Physiological left ventricular hypertrophy or hypertrophic cardiomyopathy in an elite adolescent athlete: role of detraining in resolving the clinical dilemma
| Autor: | Gordon Jackson, Sandeep Basavarajaiah, Mathew G Wilson, S Junagde, W O Roberts, Gregory P. Whyte, Sanjay Sharma |
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| Jazyk: | angličtina |
| Rok vydání: | 2006 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Cardiomyopathy Physical Therapy Sports Therapy and Rehabilitation Case Report Left ventricular hypertrophy Muscle hypertrophy Diagnosis Differential Electrocardiography Internal medicine Medicine Humans Orthopedics and Sports Medicine cardiovascular diseases Swimming High peak Physical Education and Training medicine.diagnostic_test business.industry Hypertrophic cardiomyopathy Magnetic resonance imaging General Medicine Cardiomyopathy Hypertrophic medicine.disease Magnetic Resonance Imaging Echocardiography Cardiology cardiovascular system Hypertrophy Left Ventricular Differential diagnosis business |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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