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Zha W, Schiros CG, Reddy G, et al. Improved Right Ventricular Performance with Increased Tricuspid Annular Excursion in Athlete's Heart. Front Cardiovasc Med. 2015;2:8doi: 10.3389/fcvm.2015.00008.
Zha, W., Schiros, C. G., Reddy, G., Feng, W., Denney, T. S., Lloyd, S. G., Dell'Italia, L. J., & Gupta, H. (2015). Improved Right Ventricular Performance with Increased Tricuspid Annular Excursion in Athlete's Heart. Frontiers in cardiovascular medicine, 28. https://doi.org/10.3389/fcvm.2015.00008
Zha, Wei, et al. "Improved Right Ventricular Performance with Increased Tricuspid Annular Excursion in Athlete's Heart." Frontiers in cardiovascular medicine vol. 2 (2015): 8. doi: https://doi.org/10.3389/fcvm.2015.00008
Zha W, Schiros CG, Reddy G, Feng W, Denney TS, Lloyd SG, Dell'Italia LJ, Gupta H. Improved Right Ventricular Performance with Increased Tricuspid Annular Excursion in Athlete's Heart. Front Cardiovasc Med. 2015 Apr 30;2:8. doi: 10.3389/fcvm.2015.00008. eCollection 2015. PMID: 26664880; PMCID: PMC4671336.
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Front Cardiovasc Med. 2015 Apr 30;2:8. doi: 10.3389/fcvm.2015.00008. eCollection 2015.

Improved Right Ventricular Performance with Increased Tricuspid Annular Excursion in Athlete's Heart.

Frontiers in cardiovascular medicine

Wei Zha, Chun G Schiros, Gautam Reddy, Wei Feng, Thomas S Denney, Steven G Lloyd, Louis J Dell'Italia, Himanshu Gupta

Affiliations

  1. Department of Medical Physics, University of Wisconsin-Madison , Madison, WI , USA.
  2. Department of Medicine, University of Alabama at Birmingham , Birmingham, AL , USA.
  3. Department of Biomedical Engineering, Wayne State University , Detroit, MI , USA.
  4. Department of Electrical and Computer Engineering, Auburn University , Auburn, AL , USA.
  5. Department of Medicine, University of Alabama at Birmingham , Birmingham, AL , USA ; Birmingham Veteran Affairs Medical Center , Birmingham, AL , USA.

PMID: 26664880 PMCID: PMC4671336 DOI: 10.3389/fcvm.2015.00008

Abstract

BACKGROUND: Marathon runners (MTH) and patients with mitral regurgitation (MR) exhibit left ventricular (LV) overload, and LV geometric changes in these groups have been reported. In this study, right ventricular (RV) adaptation to chronic volume overload was evaluated in MTH and MR and normal controls together with interventricular septal remodeling and tricuspid annulus (TA) motion.

METHODS: A total of 60 age-matched subjects (including 19 MTH, 17 isolated chronic compensated MR patients, and 24 normal subjects) underwent conventional cine and tagged cardiac magnetic resonance imaging. Myocardial strain and curvature were computed on the interventricular septum and RV free wall. A dual-propagation technique was applied to construct RV volume-time curves for a single cardiac cycle. Similarly, the TA was tracked throughout the cardiac cycle to create displacement over time curve.

RESULTS: Septal curvature was significantly lower in MTH and MR compared to controls. No significant differences in RV free-wall strain or RV ejection fraction were noted among the three groups. However, longitudinal TA excursion was significantly higher in MTH compared to controls (p = 0.0061). The peak late diastolic TA velocity in MR was significantly faster than MTH (p = 0.0031) and controls (p = 0.020).

CONCLUSION: Increased TA kinetics allows for improved RV performance in MTH. Septal remodeling was observed in both MR and MTH, therefore a direct relationship of septal remodeling to TA kinetics in athlete's heart could not be elucidated in this study.

Keywords: cardiac magnetic resonance imaging; interventricular septal remodeling; marathon runners; mitral regurgitation; right ventricle strain; right ventricular function; tricuspid annulus displacement

References

  1. J Cardiovasc Ultrasound. 2012 Dec;20(4):181-8 - PubMed
  2. J Am Coll Cardiol. 2012 Aug 28;60(9):833-8 - PubMed
  3. Circulation. 2008 Mar 18;117(11):1436-48 - PubMed
  4. J Am Soc Echocardiogr. 2004 May;17 (5):443-7 - PubMed
  5. Am J Cardiol. 2013 Apr 1;111(7):1067-72 - PubMed
  6. IEEE Trans Image Process. 2003;12(11):1427-42 - PubMed
  7. Circulation. 2002 Jan 29;105(4):539-42 - PubMed
  8. J Hum Hypertens. 2015 Apr;29(4):241-6 - PubMed
  9. Circulation. 2012 May 15;125(19):2334-42 - PubMed
  10. Circ Heart Fail. 2014 Jan;7(1):194-202 - PubMed
  11. Circulation. 2011 Jun 14;123(23):2723-35 - PubMed
  12. Am J Physiol. 1996 Dec;271(6 Pt 2):H2689-700 - PubMed
  13. J Cardiovasc Magn Reson. 2009 Aug 13;11:30 - PubMed
  14. J Vet Intern Med. 2009 Sep-Oct;23(5):1007-13 - PubMed
  15. Eur J Cardiothorac Surg. 1998 Sep;14(3):250-5 - PubMed
  16. IEEE Trans Med Imaging. 2000 Mar;19(3):186-202 - PubMed
  17. Circulation. 1981 Nov;64(5):992-6 - PubMed
  18. J Cardiovasc Magn Reson. 2011 Dec 08;13:78 - PubMed
  19. Circulation. 2013 Apr 16;127(15):1597-608 - PubMed
  20. Magn Reson Med. 2003 Apr;49(4):743-54 - PubMed
  21. Circulation. 2013 Apr 16;127(15):1567-8 - PubMed
  22. J Cardiovasc Magn Reson. 2005;7(5):769-74 - PubMed
  23. JACC Cardiovasc Imaging. 2010 Jan;3(1):10-8 - PubMed
  24. Eur J Cardiothorac Surg. 2006 Apr;29 Suppl 1:S126-38 - PubMed
  25. Am Heart J. 2004 Feb;147(2):218-23 - PubMed
  26. J Am Coll Cardiol. 2010 Feb 16;55(7):671-9 - PubMed
  27. Am J Med Sci. 2011 Aug;342(2):114-9 - PubMed
  28. Am J Med Sci. 2009 Aug;338(2):113-5 - PubMed
  29. JACC Cardiovasc Imaging. 2012 Mar;5(3):273-81 - PubMed
  30. Phys Med Biol. 2006 Feb 7;51(3):517-37 - PubMed
  31. Arch Cardiovasc Dis. 2013 Aug-Sep;106(8-9):419-22 - PubMed
  32. Hypertension. 2010 May;55(5):1137-42 - PubMed

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