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Volume 19
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10.3390/ijerph19148842
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Article

Echocardiographic Characterization of Left Heart Morphology and Function in Highly Trained Male Judo Athletes

by
Jelena Slankamenac
1,
Aleksandra Milovancev
2,3,
Aleksandar Klasnja
2,
Tamara Gavrilovic
4,
Damir Sekulic
5,
Marijana Geets Kesic
5,
Tatjana Trivic
1,
Violeta Kolarov
2,6 and
Patrik Drid
1,*
1
Faculty of Sport and Physical Education, University of Novi Sad, 21000 Novi Sad, Serbia
2
Faculty of Medicine, University of Novi Sad, 21000 Novi Sad, Serbia
3
Institute of Cardiovascular Diseases of Vojvodina, 21204 Sremska Kamenica, Serbia
4
Serbian Institute of Sport and Sports Medicine, 11000 Belgrade, Serbia
5
Faculty of Kinesiology, University of Split, 21000 Split, Croatia
6
Institute for Pulmonary Diseases of Vojvodina, 21204 Sremska Kamenica, Serbia
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2022, 19(14), 8842; https://doi.org/10.3390/ijerph19148842
Submission received: 23 June 2022 / Revised: 7 July 2022 / Accepted: 7 July 2022 / Published: 21 July 2022
(This article belongs to the Special Issue Exercise as Prescription in Non-communicable Chronic Diseases and in Athletes)
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Abstract

The long-term practice of judo can lead to various changes in the heart including increased dimensions of the left ventricle in diastole and thickening of the interventricular septum and the posterior wall of the left ventricle. This study aimed to assess left ventricular morphology and function in elite male judokas. A comparative cross-sectional study was conducted that included a total of 20 subjects, 10 judokas, and 10 healthy non-athletes aged 24 ± 2.85 years. Demographic and anthropometric data were analyzed. All subjects underwent a medical examination and a two-dimensional transthoracic echocardiogram. Different parameters of left ventricular morphology and function were measured and compared between athletes and non-athletes. Left ventricle mass and LV mass index were higher in judokas than in non-athletes (p < 0.05), as well as PW thickness (9.78 ± 0.89 mm vs. 8.95 ± 0.76 mm). A total of six (n = 6) of athletes had eccentric hypertrophy, while others had normal heart geometry. LVEDd, LVEDs, LVEDd/BSA, and LVEDs/BSA were significantly higher in judokas (p < 0.05). LVEDd in athletes ranged from 48 to 62 mm. These values, combined with normal diastolic function, ejection fraction, and shortening fraction, indicate that the judokas’ cardiac adaptation was physiological rather than pathological.
Keywords: athlete’s heart; left ventricular hypertrophy; ventricular remodeling; cardiac adaptation; heart geometry athlete’s heart; left ventricular hypertrophy; ventricular remodeling; cardiac adaptation; heart geometry

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MDPI and ACS Style

Slankamenac, J.; Milovancev, A.; Klasnja, A.; Gavrilovic, T.; Sekulic, D.; Kesic, M.G.; Trivic, T.; Kolarov, V.; Drid, P. Echocardiographic Characterization of Left Heart Morphology and Function in Highly Trained Male Judo Athletes. Int. J. Environ. Res. Public Health 2022, 19, 8842. https://doi.org/10.3390/ijerph19148842

AMA Style

Slankamenac J, Milovancev A, Klasnja A, Gavrilovic T, Sekulic D, Kesic MG, Trivic T, Kolarov V, Drid P. Echocardiographic Characterization of Left Heart Morphology and Function in Highly Trained Male Judo Athletes. International Journal of Environmental Research and Public Health. 2022; 19(14):8842. https://doi.org/10.3390/ijerph19148842

Chicago/Turabian Style

Slankamenac, Jelena, Aleksandra Milovancev, Aleksandar Klasnja, Tamara Gavrilovic, Damir Sekulic, Marijana Geets Kesic, Tatjana Trivic, Violeta Kolarov, and Patrik Drid. 2022. "Echocardiographic Characterization of Left Heart Morphology and Function in Highly Trained Male Judo Athletes" International Journal of Environmental Research and Public Health 19, no. 14: 8842. https://doi.org/10.3390/ijerph19148842

APA Style

Slankamenac, J., Milovancev, A., Klasnja, A., Gavrilovic, T., Sekulic, D., Kesic, M. G., Trivic, T., Kolarov, V., & Drid, P. (2022). Echocardiographic Characterization of Left Heart Morphology and Function in Highly Trained Male Judo Athletes. International Journal of Environmental Research and Public Health, 19(14), 8842. https://doi.org/10.3390/ijerph19148842

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