Radic Petra, Bulj Nikola, Car Sinisa, Cancarevic Martina, Sikic Aljosa, Delic-Brkljacic Diana, Pavlov Marin, Babic Zdravko
Department of Cardiology, Sestre Milosrdnice University Hospital Centre, 10000 Zagreb, Croatia.
School of Medicine, University of Zagreb, 10000 Zagreb, Croatia.
J Clin Med. 2025 Mar 25;14(7):2226. doi: 10.3390/jcm14072226.
: High-intensity physical activity, especially in contact sports, may have harmful effect on athletes' health. The aim of the study is to determine acute changes in the function of the left ventricle in rugby players after a competitive match. : A prospective, clinical, observational case-control study was conducted. All cases were European Caucasian male athletes, older than 18 years, who had played for at least 60 min in the investigated match. A transthoracic echocardiography and blood tests were performed in all the participants two days before the match and within one hour after the match. : The total number of examinees was 34. Out of the 31 measured echocardiographic parameters, 22 showed a statistically significant change before and after the match. We also observed changes in echocardiographic parameters in relation to the increase in high-sensitivity troponin I. Two-dimensional left ventricle (LV) end-systolic (75 ± 10.5 vs. 67.1 ± 10 mL, = 0.032) and LV end-diastolic (149.7 ± 24.6 vs. 133.8 ± 13.3 mL, = 0.020) volumes, 3D LV end-systolic volume (75.8 ± 9.2 vs. 67.4 ± 9.5 mL, = 0.014), indexed 2D LV end-diastolic volume (67.6 ± 9.3 vs. 61.4 ± 8 mL, = 0.042), and indexed 3D LV end-systolic (34.3 ± 3.8 vs. 31 ± 4.8 mL, = 0.033) volume after the match were significantly higher in players with troponin increase. : High-intensity contact activity, such as rugby, leads to acute changes in echocardiographic parameters, especially in athlete's who experience elevation in troponin.
高强度体育活动，尤其是在接触性运动中，可能会对运动员的健康产生有害影响。本研究的目的是确定橄榄球运动员在一场比赛后左心室功能的急性变化。：进行了一项前瞻性、临床、观察性病例对照研究。所有病例均为欧洲白人男性运动员，年龄超过18岁，在被调查的比赛中上场至少60分钟。在比赛前两天和比赛后一小时内，对所有参与者进行了经胸超声心动图检查和血液检测。：受检者总数为34人。在31项测量的超声心动图参数中，22项在比赛前后显示出统计学上的显著变化。我们还观察到超声心动图参数的变化与高敏肌钙蛋白I的增加有关。肌钙蛋白升高的运动员在比赛后的二维左心室（LV）收缩末期容积（75±10.5 vs. 67.1±10 mL，P = 0.032）和LV舒张末期容积（149.7±24.6 vs. 133.8±13.3 mL，P = 0.020）、三维LV收缩末期容积（75.8±9.2 vs. 67.4±9.5 mL，P = 0.014）、二维LV舒张末期容积指数（67.6±9.3 vs. 61.4±8 mL，P = 0.042）和三维LV收缩末期容积指数（34.3±3.8 vs. 31±4.8 mL，P = 0.033）均显著更高。：高强度接触性活动（如橄榄球）会导致超声心动图参数的急性变化，尤其是在肌钙蛋白升高的运动员中。
