Differentiating Athlete’s Heart from Left Ventricle Cardiomyopathies

Abulí, Marc; Garza, María Sanz‐de la; Sitges, Marta

doi:10.1007/s12265-020-10021-8

Cited by 11 publications

(13 citation statements)

References 46 publications

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“…Hence, T1 mapping and ECV values are reduced in AH and increased in HCM. T1 value > 1217 ms and ECV value > 22.5% have the greatest sensitivity and specificity for the diagnosis of HCM [ 4 , 9 , 10 ]. Therefore, T1 mapping and ECV could be used for the differential diagnosis between AH and HCM when the wall thickness reaches values close to the pathology threshold, between 12 to 15 mm [ 2 , 36 ].…”

Section: Athlete’s Heartmentioning

confidence: 99%

“…CCT provides anatomical information about HCM based on key morphological characteristics (presence, location, distribution, and severity of HCM), LVEF and the extent of myocardial fibrosis. As for the CMR, mean ECV values with HCM are significantly higher than in AH [ 4 , 9 ].…”

Section: Athlete’s Heartmentioning

confidence: 99%

“…Athletes, especially in high-dynamic sports, showed an increased prevalence in LV trabeculation and it is more common in African/Afro-Caribbean compared with Caucasian athletes. For this reason, the differential diagnosis between AH and LVCN can be a challenging task and it is usually over-diagnosed in athletes, particularly black athletes [ 2 , 4 ].…”

Section: Athlete’s Heartmentioning

confidence: 99%

“…Long-lasting athletic training causes cardiac heart overload and it results in morphological and functional cardiovascular adaptations of cardiac chambers, called athlete’s heart (AH). These adaptive modifications are physiological responses to the hemodynamic demands of increased cardiac output but, frequently, overlap with cardiac diseases and the differential diagnosis between AH and cardiomyopathies is a challenging task [ 4 , 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

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Cardiac Imaging in Athlete’s Heart: The Role of the Radiologist

et al. 2021

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Athlete’s heart (AH) is the result of morphological and functional cardiac modifications due to long-lasting athletic training. Athletes can develop very marked structural myocardial changes, which may simulate or cover unknown cardiomyopathies. The differential diagnosis between AH and cardiomyopathy is necessary to prevent the risk of catastrophic events, such as sudden cardiac death, but it can be a challenging task. The improvement of the imaging modalities and the introduction of the new technologies in cardiac magnetic resonance (CMR) and cardiac computed tomography (CCT) can allow overcoming this challenge. Therefore, the radiologist, specialized in cardiac imaging, could have a pivotal role in the differential diagnosis between structural adaptative changes observed in the AH and pathological anomalies of cardiomyopathies. In this review, we summarize the main CMR and CCT techniques to evaluate the cardiac morphology, function, and tissue characterization, and we analyze the imaging features of the AH and the key differences with the main cardiomyopathies.

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Section: Athlete’s Heartmentioning

confidence: 99%

Section: Athlete’s Heartmentioning

confidence: 99%

Section: Athlete’s Heartmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Cardiac Imaging in Athlete’s Heart: The Role of the Radiologist

et al. 2021

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“…Athletic adaptation is associated with structural changes of the cardiovascular system that frequently overlap those observed in individuals with cardiomyopathies, one of the leading causes of death in young athletes; therefore, how to discriminate athlete's heart from cardiomyopathies remains one of the most intriguing questions in sports cardiology. In the first of the articles, Marc Abuli et al [1] address this question from a practical perspective, and structured approach focused on key differential diagnostic characteristics found on the 12-leads ECG, echocardiography and CMR of athlete's vs the most common forms of left ventricle cardiomyopathies. Arrhythmogenic cardiomyopathy deserves special attention as competitive sports participation may not only trigger ventricular arrhythmias and cause sudden death in young athletes but also contribute to accelerate the progression of the disease.…”

mentioning

confidence: 99%