Possibilities of echocardiographic screening in athletes. Part 1. Normal values
https://doi.org/10.47529/2223-2524.2022.3.8
Abstract
Objective: assess the suitability of existing domestic and international recommendations for the use of echocardiography as a screening method for examining athletes; to select standards that characterize the heart in different sports, based on their own research.
Materials and methods: a meta‑analysis of 38 domestic and foreign literature sources based on the results of an echocardiographic examination of athletes was carried out. The indicators of 2647 male athletes aged 16 to 45 years old, playing for the national teams of the city of Moscow and having passed an in‑depth medical examination at the Sports Medicine Clinic, were studied.
Results: heart sizes in athletes differ slightly from population indicators, however, in 14–45% of cases they go beyond the reference values. In the absence of heart disease, the largest dimensions of the left ventricle (LV) are observed in endurance exercisers. At the same time, high functionality correlates with increased LV volume indexed by BCA (for EDV/BSA and VO2 AT r = 0.52, p < 0.05).
Conclusion: echocardiographic screening of athletes allows obtaining sufficient information to identify congenital or pathology that has arisen during excessive training loads. As standards, it is advisable to use population indicators expressed in centile values.
About the Authors
A. S. Sharykin
Moscow Scientific and Practical Center for Medical Rehabilitation and Sports Medicine; Federal Research and Clinical Center of Sports Medicine and Rehabilitation of Federal Medical Biological Agency; Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
Alexander S. Sharykin, D.Sc. (Medicine), Professor of the Department of Hospital Pediatrics
1, Ostrovityanova str., Moscow, 117997, Russia
V. A. Badtieva
Moscow Scientific and Practical Center for Medical Rehabilitation and Sports Medicine; Sechenov First Moscow State Medical University
Russian Federation
Russian Federation
Viktoria A. Badtieva, corresponding member of the RAS, M.D., D.Sc. (Medicine), Professor, Head of Branch No. 1; Head of the Department of Sports Medicine and Clinical Pharmacology; Professor of the Department of Restorative Medicine, Rehabilitation and Balneology
53, Zemlyanoy Val str., Moscow, 105120, Russia;
62/1, Leninsky prospect, Moscow, 119296, Russia
Iu. M. Ivanova
Moscow Scientific and Practical Center for Medical Rehabilitation and Sports Medicine
Russian Federation
Russian Federation
Iuliia M. Ivanova, MD, Ph.D., doctor of functional diagnostics, Department of Functional Diagnostics and Sports Medicine, Branch No. 1; Head of the
Department of Sports Medicine and Clinical Pharmacology
53, Zemlyanoy Val str., Moscow, 105120, Russia
D. M. Usmanov
Federal Research and Clinical Center of Sports Medicine and Rehabilitation of Federal Medical Biological Agency
Russian Federation
Russian Federation
Dmitriy M. Usmanov, doctor of sports medicine, Department of medical support for sports teams and competitions
5, Bolshaya Dorogomilivskaya str., Moscow, 121059, Russia
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Sharykin A.S., Badtieva V.A., Ivanova I.M., Usmanov D.M. Possibilities of echocardiographic screening in athletes. Part 1. Normal values. Sports medicine: research and practice. 2022;12(3):72-83. (In Russ.) https://doi.org/10.47529/2223-2524.2022.3.8
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