The Role of Three-Dimensional Echocardiography in the Assessment of Right Ventricular Dysfunction after a Half Marathon: Comparison with Cardiac Magnetic Resonance Imaging

Single beat 3D echocardiography for the assessment of right ventricular dimension and function after endurance exercise: Intraindividual comparison with magnetic resonance imaging

“…Most CMR studies had a long delay of data acquisition after the race or did not mention the time point of echocardiography and CMR [3,6,24]. Neither CMR, nor sb3DE or standard transthoracic echocardiography showed RV systolic dysfunction in dehydrated subjects in our study.…”

The right ventricle following prolonged endurance exercise: are we overlooking the more important side of the heart? A meta-analysis

“…Moreover, postexercise elevations in end-diastolic area should improve RV function, according to the Frank-Starling mechanism, assuming maintained RV contractility. Decreased RV strain in the presence of increased end-diastolic areas reported in three studies4 28 30 suggests a true functional impairment of the RV.…”

“…Although some studies reported RV function at a follow-up timepoint, we did not include these measures in the current meta-analysis because the number of studies was small, the measures inconsistent and the time period to assessment was highly variable. However, it is notable that in each of these studies most measures of RV function returned to normal 18 24 28 30. The hypothesis that postexercise RV dysfunction, repeated over many years, may provide a proarrhythmogenic substrate is worthy of further investigation.…”

“…Two studies20 27 have incorporated CMR-derived RVEF into their assessment of RV function. In addition, Oomah et al 28 and La Gerche et al 30 determined RVEF by 3D echocardiography. We observed a significant reduction in RVEF following exercise that showed statistical heterogeneity (figure 5).…”

Troponin Elevation in Severe Sepsis and Septic Shock

“…Cardiac troponin elevations were reported in patients with RV dilatation or dysfunction during acute pulmonary embolism (32) and following strenuous exercise (33). Pulmonary hypertension and RV dilatation occur in severe sepsis and septic shock secondary to the respiratory distress syndrome, hypoxia, hypercarbia, and high-pressure ventilation common in these patients.…”