2026-06-29T09:37:13Zhttps://docta.ucm.es/rest/oai/request

oai:docta.ucm.es:20.500.14352/1034432025-09-02T12:53:18Zcom_20.500.14352_14col_20.500.14352_15

Myocardial Work Index in Professional Football Players: A Novel Method for Assessment of Cardiac Adaptation Refoyo, Elena Troya, Jesús Fuente, Ana de la Beltrán, Almudena Celada, Oscar Luis Díaz González, Leonel Pedrero Tomé, Roberto García Yébenes, Manuel Villalón, Jose María 616.12 Athlete’s heart Echocardiography Myocardial work Two-dimensional speckle tracking Cirugía 3213.07 Cirugía del Corazón Background: The global myocardial work index (GWI), a novel, valid, and non-invasive method based on speckle-tracking echocardiography, could provide value for calculating left ventricular (LV) function and energy consumption in athletes. Materials and methods: We prospectively analyzed a single-center cohort of Spanish First-Division football players who attended a pre-participation screening program from June 2020 to June 2021, compared to a control group. All the individuals underwent an electrocardiogram and echocardiography, including two-dimensional speckle tracking and 4D-echo. The study aimed to evaluate the feasibility of myocardial work in professional football players and its correlations with other echocardiographic parameters. Results: The study population comprised 97 individuals (49 professional players and 48 controls). The mean age was 30.48 ± 7.20 years old. The professional football players had significantly higher values of LVEDV (p < 0.001), LVESV (p < 0.001), LV-mass index (p = 0.011), PWTd (p = 0.023), and EA (p < 0.001) compared with the control group. In addition, the professional players had lower GCW (p = 0.003) and a tendency to show lower GWI values (p < 0.001). These findings could suggest that professional football players have more remodeling and less MW, related to their adaptation to intensive training. Significant differences in GLS (p = 0.01) and GWE (p = 0.04) were observed as a function of the septal thickness of the athletes. Irrespective of the MW variable, the parameters with better correlations across all the populations were SBP, DBP, and GLS. Conclusions: The GWI is a novel index to assess cardiac performance, with less load dependency than strain measurements. Future GWI analyses are warranted to understand myocardial deformation and other pathological differential diagnoses. Depto. de Cirugía Fac. de Medicina TRUE pub 2024-04-24T12:42:31Z 2024-04-24T12:42:31Z 2023 journal article VoR https://hdl.handle.net/20.500.14352/103443 XXXX-XXXX 10.3390/jcm12093059 eng Refoyo E, Troya J, de la Fuente A, Beltrán A, Celada OL, Díaz-González L, Pedrero-Tomé R, García-Yébenes M, Villalón JM. Myocardial Work Index in Professional Football Players: A Novel Method for Assessment of Cardiac Adaptation. J Clin Med. 2023 Apr 23;12(9):3059. doi: 10.3390/jcm12093059. PMID: 37176500; PMCID: PMC10179020. Attribution 4.0 International http://creativecommons.org/licenses/by/4.0/ open access application/pdf MDPI