeva O.P., Pavlova N.E., Podlesov A.M., Khilchuk A.A., Sarana A.M., Shcherbak S.G. The comparison of 2D and 3D speckle-tracking echocardiography values in young athletes. Sports medicine: research and practice. 2018;8(3):49-58. (In Russ.) https://doi.org/ 10.17238/ISSN2223-2524.2018.3.49
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