Myocardial Fitness of Bicuspid Aortic Valve Athletes during COVID 19 Pandemic

COVID 19 pandemic has induced a large sedentarism in several kinds of sports. Some peculiar categories of athletes could particularly suffer from a prolonged inactivity as those affected by minimal cardiopathies as bicuspid aortic valve (BAV) athletes. This study aims to verify the myocardial perfor...

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Main Authors: Melissa Orlandi, Marco Corsi, Vittorio Bini, Luciano De Simone, Laura Stefani
Format: Article
Language:English
Published: MDPI AG 2022-04-01
Series:Journal of Functional Morphology and Kinesiology
Subjects:
Online Access:https://www.mdpi.com/2411-5142/7/2/37
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author Melissa Orlandi
Marco Corsi
Vittorio Bini
Luciano De Simone
Laura Stefani
author_facet Melissa Orlandi
Marco Corsi
Vittorio Bini
Luciano De Simone
Laura Stefani
author_sort Melissa Orlandi
collection DOAJ
description COVID 19 pandemic has induced a large sedentarism in several kinds of sports. Some peculiar categories of athletes could particularly suffer from a prolonged inactivity as those affected by minimal cardiopathies as bicuspid aortic valve (BAV) athletes. This study aims to verify the myocardial performance in a restricted group of BAV athletes compared to a control group of agonistic athletes evaluated by traditional echocardiography and deformation parameters. 2D standard and deformations parameters were measured at rest conditions in BAV athletes and controls. Particularly EF, LVDD/LVS diameters, GLS rotation and twisting were considered as myocardial performance data; E/A, E1 and A1 as diastolic ones. All the 2D standard parameters measured were within the normal range in both groups, especially the EF value. Significant differences were found in the diastolic function with reduced values of E and E1 waves in BAV vs. controls. The strain analysis showed a significant reduction in GLS measured in 2C, 3C, 4C in BAV if compared to controls, while no significant differences were found in torsional and rotational parameters. These results are suggestive for a potential long term negative impact of inactivity on cardiac performance more evident in BAV athletes, if compared to athletes with normal aortic valve. GLS of LV and RV can be considered as a predictive parameter of this mild dysfunction and assumed as follow-up parameter to restore a progressive training.
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spelling doaj.art-9acbc70beb21448586d052c396d1f4342023-11-23T17:20:05ZengMDPI AGJournal of Functional Morphology and Kinesiology2411-51422022-04-01723710.3390/jfmk7020037Myocardial Fitness of Bicuspid Aortic Valve Athletes during COVID 19 PandemicMelissa Orlandi0Marco Corsi1Vittorio Bini2Luciano De Simone3Laura Stefani4Sports Medicine Center, University of Florence, 50121 Florence, ItalySports Medicine Center, University of Florence, 50121 Florence, ItalyDepartment of Medicine, University of Perugia, 06123 Perugia, ItalyMeyer Hospital, 50139 Florence, ItalySports Medicine Center, University of Florence, 50121 Florence, ItalyCOVID 19 pandemic has induced a large sedentarism in several kinds of sports. Some peculiar categories of athletes could particularly suffer from a prolonged inactivity as those affected by minimal cardiopathies as bicuspid aortic valve (BAV) athletes. This study aims to verify the myocardial performance in a restricted group of BAV athletes compared to a control group of agonistic athletes evaluated by traditional echocardiography and deformation parameters. 2D standard and deformations parameters were measured at rest conditions in BAV athletes and controls. Particularly EF, LVDD/LVS diameters, GLS rotation and twisting were considered as myocardial performance data; E/A, E1 and A1 as diastolic ones. All the 2D standard parameters measured were within the normal range in both groups, especially the EF value. Significant differences were found in the diastolic function with reduced values of E and E1 waves in BAV vs. controls. The strain analysis showed a significant reduction in GLS measured in 2C, 3C, 4C in BAV if compared to controls, while no significant differences were found in torsional and rotational parameters. These results are suggestive for a potential long term negative impact of inactivity on cardiac performance more evident in BAV athletes, if compared to athletes with normal aortic valve. GLS of LV and RV can be considered as a predictive parameter of this mild dysfunction and assumed as follow-up parameter to restore a progressive training.https://www.mdpi.com/2411-5142/7/2/37bicuspid aortic valveathletesCOVID 19
spellingShingle Melissa Orlandi
Marco Corsi
Vittorio Bini
Luciano De Simone
Laura Stefani
Myocardial Fitness of Bicuspid Aortic Valve Athletes during COVID 19 Pandemic
Journal of Functional Morphology and Kinesiology
bicuspid aortic valve
athletes
COVID 19
title Myocardial Fitness of Bicuspid Aortic Valve Athletes during COVID 19 Pandemic
title_full Myocardial Fitness of Bicuspid Aortic Valve Athletes during COVID 19 Pandemic
title_fullStr Myocardial Fitness of Bicuspid Aortic Valve Athletes during COVID 19 Pandemic
title_full_unstemmed Myocardial Fitness of Bicuspid Aortic Valve Athletes during COVID 19 Pandemic
title_short Myocardial Fitness of Bicuspid Aortic Valve Athletes during COVID 19 Pandemic
title_sort myocardial fitness of bicuspid aortic valve athletes during covid 19 pandemic
topic bicuspid aortic valve
athletes
COVID 19
url https://www.mdpi.com/2411-5142/7/2/37
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AT vittoriobini myocardialfitnessofbicuspidaorticvalveathletesduringcovid19pandemic
AT lucianodesimone myocardialfitnessofbicuspidaorticvalveathletesduringcovid19pandemic
AT laurastefani myocardialfitnessofbicuspidaorticvalveathletesduringcovid19pandemic