Cardiac MRI findings to differentiate athlete's heart from hypertrophic (HCM), arrhythmogenic right ventricular (ARVC) and dilated (DCM) cardiomyopathy

Autor: Sebastian Gassenmaier, K. Blume, J Brendel, S.-C. Olthof, B. Wolfarth, J Kübler, Patrick Krumm, Simon Greulich, Christof Burgstahler, Florian Hagen, Karin Klingel, Karin Mueller
Jazyk: angličtina
Rok vydání: 2021
Předmět:
medicine.medical_specialty
Athlete's heart
Cardiomyopathy
Contrast Media
Gadolinium
030204 cardiovascular system & hematology
Athlete’s heart
030218 nuclear medicine & medical imaging
Muscle hypertrophy
Both ventricles
03 medical and health sciences
0302 clinical medicine
Predictive Value of Tests
Internal medicine
ARVC
Medicine
Humans
Radiology
Nuclear Medicine and imaging
cardiovascular diseases
Cardiomegaly
Exercise-Induced
Cardiac MRI
Cardiac imaging
Retrospective Studies
Original Paper
DCM
Ejection fraction
biology
business.industry
Athletes
Heart
Cardiomyopathy
Hypertrophic
medicine.disease
biology.organism_classification
HCM
Magnetic Resonance Imaging
ddc
Cardiology
cardiovascular system
Hypertrophy
Left Ventricular
Cardiology and Cardiovascular Medicine
business
Cardiomyopathies
Mri findings
Zdroj: The International Journal of Cardiovascular Imaging
ISSN: 1875-8312
1569-5794
Popis: To provide clinically relevant criteria for differentiation between the athlete’s heart and similar appearing hypertrophic (HCM), dilated (DCM), and arrhythmogenic right-ventricular cardiomyopathy (ARVC) in MRI. 40 top-level athletes were prospectively examined with cardiac MR (CMR) in two university centres and compared to retrospectively recruited patients diagnosed with HCM (n = 14), ARVC (n = 18), and DCM (n = 48). Analysed MR imaging parameters in the whole study cohort included morphology, functional parameters and late gadolinium enhancement (LGE). Mean left-ventricular enddiastolic volume index (LVEDVI) was high in athletes (105 ml/m2) but significantly lower compared to DCM (132 ml/m2; p = 0.001). Mean LV ejection fraction (EF) was 61% in athletes, below normal in 7 (18%) athletes vs. EF 29% in DCM, below normal in 46 (96%) patients (p
Databáze: OpenAIRE
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