Document Detail


Assessment of left ventricular hypertrophy in a trained athlete: differential diagnosis of physiologic athlete's heart from pathologic hypertrophy.
MedLine Citation:
PMID:  22386289     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Physiologic LV remodeling in young trained athletes as a consequence of chronic training can occasionally mimic certain pathologic conditions associated with sudden death, such as HCM. A small but important subset of elite male athletes may show a borderline increased LV wall thickness of 13 to 15 mm, which defines a gray zone of overlap between the extreme expressions of athlete's heart and a mild HCM phenotype. Such diagnostic ambiguity can be resolved by using the paradigm of noninvasive parameters including testing with echocardiography (and, more recently, with CMR): left atrial and LV chamber dimensions and shape, brief periods of deconditioning to alter LV mass, measurement of oxygen consumption and diastolic filling, and recognition of familial occurrence of HCM or a pathogenic HCM-causing sarcomere mutation. Such distinctions between physiologic/benign athlete's heart and HCM, the most common cause of sudden death in the young in the United States, can be crucial. The recognition of HCM leads to disqualification from intense competitive sports to reduce sudden death risk and, when appropriate, permits initiation of therapeutic interventions.
Authors:
Antonio Pelliccia; Martin S Maron; Barry J Maron
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Progress in cardiovascular diseases     Volume:  54     ISSN:  1873-1740     ISO Abbreviation:  Prog Cardiovasc Dis     Publication Date:    2012 Mar-Apr
Date Detail:
Created Date:  2012-03-05     Completed Date:  2012-04-23     Revised Date:  2013-05-02    
Medline Journal Info:
Nlm Unique ID:  0376442     Medline TA:  Prog Cardiovasc Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  387-96     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2012 Elsevier Inc. All rights reserved.
Affiliation:
The Institute of Sport Medicine and Science, Italian National Olympic Committee, Rome, Italy. ant.pelliccia@libero.it
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MeSH Terms
Descriptor/Qualifier:
Adaptation, Physiological
Athletes*
Cardiomyopathy, Hypertrophic / diagnosis*,  etiology,  pathology,  physiopathology
Diagnosis, Differential
Exercise*
Female
Heart Ventricles / pathology,  physiopathology*
Humans
Hypertrophy, Left Ventricular / diagnosis*,  etiology,  pathology,  physiopathology
Male
Physical Endurance
Predictive Value of Tests
Risk Factors
Ventricular Function, Left*
Ventricular Remodeling*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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