author_facet Małek, Łukasz A.
Mazurkiewicz, Łukasz
Marszałek, Mikołaj
Barczuk-Falęcka, Marzena
Simon, Jenny E.
Grzybowski, Jacek
Miłosz-Wieczorek, Barbara
Postuła, Marek
Marczak, Magdalena
Małek, Łukasz A.
Mazurkiewicz, Łukasz
Marszałek, Mikołaj
Barczuk-Falęcka, Marzena
Simon, Jenny E.
Grzybowski, Jacek
Miłosz-Wieczorek, Barbara
Postuła, Marek
Marczak, Magdalena
author Małek, Łukasz A.
Mazurkiewicz, Łukasz
Marszałek, Mikołaj
Barczuk-Falęcka, Marzena
Simon, Jenny E.
Grzybowski, Jacek
Miłosz-Wieczorek, Barbara
Postuła, Marek
Marczak, Magdalena
spellingShingle Małek, Łukasz A.
Mazurkiewicz, Łukasz
Marszałek, Mikołaj
Barczuk-Falęcka, Marzena
Simon, Jenny E.
Grzybowski, Jacek
Miłosz-Wieczorek, Barbara
Postuła, Marek
Marczak, Magdalena
Diagnostics
Deformation Parameters of the Heart in Endurance Athletes and in Patients with Dilated Cardiomyopathy—A Cardiac Magnetic Resonance Study
Clinical Biochemistry
author_sort małek, łukasz a.
spelling Małek, Łukasz A. Mazurkiewicz, Łukasz Marszałek, Mikołaj Barczuk-Falęcka, Marzena Simon, Jenny E. Grzybowski, Jacek Miłosz-Wieczorek, Barbara Postuła, Marek Marczak, Magdalena 2075-4418 MDPI AG Clinical Biochemistry http://dx.doi.org/10.3390/diagnostics11020374 <jats:p>A better understanding of the left ventricle (LV) and right ventricle (RV) functioning would help with the differentiation between athlete’s heart and dilated cardiomyopathy (DCM). We aimed to analyse deformation parameters in endurance athletes relative to patients with DCM using cardiac magnetic resonance feature tracking (CMR-FT). The study included males of a similar age: 22 ultramarathon runners, 22 patients with DCM and 21 sedentary healthy controls (41 ± 9 years). The analysed parameters were peak LV global longitudinal, circumferential and radial strains (GLS, GCS and GRS, respectively); peak LV torsion; peak RV GLS. The peak LV GLS was similar in controls and athletes, but lower in DCM (p &lt; 0.0001). Peak LV GCS and GRS decreased from controls to DCM (both p &lt; 0.0001). The best value for differentiation between DCM and other groups was found for the LV ejection fraction (area under the curve (AUC) = 0.990, p = 0.0001, with 90.9% sensitivity and 100% specificity for ≤53%) and the peak LV GRS diastolic rate (AUC = 0.987, p = 0.0001, with 100% sensitivity and 88.4% specificity for &gt;−1.27 s−1). The peak LV GRS diastolic rate was the only independent predictor of DCM (p = 0.003). Distinctive deformation patterns that were typical for each of the analysed groups existed and can help to differentiate between athlete’s heart, a nonathletic heart and a dilated cardiomyopathy.</jats:p> Deformation Parameters of the Heart in Endurance Athletes and in Patients with Dilated Cardiomyopathy—A Cardiac Magnetic Resonance Study Diagnostics
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title Deformation Parameters of the Heart in Endurance Athletes and in Patients with Dilated Cardiomyopathy—A Cardiac Magnetic Resonance Study
title_unstemmed Deformation Parameters of the Heart in Endurance Athletes and in Patients with Dilated Cardiomyopathy—A Cardiac Magnetic Resonance Study
title_full Deformation Parameters of the Heart in Endurance Athletes and in Patients with Dilated Cardiomyopathy—A Cardiac Magnetic Resonance Study
title_fullStr Deformation Parameters of the Heart in Endurance Athletes and in Patients with Dilated Cardiomyopathy—A Cardiac Magnetic Resonance Study
title_full_unstemmed Deformation Parameters of the Heart in Endurance Athletes and in Patients with Dilated Cardiomyopathy—A Cardiac Magnetic Resonance Study
title_short Deformation Parameters of the Heart in Endurance Athletes and in Patients with Dilated Cardiomyopathy—A Cardiac Magnetic Resonance Study
title_sort deformation parameters of the heart in endurance athletes and in patients with dilated cardiomyopathy—a cardiac magnetic resonance study
topic Clinical Biochemistry
url http://dx.doi.org/10.3390/diagnostics11020374
publishDate 2021
physical 374
description <jats:p>A better understanding of the left ventricle (LV) and right ventricle (RV) functioning would help with the differentiation between athlete’s heart and dilated cardiomyopathy (DCM). We aimed to analyse deformation parameters in endurance athletes relative to patients with DCM using cardiac magnetic resonance feature tracking (CMR-FT). The study included males of a similar age: 22 ultramarathon runners, 22 patients with DCM and 21 sedentary healthy controls (41 ± 9 years). The analysed parameters were peak LV global longitudinal, circumferential and radial strains (GLS, GCS and GRS, respectively); peak LV torsion; peak RV GLS. The peak LV GLS was similar in controls and athletes, but lower in DCM (p &lt; 0.0001). Peak LV GCS and GRS decreased from controls to DCM (both p &lt; 0.0001). The best value for differentiation between DCM and other groups was found for the LV ejection fraction (area under the curve (AUC) = 0.990, p = 0.0001, with 90.9% sensitivity and 100% specificity for ≤53%) and the peak LV GRS diastolic rate (AUC = 0.987, p = 0.0001, with 100% sensitivity and 88.4% specificity for &gt;−1.27 s−1). The peak LV GRS diastolic rate was the only independent predictor of DCM (p = 0.003). Distinctive deformation patterns that were typical for each of the analysed groups existed and can help to differentiate between athlete’s heart, a nonathletic heart and a dilated cardiomyopathy.</jats:p>
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author Małek, Łukasz A., Mazurkiewicz, Łukasz, Marszałek, Mikołaj, Barczuk-Falęcka, Marzena, Simon, Jenny E., Grzybowski, Jacek, Miłosz-Wieczorek, Barbara, Postuła, Marek, Marczak, Magdalena
author_facet Małek, Łukasz A., Mazurkiewicz, Łukasz, Marszałek, Mikołaj, Barczuk-Falęcka, Marzena, Simon, Jenny E., Grzybowski, Jacek, Miłosz-Wieczorek, Barbara, Postuła, Marek, Marczak, Magdalena, Małek, Łukasz A., Mazurkiewicz, Łukasz, Marszałek, Mikołaj, Barczuk-Falęcka, Marzena, Simon, Jenny E., Grzybowski, Jacek, Miłosz-Wieczorek, Barbara, Postuła, Marek, Marczak, Magdalena
author_sort małek, łukasz a.
container_issue 2
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description <jats:p>A better understanding of the left ventricle (LV) and right ventricle (RV) functioning would help with the differentiation between athlete’s heart and dilated cardiomyopathy (DCM). We aimed to analyse deformation parameters in endurance athletes relative to patients with DCM using cardiac magnetic resonance feature tracking (CMR-FT). The study included males of a similar age: 22 ultramarathon runners, 22 patients with DCM and 21 sedentary healthy controls (41 ± 9 years). The analysed parameters were peak LV global longitudinal, circumferential and radial strains (GLS, GCS and GRS, respectively); peak LV torsion; peak RV GLS. The peak LV GLS was similar in controls and athletes, but lower in DCM (p &lt; 0.0001). Peak LV GCS and GRS decreased from controls to DCM (both p &lt; 0.0001). The best value for differentiation between DCM and other groups was found for the LV ejection fraction (area under the curve (AUC) = 0.990, p = 0.0001, with 90.9% sensitivity and 100% specificity for ≤53%) and the peak LV GRS diastolic rate (AUC = 0.987, p = 0.0001, with 100% sensitivity and 88.4% specificity for &gt;−1.27 s−1). The peak LV GRS diastolic rate was the only independent predictor of DCM (p = 0.003). Distinctive deformation patterns that were typical for each of the analysed groups existed and can help to differentiate between athlete’s heart, a nonathletic heart and a dilated cardiomyopathy.</jats:p>
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spelling Małek, Łukasz A. Mazurkiewicz, Łukasz Marszałek, Mikołaj Barczuk-Falęcka, Marzena Simon, Jenny E. Grzybowski, Jacek Miłosz-Wieczorek, Barbara Postuła, Marek Marczak, Magdalena 2075-4418 MDPI AG Clinical Biochemistry http://dx.doi.org/10.3390/diagnostics11020374 <jats:p>A better understanding of the left ventricle (LV) and right ventricle (RV) functioning would help with the differentiation between athlete’s heart and dilated cardiomyopathy (DCM). We aimed to analyse deformation parameters in endurance athletes relative to patients with DCM using cardiac magnetic resonance feature tracking (CMR-FT). The study included males of a similar age: 22 ultramarathon runners, 22 patients with DCM and 21 sedentary healthy controls (41 ± 9 years). The analysed parameters were peak LV global longitudinal, circumferential and radial strains (GLS, GCS and GRS, respectively); peak LV torsion; peak RV GLS. The peak LV GLS was similar in controls and athletes, but lower in DCM (p &lt; 0.0001). Peak LV GCS and GRS decreased from controls to DCM (both p &lt; 0.0001). The best value for differentiation between DCM and other groups was found for the LV ejection fraction (area under the curve (AUC) = 0.990, p = 0.0001, with 90.9% sensitivity and 100% specificity for ≤53%) and the peak LV GRS diastolic rate (AUC = 0.987, p = 0.0001, with 100% sensitivity and 88.4% specificity for &gt;−1.27 s−1). The peak LV GRS diastolic rate was the only independent predictor of DCM (p = 0.003). Distinctive deformation patterns that were typical for each of the analysed groups existed and can help to differentiate between athlete’s heart, a nonathletic heart and a dilated cardiomyopathy.</jats:p> Deformation Parameters of the Heart in Endurance Athletes and in Patients with Dilated Cardiomyopathy—A Cardiac Magnetic Resonance Study Diagnostics
spellingShingle Małek, Łukasz A., Mazurkiewicz, Łukasz, Marszałek, Mikołaj, Barczuk-Falęcka, Marzena, Simon, Jenny E., Grzybowski, Jacek, Miłosz-Wieczorek, Barbara, Postuła, Marek, Marczak, Magdalena, Diagnostics, Deformation Parameters of the Heart in Endurance Athletes and in Patients with Dilated Cardiomyopathy—A Cardiac Magnetic Resonance Study, Clinical Biochemistry
title Deformation Parameters of the Heart in Endurance Athletes and in Patients with Dilated Cardiomyopathy—A Cardiac Magnetic Resonance Study
title_full Deformation Parameters of the Heart in Endurance Athletes and in Patients with Dilated Cardiomyopathy—A Cardiac Magnetic Resonance Study
title_fullStr Deformation Parameters of the Heart in Endurance Athletes and in Patients with Dilated Cardiomyopathy—A Cardiac Magnetic Resonance Study
title_full_unstemmed Deformation Parameters of the Heart in Endurance Athletes and in Patients with Dilated Cardiomyopathy—A Cardiac Magnetic Resonance Study
title_short Deformation Parameters of the Heart in Endurance Athletes and in Patients with Dilated Cardiomyopathy—A Cardiac Magnetic Resonance Study
title_sort deformation parameters of the heart in endurance athletes and in patients with dilated cardiomyopathy—a cardiac magnetic resonance study
title_unstemmed Deformation Parameters of the Heart in Endurance Athletes and in Patients with Dilated Cardiomyopathy—A Cardiac Magnetic Resonance Study
topic Clinical Biochemistry
url http://dx.doi.org/10.3390/diagnostics11020374