caa a22 4500 606221042 CHVBK 20210128101126.0 cr unu---uuuuu 210128e20150501xx s 000 0 eng 10.1007/s00380-014-0520-9 doi (NATIONALLICENCE)springer-10.1007/s00380-014-0520-9 Myocardial deformational adaptations to different forms of training: a real-time three-dimensional speckle tracking echocardiographic study [Elektronische Daten] [Ines Monte, Sarah Mangiafico, Sergio Buccheri, Vera Bottari, Vincenzo Lavanco, Antonio Arcidiacono, Stefano Leggio, Wanda Deste, Corrado Tamburino] The hemodynamic load due to physical activity leads to structural and functional cardiac adaptations known as "Athlete's heart”. We aimed to compare myocardial performance in different groups of trained athletes by means of 3D echocardiography and 3D speckle tracking echocardiography (3D-STE). 66 athletes [26 strength-trained athletes (STA) and 40 endurance athletes (ETA)] were prospectively enrolled. A control group of 40 sedentary subjects (sedentary group) was also included. All subjects underwent both standard and 3D evaluation of left ventricular (LV) function including 3D-STE. Left ventricular mass indexed for body surface area, LV end-diastolic (LV Dd) thickness of interventricular septum and posterior wall thickness mean values were significantly increased in athletes (p<0.001, p<0.01 and p<0.001, respectively). LV diastolic diameter index had a significantly higher mean value in ETA in respect to sedentary group (p=0.001). Despite a preserved mean value of LV ejection fraction (LV EF) in all the groups, subjects in STA group showed a significant reduction of strain in the longitudinal, radial and circumferential directions (p<0.05 for all). Area strain mean value was also reduced in STA group (p<0.01). In the overall population, an inverse relationship between longitudinal strain and LV Dd index (r=−0.260, p=0.008), the E/A ratio (r=−0.249, p=0.010) and the E' velocity (r=−0.259, p=0.009) has been identified. Sport-specific patterns of ventricular morphological and functional remodeling are present in athletes performing different kinds of training. 3D-STE is a useful and feasible echocardiographic technique for the assessment of sport-specific pattern of deformational adaptations. Springer Japan, 2014 Three-dimensional echocardiography nationallicence Speckle tracking nationallicence Strain nationallicence Athlete's heart nationallicence Monte Ines Medical and Pediatric Sciences Department, University of Catania, Catania, Italy aut Mangiafico Sarah Cardio-Thorax-Vascular and Transplant Department, AOU Policlinic, Catania, Italy aut Buccheri Sergio Medical and Pediatric Sciences Department, University of Catania, Catania, Italy aut Bottari Vera Medical and Pediatric Sciences Department, University of Catania, Catania, Italy aut Lavanco Vincenzo Medical and Pediatric Sciences Department, University of Catania, Catania, Italy aut Arcidiacono Antonio Medical and Pediatric Sciences Department, University of Catania, Catania, Italy aut Leggio Stefano Medical and Pediatric Sciences Department, University of Catania, Catania, Italy aut Deste Wanda Cardio-Thorax-Vascular and Transplant Department, AOU Policlinic, Catania, Italy aut Tamburino Corrado Medical and Pediatric Sciences Department, University of Catania, Catania, Italy aut Heart and Vessels Springer Japan 30/3(2015-05-01), 386-395 0910-8327 30:3<386 2015 30 380 https://doi.org/10.1007/s00380-014-0520-9 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00380-014-0520-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Monte Ines Medical and Pediatric Sciences Department, University of Catania, Catania, Italy aut NATIONALLICENCE 700 1- Mangiafico Sarah Cardio-Thorax-Vascular and Transplant Department, AOU Policlinic, Catania, Italy aut NATIONALLICENCE 700 1- Buccheri Sergio Medical and Pediatric Sciences Department, University of Catania, Catania, Italy aut NATIONALLICENCE 700 1- Bottari Vera Medical and Pediatric Sciences Department, University of Catania, Catania, Italy aut NATIONALLICENCE 700 1- Lavanco Vincenzo Medical and Pediatric Sciences Department, University of Catania, Catania, Italy aut NATIONALLICENCE 700 1- Arcidiacono Antonio Medical and Pediatric Sciences Department, University of Catania, Catania, Italy aut NATIONALLICENCE 700 1- Leggio Stefano Medical and Pediatric Sciences Department, University of Catania, Catania, Italy aut NATIONALLICENCE 700 1- Deste Wanda Cardio-Thorax-Vascular and Transplant Department, AOU Policlinic, Catania, Italy aut NATIONALLICENCE 700 1- Tamburino Corrado Medical and Pediatric Sciences Department, University of Catania, Catania, Italy aut NATIONALLICENCE 773 0- Heart and Vessels Springer Japan 30/3(2015-05-01), 386-395 0910-8327 30:3<386 2015 30 380