Right ventricular global and regional remodeling in american-style football athletes: A longitudinal 3D echocardiographic study

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• dc.contributor.author Hodzic, Amir
• dc.contributor.author Bernardino Perez, Gabriel
• dc.contributor.author Legallois, Damien
• dc.contributor.author Gendron, Patrick
• dc.contributor.author Langet, Hélène
• dc.contributor.author Craene, Mathieu de
• dc.contributor.author González Ballester, Miguel Ángel, 1973-
• dc.contributor.author Milliez, Paul
• dc.contributor.author Normand, Hervé
• dc.contributor.author Bijnens, Bart
• dc.contributor.author Saloux, Eric
• dc.contributor.author Tournoux, Francois
• dc.date.accessioned 2021-05-04T09:35:14Z
• dc.date.available 2021-05-04T09:35:14Z
• dc.date.issued 2021
• dc.description.abstract 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.
• dc.description.sponsorship F.T. is supported by a grant from the Fonds de Recherche du Québec—Santé (FRQS). The methodological part of this study was partly supported by the Spanish Ministry of Economy and Competitiveness (Maria de Maeztu Units of Excellence Programme—MDM-2015-0502) and the European Union under the Horizon 2020 Programme for Research, Innovation (grant agreement No. 642676 CardioFunXion).
• dc.format.mimetype application/pdf
• dc.identifier.citation Hodzic A, Bernardino G, Legallois D, Gendron P, Langet H, De Craene M, González Ballester MA, Milliez P, Normand H, Bijnens B, Saloux E, Turnoux F. Right ventricular global and regional remodeling in american-style football athletes: A longitudinal 3D echocardiographic study. Appl Sci. 2021;11(8):3357. DOI: 10.3390/app11083357
• dc.identifier.doi http://dx.doi.org/10.3390/app11083357
• dc.identifier.issn 2076-3417
• dc.identifier.uri http://hdl.handle.net/10230/47304
• dc.language.iso eng
• dc.publisher MDPI
• dc.relation.ispartof Applied Sciences. 2021;11(8):3357
• dc.relation.projectID info:eu-repo/grantAgreement/EC/H2020/642676
• dc.rights © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by/4.0/
• dc.subject.keyword 3D echocardiography
• dc.subject.keyword Chronic exercise
• dc.subject.keyword Right ventricular volume
• dc.subject.keyword Regional remodeling
• dc.subject.keyword Football
• dc.title Right ventricular global and regional remodeling in american-style football athletes: A longitudinal 3D echocardiographic study
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion