International Journal of Cardiology: Heart & Vasculature (Aug 2023)
Echocardiography and strain analysis in Malaysian elite athletes versus young healthy adults
- Aslannif Roslan,
- Rohith Stanislaus,
- Tey Yee Sin,
- Faten A. Aris,
- Afif Ashari,
- Abdul A. Shaparudin,
- Wan Faizal W. Rahimi Shah,
- Koh Hui Beng,
- Lee Tjen Jhung,
- Ahmad Tantawi Jauhari Aktifanus,
- Suraya H. Kamsani,
- Beni I. Rusani,
- Nay T. Win,
- Muhd Najmi H. Abdul Rani,
- Tan Ai Ming,
- Noraminah Aedrus,
- Kartina Azman,
- Mohamad Norsyamfarhan A. Halim,
- Mohammed Dzaqqee Y. Zainal,
- Kamarul Hussein,
- Mohd Shariff Hamid,
- Arshad Puji,
- Ahmad Khairuddin
Affiliations
- Aslannif Roslan
- Department of Cardiology, Institut Jantung Negara, Kuala Lumpur, Malaysia; Corresponding author at: Department of Cardiology, Institut Jantung Negara, 145 Jalan Tun Razak, 50400 Kuala Lumpur, Malaysia.
- Rohith Stanislaus
- Department of Cardiology, Institut Jantung Negara, Kuala Lumpur, Malaysia
- Tey Yee Sin
- Department of Cardiology, Institut Jantung Negara, Kuala Lumpur, Malaysia
- Faten A. Aris
- Department of Cardiology, Institut Jantung Negara, Kuala Lumpur, Malaysia
- Afif Ashari
- Department of Cardiology, Institut Jantung Negara, Kuala Lumpur, Malaysia
- Abdul A. Shaparudin
- Department of Cardiology, Institut Jantung Negara, Kuala Lumpur, Malaysia
- Wan Faizal W. Rahimi Shah
- Department of Cardiology, Institut Jantung Negara, Kuala Lumpur, Malaysia
- Koh Hui Beng
- Department of Cardiology, Institut Jantung Negara, Kuala Lumpur, Malaysia
- Lee Tjen Jhung
- Department of Cardiology, Institut Jantung Negara, Kuala Lumpur, Malaysia
- Ahmad Tantawi Jauhari Aktifanus
- Department of Cardiology, Institut Jantung Negara, Kuala Lumpur, Malaysia
- Suraya H. Kamsani
- Department of Cardiology, Institut Jantung Negara, Kuala Lumpur, Malaysia
- Beni I. Rusani
- Department of Cardiology, Institut Jantung Negara, Kuala Lumpur, Malaysia
- Nay T. Win
- Department of Cardiology, Institut Jantung Negara, Kuala Lumpur, Malaysia
- Muhd Najmi H. Abdul Rani
- Department of Cardiology, Institut Jantung Negara, Kuala Lumpur, Malaysia
- Tan Ai Ming
- Department of Cardiology, Institut Jantung Negara, Kuala Lumpur, Malaysia
- Noraminah Aedrus
- Department of Cardiology, Institut Jantung Negara, Kuala Lumpur, Malaysia
- Kartina Azman
- Department of Cardiology, Institut Jantung Negara, Kuala Lumpur, Malaysia
- Mohamad Norsyamfarhan A. Halim
- Department of Cardiology, Institut Jantung Negara, Kuala Lumpur, Malaysia
- Mohammed Dzaqqee Y. Zainal
- Department of Cardiology, Institut Jantung Negara, Kuala Lumpur, Malaysia
- Kamarul Hussein
- Institut Sukan Negara, Kuala Lumpur, Malaysia
- Mohd Shariff Hamid
- University of Malaya, Kuala Lumpur, Malaysia
- Arshad Puji
- Institut Sukan Negara, Kuala Lumpur, Malaysia
- Ahmad Khairuddin
- Department of Cardiology, Institut Jantung Negara, Kuala Lumpur, Malaysia
- Journal volume & issue
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Vol. 47
p. 101242
Abstract
Background: Athletes have changes that can mimic pathological cardiomyopathy. Methods: Echocardiographic study of 50 male, female athletes (MA, FA) and non-athletes (MNA, FNA) age 18 to 30 years. These athletes participate in sports with predominantly endurance component. All participants exhibit no known medical illnesses or symptoms. Results: MA have thicker wall (IVSd) than MNA. No MA have IVSd > 1.2 cm and no FA have IVSd > 1.0 cm. Left ventricle internal dimension (LVIDd), left ventricle end diastolic volume index (LVEDVi) is bigger in athletes. None have LVIDd > 5.8 cm. Right ventricle fractional area change (FAC) is lower in athletes. (MA vs MNA, p = 0.013, FA vs FNA, p = 0.025). Athletes have higher septal and lateral e’ (Septal e’; MA 13.57 ± 2.66 cm/s vs MNA 11.46 ± 2.93 cm/s, p 1.2 cm and/or LVIDd > 5.8 cm. There is no difference in GLS, RVFWS and GCS but athletes have smaller LArS and LAbS.
