Specific alterations of regional myocardial work in strength-trained athletes using anabolic androgenic steroids compared to athletes with genetic hypertrophic cardiomyopathy
•Athletes who use steroids or are diagnosed with CMH have LV regional dysfunctions.•The anabolic steroids used by athletes induce a drop in myocardial work efficiency.•Regional myocardial work analysis differentiates between steroid use and CMH in athletes. Strength-trained athletes using anabolic a...
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| Vydané v: | Journal of sport and health science Ročník 12; číslo 4; s. 477 - 485 |
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| Hlavní autori: | , , , , , , |
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| Jazyk: | English |
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China
Elsevier B.V
01.07.2023
Avignon University,LaPEC UPR 4278,Avignon F-84000,France%Rennes University,CHU Rennes,Inserm,LTSI-UMR 1099,Rennes F-35000,France%Montpellier University,PhyMedExp,INSERM,CNRS,Physiology and Experimental Heart and Muscle Medicine,Montpellier 34295,France Shanghai University of Sport Elsevier |
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| Abstract | •Athletes who use steroids or are diagnosed with CMH have LV regional dysfunctions.•The anabolic steroids used by athletes induce a drop in myocardial work efficiency.•Regional myocardial work analysis differentiates between steroid use and CMH in athletes.
Strength-trained athletes using anabolic androgenic steroids (AAS) have left ventricular (LV) hypertrophy and myocardial fibrosis that can lead to sudden cardiac death. A similar feature was described in athletes with hypertrophic cardiomyopathy (HCM), which complicates the diagnosis for clinicians. In this context, we aimed to compare the LV function of the 2 populations by measuring global and regional strain and myocardial work using speckle-tracking imaging.
Twenty-four strength-trained asymptomatic athletes using AAS (AAS-Athletes), 22 athletes diagnosed with HCM (HCM-Athletes), and 20 healthy control athletes (Ctrl-Athletes) underwent a resting echocardiography to assess LV function. We evaluated LV global and regional strains and myocardial work, with an evaluation of the constructive work (CW), wasted work, and work efficiency (WE).
Compared to Ctrl-Athletes, both AAS-Athletes and HCM-Athletes had a thicker interventricular septum, with majored values in HCM-Athletes. LV strain was reduced in AAS-Athletes and even more in HCM-Athletes. Consequently, global WE was significantly diminished in both AAS and HCM-Athletes (93% ± 2% in Ctrl-Athletes, 90% ± 4% in AAS-Athletes, and 90% ± 5% in HCM-Athletes (mean ± SD); p < 0.05). Constructive work and WE regional analysis showed specific alterations, with the basal septal segments preferentially affected in AAS-Athletes, and both septal and apical segments affected in HCM-Athletes.
The regional evaluation of myocardial work reported specific alterations of the major LV hypertrophy induced by the regular use of AAS compared to the LV hypertrophy due to HCM. This finding could help clinicians to differentiate between these 2 forms of pathological hypertrophy.
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| AbstractList | •Athletes who use steroids or are diagnosed with CMH have LV regional dysfunctions.•The anabolic steroids used by athletes induce a drop in myocardial work efficiency.•Regional myocardial work analysis differentiates between steroid use and CMH in athletes.
Strength-trained athletes using anabolic androgenic steroids (AAS) have left ventricular (LV) hypertrophy and myocardial fibrosis that can lead to sudden cardiac death. A similar feature was described in athletes with hypertrophic cardiomyopathy (HCM), which complicates the diagnosis for clinicians. In this context, we aimed to compare the LV function of the 2 populations by measuring global and regional strain and myocardial work using speckle-tracking imaging.
Twenty-four strength-trained asymptomatic athletes using AAS (AAS-Athletes), 22 athletes diagnosed with HCM (HCM-Athletes), and 20 healthy control athletes (Ctrl-Athletes) underwent a resting echocardiography to assess LV function. We evaluated LV global and regional strains and myocardial work, with an evaluation of the constructive work (CW), wasted work, and work efficiency (WE).
Compared to Ctrl-Athletes, both AAS-Athletes and HCM-Athletes had a thicker interventricular septum, with majored values in HCM-Athletes. LV strain was reduced in AAS-Athletes and even more in HCM-Athletes. Consequently, global WE was significantly diminished in both AAS and HCM-Athletes (93% ± 2% in Ctrl-Athletes, 90% ± 4% in AAS-Athletes, and 90% ± 5% in HCM-Athletes (mean ± SD); p < 0.05). Constructive work and WE regional analysis showed specific alterations, with the basal septal segments preferentially affected in AAS-Athletes, and both septal and apical segments affected in HCM-Athletes.
The regional evaluation of myocardial work reported specific alterations of the major LV hypertrophy induced by the regular use of AAS compared to the LV hypertrophy due to HCM. This finding could help clinicians to differentiate between these 2 forms of pathological hypertrophy.
[Display omitted] • Athletes who use steroids or are diagnosed with CMH have LV regional dysfunctions. • The anabolic steroids used by athletes induce a drop in myocardial work efficiency. • Regional myocardial work analysis differentiates between steroid use and CMH in athletes. Image, graphical abstract Background: Strength-trained athletes using anabolic androgenic steroids (AAS) have left ventricular (LV) hypertrophy and myocardial fibrosis that can lead to sudden cardiac death. A similar feature was described in athletes with hypertrophic cardiomyopathy (HCM), which complicates the diagnosis for clinicians. In this context, we aimed to compare the LV function of the 2 populations by measuring global and regional strain and myocardial work using speckle-tracking imaging. Methods: Twenty-four strength-trained asymptomatic athletes using AAS (AAS-Athletes), 22 athletes diagnosed with HCM (HCM-Athletes), and 20 healthy control athletes (Ctrl-Athletes) underwent a resting echocardiography to assess LV function. We evaluated LV global and regional strains and myocardial work, with an evaluation of the constructive work (CW), wasted work, and work efficiency (WE). Results: Compared to Ctrl-Athletes, both AAS-Athletes and HCM-Athletes had a thicker interventricular septum, with majored values in HCM-Athletes. LV strain was reduced in AAS-Athletes and even more in HCM-Athletes. Consequently, global WE was significantly diminished in both AAS and HCM-Athletes (93% ± 2% in Ctrl-Athletes, 90% ± 4% in AAS-Athletes, and 90% ± 5% in HCM-Athletes (mean ± SD); p < 0.05). Constructive work and WE regional analysis showed specific alterations, with the basal septal segments preferentially affected in AAS-Athletes, and both septal and apical segments affected in HCM-Athletes. Conclusion: The regional evaluation of myocardial work reported specific alterations of the major LV hypertrophy induced by the regular use of AAS compared to the LV hypertrophy due to HCM. This finding could help clinicians to differentiate between these 2 forms of pathological hypertrophy. Background:Strength-trained athletes using anabolic androgenic steroids(AAS)have left ventricular(LV)hypertrophy and myocardial fibrosis that can lead to sudden cardiac death.A similar feature was described in athletes with hypertrophic cardiomyopathy(HCM),which complicates the diagnosis for clinicians.In this context,we aimed to compare the LV function of the 2 populations by measuring global and regional strain and myocardial work using speckle-tracking imaging.Methods:Twenty-four strength-trained asymptomatic athletes using AAS(AAS-Athletes),22 athletes diagnosed with HCM(HCM-Athletes),and 20 healthy control athletes(Ctrl-Athletes)underwent a resting echocardiography to assess LV function.We evaluated LV global and regional strains and myocardial work,with an evaluation of the constructive work(CW),wasted work,and work efficiency(WE).Results:Compared to Ctrl-Athletes,both AAS-Athletes and HCM-Athletes had a thicker interventricular septum,with majored values in HCM-Athletes.LV strain was reduced in AAS-Athletes and even more in HCM-Athletes.Consequently,global WE was significantly diminished in both AAS and HCM-Athletes(93％±2％in Ctrl-Athletes,90％±4％in AAS-Athletes,and 90％±5％in HCM-Athletes(mean±SD);p＜0.05).Constructive work and WE regional analysis showed specific alterations,with the basal septal segments preferentially affected in AAS-Athletes,and both septal and apical segments affected in HCM-Athletes.Conclusion:The regional evaluation of myocardial work reported specific alterations of the major LV hypertrophy induced by the regular use of AAS compared to the LV hypertrophy due to HCM.This finding could help clinicians to differentiate between these 2 forms of pathological hypertrophy. Strength-trained athletes using anabolic androgenic steroids (AAS) have left ventricular (LV) hypertrophy and myocardial fibrosis that can lead to sudden cardiac death. A similar feature was described in athletes with hypertrophic cardiomyopathy (HCM), which complicates the diagnosis for clinicians. In this context, we aimed to compare the LV function of the 2 populations by measuring global and regional strain and myocardial work using speckle-tracking imaging.BACKGROUNDStrength-trained athletes using anabolic androgenic steroids (AAS) have left ventricular (LV) hypertrophy and myocardial fibrosis that can lead to sudden cardiac death. A similar feature was described in athletes with hypertrophic cardiomyopathy (HCM), which complicates the diagnosis for clinicians. In this context, we aimed to compare the LV function of the 2 populations by measuring global and regional strain and myocardial work using speckle-tracking imaging.Twenty-four strength-trained asymptomatic athletes using AAS (AAS-Athletes), 22 athletes diagnosed with HCM (HCM-Athletes), and 20 healthy control athletes (Ctrl-Athletes) underwent a resting echocardiography to assess LV function. We evaluated LV global and regional strains and myocardial work, with an evaluation of the constructive work (CW), wasted work, and work efficiency (WE).METHODSTwenty-four strength-trained asymptomatic athletes using AAS (AAS-Athletes), 22 athletes diagnosed with HCM (HCM-Athletes), and 20 healthy control athletes (Ctrl-Athletes) underwent a resting echocardiography to assess LV function. We evaluated LV global and regional strains and myocardial work, with an evaluation of the constructive work (CW), wasted work, and work efficiency (WE).Compared to Ctrl-Athletes, both AAS-Athletes and HCM-Athletes had a thicker interventricular septum, with majored values in HCM-Athletes. LV strain was reduced in AAS-Athletes and even more in HCM-Athletes. Consequently, global WE was significantly diminished in both AAS and HCM-Athletes (93% ± 2% in Ctrl-Athletes, 90% ± 4% in AAS-Athletes, and 90% ± 5% in HCM-Athletes (mean ± SD); p < 0.05). Constructive work and WE regional analysis showed specific alterations, with the basal septal segments preferentially affected in AAS-Athletes, and both septal and apical segments affected in HCM-Athletes.RESULTSCompared to Ctrl-Athletes, both AAS-Athletes and HCM-Athletes had a thicker interventricular septum, with majored values in HCM-Athletes. LV strain was reduced in AAS-Athletes and even more in HCM-Athletes. Consequently, global WE was significantly diminished in both AAS and HCM-Athletes (93% ± 2% in Ctrl-Athletes, 90% ± 4% in AAS-Athletes, and 90% ± 5% in HCM-Athletes (mean ± SD); p < 0.05). Constructive work and WE regional analysis showed specific alterations, with the basal septal segments preferentially affected in AAS-Athletes, and both septal and apical segments affected in HCM-Athletes.The regional evaluation of myocardial work reported specific alterations of the major LV hypertrophy induced by the regular use of AAS compared to the LV hypertrophy due to HCM. This finding could help clinicians to differentiate between these 2 forms of pathological hypertrophy.CONCLUSIONThe regional evaluation of myocardial work reported specific alterations of the major LV hypertrophy induced by the regular use of AAS compared to the LV hypertrophy due to HCM. This finding could help clinicians to differentiate between these 2 forms of pathological hypertrophy. Strength-trained athletes using anabolic androgenic steroids (AAS) have left ventricular (LV) hypertrophy and myocardial fibrosis that can lead to sudden cardiac death. A similar feature was described in athletes with hypertrophic cardiomyopathy (HCM), which complicates the diagnosis for clinicians. In this context, we aimed to compare the LV function of the 2 populations by measuring global and regional strain and myocardial work using speckle-tracking imaging. Twenty-four strength-trained asymptomatic athletes using AAS (AAS-Athletes), 22 athletes diagnosed with HCM (HCM-Athletes), and 20 healthy control athletes (Ctrl-Athletes) underwent a resting echocardiography to assess LV function. We evaluated LV global and regional strains and myocardial work, with an evaluation of the constructive work (CW), wasted work, and work efficiency (WE). Compared to Ctrl-Athletes, both AAS-Athletes and HCM-Athletes had a thicker interventricular septum, with majored values in HCM-Athletes. LV strain was reduced in AAS-Athletes and even more in HCM-Athletes. Consequently, global WE was significantly diminished in both AAS and HCM-Athletes (93% ± 2% in Ctrl-Athletes, 90% ± 4% in AAS-Athletes, and 90% ± 5% in HCM-Athletes (mean ± SD); p < 0.05). Constructive work and WE regional analysis showed specific alterations, with the basal septal segments preferentially affected in AAS-Athletes, and both septal and apical segments affected in HCM-Athletes. The regional evaluation of myocardial work reported specific alterations of the major LV hypertrophy induced by the regular use of AAS compared to the LV hypertrophy due to HCM. This finding could help clinicians to differentiate between these 2 forms of pathological hypertrophy. |
| Author | Galli, Elena Donal, Erwan Grandperrin, Antoine Cazorla, Olivier Nottin, Stéphane Hedon, Christophe Schnell, Frédéric |
| AuthorAffiliation | Avignon University,LaPEC UPR 4278,Avignon F-84000,France%Rennes University,CHU Rennes,Inserm,LTSI-UMR 1099,Rennes F-35000,France%Montpellier University,PhyMedExp,INSERM,CNRS,Physiology and Experimental Heart and Muscle Medicine,Montpellier 34295,France |
| AuthorAffiliation_xml | – name: Avignon University,LaPEC UPR 4278,Avignon F-84000,France%Rennes University,CHU Rennes,Inserm,LTSI-UMR 1099,Rennes F-35000,France%Montpellier University,PhyMedExp,INSERM,CNRS,Physiology and Experimental Heart and Muscle Medicine,Montpellier 34295,France |
| Author_xml | – sequence: 1 givenname: Antoine surname: Grandperrin fullname: Grandperrin, Antoine organization: Avignon University, LaPEC UPR 4278, Avignon F-84000, France – sequence: 2 givenname: Frédéric surname: Schnell fullname: Schnell, Frédéric organization: Rennes University, CHU Rennes, Inserm, LTSI–UMR 1099, Rennes F-35000, France – sequence: 3 givenname: Erwan surname: Donal fullname: Donal, Erwan organization: Rennes University, CHU Rennes, Inserm, LTSI–UMR 1099, Rennes F-35000, France – sequence: 4 givenname: Elena surname: Galli fullname: Galli, Elena organization: Rennes University, CHU Rennes, Inserm, LTSI–UMR 1099, Rennes F-35000, France – sequence: 5 givenname: Christophe surname: Hedon fullname: Hedon, Christophe organization: Montpellier University, PhyMedExp, INSERM, CNRS, Physiology and Experimental Heart and Muscle Medicine, Montpellier 34295, France – sequence: 6 givenname: Olivier surname: Cazorla fullname: Cazorla, Olivier organization: Montpellier University, PhyMedExp, INSERM, CNRS, Physiology and Experimental Heart and Muscle Medicine, Montpellier 34295, France – sequence: 7 givenname: Stéphane surname: Nottin fullname: Nottin, Stéphane email: stephane.nottin@univ-avignon.fr organization: Avignon University, LaPEC UPR 4278, Avignon F-84000, France |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/35908728$$D View this record in MEDLINE/PubMed |
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| Keywords | Anabolic androgenic steroids Hypertrophic cardiomyopathy Speckle-tracking echocardiography Myocardial work Left ventricular function |
| Language | English |
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| Publisher | Elsevier B.V Avignon University,LaPEC UPR 4278,Avignon F-84000,France%Rennes University,CHU Rennes,Inserm,LTSI-UMR 1099,Rennes F-35000,France%Montpellier University,PhyMedExp,INSERM,CNRS,Physiology and Experimental Heart and Muscle Medicine,Montpellier 34295,France Shanghai University of Sport Elsevier |
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| Snippet | •Athletes who use steroids or are diagnosed with CMH have LV regional dysfunctions.•The anabolic steroids used by athletes induce a drop in myocardial work... Strength-trained athletes using anabolic androgenic steroids (AAS) have left ventricular (LV) hypertrophy and myocardial fibrosis that can lead to sudden... Background:Strength-trained athletes using anabolic androgenic steroids(AAS)have left ventricular(LV)hypertrophy and myocardial fibrosis that can lead to... • Athletes who use steroids or are diagnosed with CMH have LV regional dysfunctions. • The anabolic steroids used by athletes induce a drop in myocardial work... Background: Strength-trained athletes using anabolic androgenic steroids (AAS) have left ventricular (LV) hypertrophy and myocardial fibrosis that can lead to... |
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| SubjectTerms | Anabolic androgenic steroids Hypertrophic cardiomyopathy Left ventricular function Myocardial work Original Speckle-tracking echocardiography |
| Title | Specific alterations of regional myocardial work in strength-trained athletes using anabolic androgenic steroids compared to athletes with genetic hypertrophic cardiomyopathy |
| URI | https://dx.doi.org/10.1016/j.jshs.2022.07.004 https://www.ncbi.nlm.nih.gov/pubmed/35908728 https://www.proquest.com/docview/2697096237 https://d.wanfangdata.com.cn/periodical/ydyjkkx-e202304005 https://pubmed.ncbi.nlm.nih.gov/PMC10362519 https://doaj.org/article/7a4efacb4e594b98a348a14c89a734bd |
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