A. Sharykin, V. Badtieva, Iu. M. Ivanova, D. M. Usmanov
{"title":"Possibilities of echocardiographic screening in athletes. Part 1. Normal values","authors":"A. Sharykin, V. Badtieva, Iu. M. Ivanova, D. M. Usmanov","doi":"10.47529/2223-2524.2022.3.8","DOIUrl":null,"url":null,"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.","PeriodicalId":309619,"journal":{"name":"Sports medicine: research and practice","volume":"26 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2022-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Sports medicine: research and practice","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.47529/2223-2524.2022.3.8","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
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.
目的:评估现有的国内和国际推荐使用超声心动图作为检查运动员的筛查方法的适用性;根据自己的研究,选择不同运动中心脏特征的标准。材料和方法:基于一名运动员超声心动图检查结果,对38篇国内外文献进行meta分析。对2647名16至45岁的莫斯科市国家队男子运动员的各项指标进行了研究,这些运动员在运动医学诊所接受了深入的体检。结果:运动员的心脏大小与人群指标略有不同,但有14-45%的运动员心脏大小超过参考值。在没有心脏病的情况下,耐力锻炼者的左心室(LV)尺寸最大。同时,高功能性与BCA指标的LV容积增加相关(EDV/BSA和VO2 At r = 0.52, p < 0.05)。结论:超声心动图筛查运动员可以获得足够的信息,以确定在过度训练负荷期间出现的先天性或病理。作为标准,建议使用以百分位数表示的人口指标。