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Myocardial performance index in female athletes

Alsafi, Zahraa; Malmgren, Andreas LU ; Gudmundsson, Petri; Stagmo, Martin LU and Dencker, Magnus LU (2017) In Cardiovascular Ultrasound 15(1).
Abstract

Background: Long-term intensive training leads to morphological and mechanical changes in the heart generally known as "athlete's heart". Previous studies have suggested that the diastolic and systolic function of the ventricles is unaltered in athletes compared to sedentary. The purpose of this study was to investigate myocardial performance index (MPI) by pulsed wave Doppler (PWD) and by tissue Doppler imaging (TDI) in female elite athletes compared to sedentary controls. Methods: The study consisted of 32 athletes (mean age 20 ± 2 years) and 34 sedentary controls (mean age 23 ± 2 years). MPI by PWD and TDI were measured in the left (LV) and right ventricle (RV) in both groups. Moreover, comparisons of MPI by the two methods and... (More)

Background: Long-term intensive training leads to morphological and mechanical changes in the heart generally known as "athlete's heart". Previous studies have suggested that the diastolic and systolic function of the ventricles is unaltered in athletes compared to sedentary. The purpose of this study was to investigate myocardial performance index (MPI) by pulsed wave Doppler (PWD) and by tissue Doppler imaging (TDI) in female elite athletes compared to sedentary controls. Methods: The study consisted of 32 athletes (mean age 20 ± 2 years) and 34 sedentary controls (mean age 23 ± 2 years). MPI by PWD and TDI were measured in the left (LV) and right ventricle (RV) in both groups. Moreover, comparisons of MPI by the two methods and between the LV and RV within the two groups were made. Results: There were no significant differences in MPI between athletes and controls (p > 0.05), whereas the LV had significantly higher MPI compared to RV (p < 0.001, in athletes and controls). The agreement and the correlation between the two methods measuring MPI showed low agreement and no correlation (athletes RV r = -0.027, LV r = 0.12; controls RV r = 0.20, LV r = 0.30). Conclusion: The global function of the LV and RV measured by MPI with PWD and TDI is similar in female athletes compared to sedentary controls. Conversely, both MPI by PWD and by TDI shows a significant difference between the LV and RV. However, the agreement and correlation between conventional methods of measuring MPI by PWD compared to MPI by TDI is very poor in both these populations.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Athlete's heart, Diastolic function, Echocardiography, Left ventricle, Myocardial performance index, Right ventricle, Systolic function
in
Cardiovascular Ultrasound
volume
15
issue
1
publisher
BioMed Central
external identifiers
  • scopus:85029298765
  • pmid: 28893266
  • wos:000410363600001
ISSN
1476-7120
DOI
10.1186/s12947-017-0112-9
language
English
LU publication?
yes
id
1efa2781-90a1-45a5-96f9-5fded5db5380
date added to LUP
2017-10-09 09:48:08
date last changed
2018-01-16 13:21:40
@article{1efa2781-90a1-45a5-96f9-5fded5db5380,
  abstract     = {<p>Background: Long-term intensive training leads to morphological and mechanical changes in the heart generally known as "athlete's heart". Previous studies have suggested that the diastolic and systolic function of the ventricles is unaltered in athletes compared to sedentary. The purpose of this study was to investigate myocardial performance index (MPI) by pulsed wave Doppler (PWD) and by tissue Doppler imaging (TDI) in female elite athletes compared to sedentary controls. Methods: The study consisted of 32 athletes (mean age 20 ± 2 years) and 34 sedentary controls (mean age 23 ± 2 years). MPI by PWD and TDI were measured in the left (LV) and right ventricle (RV) in both groups. Moreover, comparisons of MPI by the two methods and between the LV and RV within the two groups were made. Results: There were no significant differences in MPI between athletes and controls (p &gt; 0.05), whereas the LV had significantly higher MPI compared to RV (p &lt; 0.001, in athletes and controls). The agreement and the correlation between the two methods measuring MPI showed low agreement and no correlation (athletes RV r = -0.027, LV r = 0.12; controls RV r = 0.20, LV r = 0.30). Conclusion: The global function of the LV and RV measured by MPI with PWD and TDI is similar in female athletes compared to sedentary controls. Conversely, both MPI by PWD and by TDI shows a significant difference between the LV and RV. However, the agreement and correlation between conventional methods of measuring MPI by PWD compared to MPI by TDI is very poor in both these populations.</p>},
  articleno    = {20},
  author       = {Alsafi, Zahraa and Malmgren, Andreas and Gudmundsson, Petri and Stagmo, Martin and Dencker, Magnus},
  issn         = {1476-7120},
  keyword      = {Athlete's heart,Diastolic function,Echocardiography,Left ventricle,Myocardial performance index,Right ventricle,Systolic function},
  language     = {eng},
  month        = {09},
  number       = {1},
  publisher    = {BioMed Central},
  series       = {Cardiovascular Ultrasound},
  title        = {Myocardial performance index in female athletes},
  url          = {http://dx.doi.org/10.1186/s12947-017-0112-9},
  volume       = {15},
  year         = {2017},
}