Forsythe Lynsey, George Keith, Oxborough David
Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Tom Reilly Building, Liverpool, L3 3AF, UK.
Curr Treat Options Cardiovasc Med. 2018 Aug 27;20(10):83. doi: 10.1007/s11936-018-0677-0.
To describe the use of speckle tracking echocardiography (STE) in the biventricular assessment of athletes' heart (AH). Can STE aid differential diagnosis during pre-participation cardiac screening (PCS) of athletes?
Data from recent patient, population and athlete studies suggest potential discriminatory value of STE, alongside standard echocardiographic measurements, in the early detection of clinically relevant systolic dysfunction. STE can also contribute to subsequent prognosis and risk stratification. Despite some heterogeneity in STE data in athletes, left ventricular global longitudinal strain (GLS) and right ventricular longitudinal strain (RV ɛ) indices can add to differential diagnostic protocols in PCS. STE should be used in addition to standard echocardiographic tools and be conducted by an experienced operator with significant knowledge of the AH. Other indices, including left ventricular circumferential strain and twist, may provide insight, but further research in clinical and athletic populations is warranted. This review also raises the potential role for STE measures performed during exercise as well as in serial follow-up as a method to improve diagnostic yield.
描述斑点追踪超声心动图（STE）在运动员心脏（AH）双心室评估中的应用。在运动员的赛前心脏筛查（PCS）中，STE能否有助于鉴别诊断？
近期针对患者、人群及运动员的研究数据表明，STE与标准超声心动图测量值一样，在早期检测临床相关的收缩功能障碍方面具有潜在的鉴别价值。STE还可用于后续的预后评估和风险分层。尽管运动员的STE数据存在一定异质性，但左心室整体纵向应变（GLS）和右心室纵向应变（RVɛ）指标可补充到PCS的鉴别诊断方案中。STE应作为标准超声心动图工具的补充，且应由对AH有深入了解的经验丰富的操作人员进行。其他指标，包括左心室圆周应变和扭转，可能会提供有用信息，但仍需在临床和运动员人群中开展进一步研究。本综述还提出了运动期间及连续随访时进行STE测量作为提高诊断率方法的潜在作用。
