Athlete's Heart: The Potential for Multimodality Imaging to Address the Critical Remaining Questions

被引:74
作者
La Gerche, Andre [1 ,2 ]
Taylor, Andrew J. [3 ,4 ]
Prior, David L. [1 ,2 ]
机构
[1] St Vincents Hosp, Melbourne, Vic, Australia
[2] Univ Melbourne, Melbourne, Vic, Australia
[3] Alfred Hosp, Melbourne, Vic, Australia
[4] Baker IDI Heart & Diabet Inst, Melbourne, Vic, Australia
基金
英国医学研究理事会;
关键词
athlete's heart; cardiac structure; cardiac function; myocardial injury; LEFT-VENTRICULAR HYPERTROPHY; PHYSIOLOGICAL CARDIAC-HYPERTROPHY; LONE ATRIAL-FIBRILLATION; ELITE MALE; MYOCARDIAL FIBROSIS; PHYSICAL-EXERCISE; STROKE VOLUME; WALL-MOTION; DELAYED-ENHANCEMENT; DIASTOLIC FUNCTION;
D O I
10.1016/j.jcmg.2008.12.011
中图分类号
R5 [内科学];
学科分类号
100201 [内科学];
摘要
Moderate exercise is a powerful therapy in the treatment and prevention of cardiac disease, but intense habitual exercise leads to cardiac adaptations for which the prognostic benefits are less clear. The athlete's heart syndrome refers to the morphological and electrical remodeling which occurs to varying extents dependent upon the sporting discipline. Its accurate differentiation from pathological entities is critical. This review describes the role multi-modality imaging serves in determining the limitations and consequences of intense exercise. Tissue characterization and imaging studies during exercise are emphasized as important future directions of inquiry with the potential to address remaining controversies. (J Am Coll Cardiol Img 2009;2:350-63) (C) 2009 by the American College of Cardiology Foundation
引用
收藏
页码:350 / 363
页数:14
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