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Updated: May 26, 2026

Evaluation of Left Ventricular Structure and Function using 3D Echocardiography
Published on: October 28, 2020
Echocardiographic study of structure and functional cardiac profile of football referees
J A Ruiz Caballero1, E Brito Ojeda, J M García-Aranda
1Physical Education Department, University of Las Palmas of Gran Canaria, Spain. javier.mallo@upm.es
Aim:
The aim of this study was to analyze, through echocardiography, the structure and functional cardiac profile of national category Spanish soccer referees.
Methods:
The sample consisted of 54 licensed referees, who belonged to the Football Inter-Insular Federation of Las Palmas. The sample presented a mean age of 28.52 ± 6.39 years, a height of 1.76 ± 0.07 m, a body mass of 77.26 ± 10.74 kg and a Body Mass Index of 24.90 ± 2-73 kg/m2. The diastolic and systolic dimensions of the left ventricle were 50.03 ± 4.79 mm and 33.74 ± 5.23 mm, respectively. The thicknesses of the interventricular septum and the posterior wall of the left ventricle were 9.77 ± 1.53 mm and 9.47 ± 1.54 mm, respectively. The left ventricular mass was 112.80 ± 26.53 g/m2, the diastolic volume of the left ventricle 135.09 ± 39.63 mL and the ejected volume 47.34 ± 12.44 mL/m2.
Results:
This study shows that the echocardiographic profile of football referees is characterized by presenting an increase in the left ventricular mass caused by an increase of the cardiac chambers and a normal systolic and diastolic function. The values obtained by football referees were higher than those found in sedentary people and lower than in professional football players.
Conclusion:
These differences may be due to the different physical training workloads employed by football players and referees.
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