Evidence map›Paper›PMID 25580194›Full record

ArticleJournal of cardiovascular ultrasound2014

Endurance and Strength Athlete's Heart: Analysis of Myocardial Deformation by Speckle Tracking Echocardiography.

Amato Santoro, Federico Alvino, Giovanni Antonelli, Maria Caputo, Margherita Padeletti, Matteo Lisi, Sergio Mondillo

Registry-linked trialAbstract read
In one paragraph

Article in Journal of cardiovascular ultrasound, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05543525 (Advanced Myocardial Deformation Echocardiography for the Athlete's Heart Evaluation), which is not on this map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05543525 completednot on this mapstarted 2021, after this paper: background citation

Advanced Myocardial Deformation Echocardiography for the Athlete's Heart Evaluation: Functional and Mechanistic Analysis

TypeobservationalSponsorCentral Hospital, Nancy, FranceRan2021 to 2022Enrolled191ConditionsAthlete HeartArmsEchocardiography, Cardiopulmonary exercise testing
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Speckle tracking evaluation in endurance athletes: the "optimal" myocardial work.The international journal of cardiovascular imaging · 2020
    Article
  11. Article
  12. Association of ACE gene polymorphism with cardiovascular determinants of trained and untrained Iranian men.Genes and environment : the official journal of the Japanese Environmental Mutagen Society · 2019
    Article
  13. Article
  14. Review
  15. Left ventricles of aging athletes: better untwisters but not more relaxed during exercise.Clinical research in cardiology : official journal of the German Cardiac Society · 2017
    Article
  16. Article
  17. Review
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Amato SantoroDivision of Cardiology, University of Siena, Siena, Italy.
Federico AlvinoDivision of Cardiology, University of Siena, Siena, Italy.
Giovanni AntonelliDivision of Cardiology, University of Siena, Siena, Italy.
Maria CaputoDivision of Cardiology, University of Siena, Siena, Italy.
Margherita PadelettiDivision of Cardiology, University of Siena, Siena, Italy.
Matteo LisiDivision of Cardiology, University of Siena, Siena, Italy.
Sergio MondilloDivision of Cardiology, University of Siena, Siena, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntensive training induces two morphological myocardial typologies of athlete's heart. Endurance training (ET) induces eccentric remodeling, bradycardia and better diastolic filling. Strength training (ST) determines concentric chamber remodelling maintaining a normal heart rate (HR). Aim of the study was to compare ET and ST athletes' heart using speckle tracking echocardiography (STE).

methods33 professional ET, 36 ST athletes, and 17 healthy controls (CT) were enrolled. All subjects underwent standard transthoracic echocardiography at rest and STE.

resultsIn ET group, HR was lower than ST group and CT group (p < 0.001; p < 0.01). ET group had higher E/A ratio than ST group and CT group (p < 0.01; p < 0.001). The left ventricular apical circumferential strain in ET group was lower than ST group and CT group (-21.6 ± 4.1% vs. -26.8 ± 7.7%, p < 0.05; vs. -27.8 ± 5.6%, p < 0.01). ET group had lower left ventricular twist (LVT) and untwisting (UTW) than ST group (6.2 ± 0.1° vs. 12.0 ± 0.1°, p < 0.01; -67.3 ± 22.9°/s vs. -122.5 ± 52.8°/s, p < 0.01) and CT group (10.0 ± 0.1°, p < 0.01; -103.3 ± 29.3°/s, p < 0.01). The univariate analysis showed significant correlation between E/A ratio and HR (r = -0.54; p < 0.001), LVT (r = -0.45; p < 0.01), UTW (r = 0.24; p < 0.05). At the multivariate analysis only HR was confirmed as independent predictor of diastolic function in all groups (Beta -0.52; p < 0.001).

conclusionIn ET there was a better global systolic and diastolic functional reserve at rest observed with strain analysis and it maybe depended on autonomic modulation.

Indexed as

Athlete's heartEndurance trainingSpeckle tracking echocardiographyStrength trainingTwisting

Identifiers

PMID25580194
PMCPMC4286641

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.