Physiological left ventricular hypertrophy or hypertrophic cardiomyopathy in an elite adolescent athlete: role of detraining in resolving the clinical dilemma

被引：31

作者：

Basavarajaiah, S.

Wilson, M.

Junagde, S.

Jackson, G.

Whyte, G.

Sharma, S.

机构：

[1] Univ Hosp Lewisham, Dept Cardiol, London SE13 6LH, England

[2] Northwick Pk Hosp & Clin Res Ctr, Olymp Med Ctr, Watford, Middx, England

来源：

BRITISH JOURNAL OF SPORTS MEDICINE | 2006年 / 40卷 / 08期

关键词：

D O I：

10.1136/bjsm.2005.024596

中图分类号：

G8 [体育];

学科分类号：

04 ; 0403 ;

摘要：

The differentiation of physiological left ventricular hypertrophy (LVH) from hypertrophic cardiomyopathy (HCM) can prove challenging for even the most experienced cardiologists. The case is presented of a 17 year old elite swimmer who had electrocardiographic and echocardiographic features that were highly suggestive of HCM. However, indices of diastolic function were normal and cardiopulmonary exercise testing revealed high peak oxygen consumption in keeping with physiological LVH. To resolve the diagnostic dilemma, the patient underwent detraining for eight weeks, after which, there was complete resolution of the changes seen on electrocardiogram and echocardiogram, indicating physiological LVH rather than HCM.

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收藏

页码：727 / 729

页数：3

相关论文

共 10 条

[1] RAPID CHANGES IN LEFT-VENTRICULAR DIMENSIONS AND MASS IN RESPONSE TO PHYSICAL CONDITIONING AND DECONDITIONING [J].

EHSANI, AA ;

HAGBERG, JM ;

HICKSON, RC .

AMERICAN JOURNAL OF CARDIOLOGY, 1978, 42 (01) :52-56

[2] CAUSES OF SUDDEN-DEATH IN COMPETITIVE ATHLETES [J].

MARON, BJ ;

EPSTEIN, SE ;

ROBERTS, WC .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1986, 7 (01) :204-214

[3] CARDIAC DISEASE IN YOUNG TRAINED ATHLETES - INSIGHTS INTO METHODS FOR DISTINGUISHING ATHLETES HEART FROM STRUCTURAL HEART-DISEASE, WITH PARTICULAR EMPHASIS ON HYPERTROPHIC CARDIOMYOPATHY [J].

MARON, BJ ;

PELLICCIA, A ;

SPIRITO, P .

CIRCULATION, 1995, 91 (05) :1596-1601

[4]

MARON BJ, 1993, BRIT HEART J, V69, P125

[5] THE UPPER LIMIT OF PHYSIOLOGICAL CARDIAC-HYPERTROPHY IN HIGHLY TRAINED ELITE ATHLETES [J].

PELLICCIA, A ;

MARON, BJ ;

SPATARO, A ;

PROSCHAN, MA ;

SPIRITO, P .

NEW ENGLAND JOURNAL OF MEDICINE, 1991, 324 (05) :295-301

[6] Sudden death from cardiovascular disease in young athletes: fact or fiction? [J].

Sharma, S ;

Whyte, G ;

McKenna, WJ .

BRITISH JOURNAL OF SPORTS MEDICINE, 1997, 31 (04) :269-276

[7] Electrocardiographic changes in 1000 highly trained junior elite athletes [J].

Sharma, S ;

Whyte, G ;

Elliott, P ;

Padula, M ;

Kaushal, R ;

Mahon, N ;

McKenna, WJ .

BRITISH JOURNAL OF SPORTS MEDICINE, 1999, 33 (05) :319-324

[8] Physiologic limits of left ventricular hypertrophy in elite junior athletes: Relevance to differential diagnosis of athlete's heart and hypertrophic cardiomyopathy [J].

Sharma, S ;

Maron, BJ ;

Whyte, G ;

Firoozi, S ;

Elliott, PM ;

McKenna, WJ .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2002, 40 (08) :1431-1436

[9] Utility of cardiopulmonary exercise in the assessment of clinical determinants of functional capacity in hypertrophic cardiomyopathy [J].

Sharma, S ;

Elliott, P ;

Whyte, G ;

Jones, S ;

Mahon, N ;

Whipp, B ;

McKenna, WJ .

AMERICAN JOURNAL OF CARDIOLOGY, 2000, 86 (02) :162-168

[10] Utility of metabolic exercise testing in distinguishing hypertrophic cardiomyopathy from physiologic left ventricular hypertrophy in athletes [J].

Sharma, S ;

Elliott, PM ;

Whyte, G ;

Mahon, N ;

Virdee, MS ;

Mist, B ;

McKenna, WJ .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2000, 36 (03) :864-870