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The echocardiographic assessment of the right ventricle in patients with arrhythmogenic right ventricular cardiomyopathy/dysplasia compared with athletes and matched controls
Author(s) -
Boczar Kevin E.,
Alqarawi Wael,
Green Martin S.,
Redpath Calum,
Burwash Ian G.,
Dwivedi Girish
Publication year - 2019
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.14308
Subject(s) - medicine , arrhythmogenic right ventricular dysplasia , cardiology , ventricle , athletes , population , dysplasia , ventricular outflow tract , cardiomyopathy , physical therapy , heart failure , environmental health
Background There are discrepancies in the quantitative echocardiographic criteria for the right ventricle ( RV ) between the revised task force criteria ( TFC ) for Arrhythmogenic Right Ventricular Cardiomyopathy/Dysplasia ( ARVC /D) and the guidelines for RV assessment endorsed by American Society of Echocardiography ( ASE ). Importantly, these criteria do not take into account potential adaptation of the RV to exercise. The goal of this study was to compare the revised TFC quantitative echocardiographic parameters in patients with ARVC /D, athletes and matched controls. Methods Echocardiographic parameters of the RV were retrospectively collected in patients who fulfilled the TFC for ARVC /D, an age‐ matched, sex‐matched, and body surface area‐matched control population, and athletes (defined as individuals who exercised for more than 7 hours per week). Patients with structural heart disease were excluded in the control and athlete groups. Results Twenty patients with ARVC /D, 11 athletes and 20 matched controls were included. There was no significant difference between ARVC /D patients and athletes with the exception of the parasternal long axis right ventricular outflow tract diameter. All parameters were significantly different between ARVC /D patients and the control group. Furthermore, when subjects were categorized into meeting 1 major revised TFC /abnormal ASE criteria or not, only ASE criteria were able to differentiate ARVC /D from control population. Both were unable to differentiate ARVC /D from athletes. Conclusions Right ventricle quantitative echocardiographic criteria in the revised TFC are not specific for ARVC /D. Care should be taken in applying these criteria in athletes.