Coronary Artery Dimensions in Endurance Athletes by Computed Tomography Angiography: A Quantitative Analysis

(1) Background: The athlete’s heart may develop permanent vessel enlargement. The purpose of our study was to define normal values for coronary artery dimensions of endurance athletes by coronary computed tomography angiography (CTA). (2) Methods: Ninety-eight individuals (56.2 ± 11 years) were incl...

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Autores principales:	Christian Langer, Fabian Barbieri, Fabian Plank, Christoph Beyer, Benito Baldauf, Guy Friedrich, Gerlig Widmann, Anna Luger, Agne Adukauskaite, Markus Reinthaler, Wolfgang Dichtl, Shunichi Homma, Gudrun Maria Feuchtner
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	athletes coronary arteries imaging computed tomography Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/5e0a366c3bb04f86b30309b16b39b8c8
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spelling	oai:doaj.org-article:5e0a366c3bb04f86b30309b16b39b8c82021-11-25T18:00:15ZCoronary Artery Dimensions in Endurance Athletes by Computed Tomography Angiography: A Quantitative Analysis10.3390/jcdd81101412308-3425https://doaj.org/article/5e0a366c3bb04f86b30309b16b39b8c82021-10-01T00:00:00Zhttps://www.mdpi.com/2308-3425/8/11/141https://doaj.org/toc/2308-3425(1) Background: The athlete’s heart may develop permanent vessel enlargement. The purpose of our study was to define normal values for coronary artery dimensions of endurance athletes by coronary computed tomography angiography (CTA). (2) Methods: Ninety-eight individuals (56.2 ± 11 years) were included into this retrospective matched case-controlled-study. Endurance athletes had regular training volumes of ≥1 h per unit, ≥3–7 times per week (either cycling, running or mountain-endurance). Athletes were matched for age and gender with sedentary controls using propensity score. Quantitative CTA analysis included coronary vessel dimensions (two diameters and area) of the LM, LAD, CX and RCA for all AHA-16-segments. (3) Results: Proximal LAD area and diameter (<i>p</i> = 0.019); proximal/mid CX (diameter and area; <i>p</i> = 0.026 and <i>p</i> = 0.018/<i>p</i> = 0.008 and <i>p</i> = 0.009); mid RCA diameter and area; and proximal RCA diameter were significantly larger in endurance athletes (<i>p</i> < 0.05). The left main area (<i>p</i> = 0.708) and diameter (<i>p</i> = 0.809) as well as the mid LAD and distal segments were not different. We present the histograms and data for normal values ±1 and ± 2 SD. (4) Conclusions: Endurance athletes have larger proximal LAD, proximal/mid CX and RCA vessel dimensions, while LM and distal segments are similar. Hence, dilated coronary arteries in endurance athletes (“<i>Athlete’s arteries</i>”) have to be distinguished from diffuse ectatic segments developing during Kawasaki disease or multisystemic inflammation syndrome after COVID-19.Christian LangerFabian BarbieriFabian PlankChristoph BeyerBenito BaldaufGuy FriedrichGerlig WidmannAnna LugerAgne AdukauskaiteMarkus ReinthalerWolfgang DichtlShunichi HommaGudrun Maria FeuchtnerMDPI AGarticleathletescoronary arteriesimagingcomputed tomographyDiseases of the circulatory (Cardiovascular) systemRC666-701ENJournal of Cardiovascular Development and Disease, Vol 8, Iss 141, p 141 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	athletes coronary arteries imaging computed tomography Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	athletes coronary arteries imaging computed tomography Diseases of the circulatory (Cardiovascular) system RC666-701 Christian Langer Fabian Barbieri Fabian Plank Christoph Beyer Benito Baldauf Guy Friedrich Gerlig Widmann Anna Luger Agne Adukauskaite Markus Reinthaler Wolfgang Dichtl Shunichi Homma Gudrun Maria Feuchtner Coronary Artery Dimensions in Endurance Athletes by Computed Tomography Angiography: A Quantitative Analysis
description	(1) Background: The athlete’s heart may develop permanent vessel enlargement. The purpose of our study was to define normal values for coronary artery dimensions of endurance athletes by coronary computed tomography angiography (CTA). (2) Methods: Ninety-eight individuals (56.2 ± 11 years) were included into this retrospective matched case-controlled-study. Endurance athletes had regular training volumes of ≥1 h per unit, ≥3–7 times per week (either cycling, running or mountain-endurance). Athletes were matched for age and gender with sedentary controls using propensity score. Quantitative CTA analysis included coronary vessel dimensions (two diameters and area) of the LM, LAD, CX and RCA for all AHA-16-segments. (3) Results: Proximal LAD area and diameter (<i>p</i> = 0.019); proximal/mid CX (diameter and area; <i>p</i> = 0.026 and <i>p</i> = 0.018/<i>p</i> = 0.008 and <i>p</i> = 0.009); mid RCA diameter and area; and proximal RCA diameter were significantly larger in endurance athletes (<i>p</i> < 0.05). The left main area (<i>p</i> = 0.708) and diameter (<i>p</i> = 0.809) as well as the mid LAD and distal segments were not different. We present the histograms and data for normal values ±1 and ± 2 SD. (4) Conclusions: Endurance athletes have larger proximal LAD, proximal/mid CX and RCA vessel dimensions, while LM and distal segments are similar. Hence, dilated coronary arteries in endurance athletes (“<i>Athlete’s arteries</i>”) have to be distinguished from diffuse ectatic segments developing during Kawasaki disease or multisystemic inflammation syndrome after COVID-19.
format	article
author	Christian Langer Fabian Barbieri Fabian Plank Christoph Beyer Benito Baldauf Guy Friedrich Gerlig Widmann Anna Luger Agne Adukauskaite Markus Reinthaler Wolfgang Dichtl Shunichi Homma Gudrun Maria Feuchtner
author_facet	Christian Langer Fabian Barbieri Fabian Plank Christoph Beyer Benito Baldauf Guy Friedrich Gerlig Widmann Anna Luger Agne Adukauskaite Markus Reinthaler Wolfgang Dichtl Shunichi Homma Gudrun Maria Feuchtner
author_sort	Christian Langer
title	Coronary Artery Dimensions in Endurance Athletes by Computed Tomography Angiography: A Quantitative Analysis
title_short	Coronary Artery Dimensions in Endurance Athletes by Computed Tomography Angiography: A Quantitative Analysis
title_full	Coronary Artery Dimensions in Endurance Athletes by Computed Tomography Angiography: A Quantitative Analysis
title_fullStr	Coronary Artery Dimensions in Endurance Athletes by Computed Tomography Angiography: A Quantitative Analysis
title_full_unstemmed	Coronary Artery Dimensions in Endurance Athletes by Computed Tomography Angiography: A Quantitative Analysis
title_sort	coronary artery dimensions in endurance athletes by computed tomography angiography: a quantitative analysis
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/5e0a366c3bb04f86b30309b16b39b8c8
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Coronary Artery Dimensions in Endurance Athletes by Computed Tomography Angiography: A Quantitative Analysis

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