scholarly journals Hypertrophic cardiomyopathy in athletes

2019 ◽  
pp. 179-184
Author(s):  
Aneil Malhotra ◽  
Sanjay Sharma
Keyword(s):  
Hypertrophic Cardiomyopathy ◽  
Left Ventricular Hypertrophy ◽  
Ventricular Hypertrophy ◽  
Contemporary Literature ◽  
Sudden Cardiac Arrest ◽  
Young Athlete ◽  
Left Ventricular ◽  
Physiological Adaptation ◽  
Clinical Methods ◽  
Clinical Tools

The diagnosis of hypertrophic cardiomyopathy can be challenging in the athlete. A morphologically mild phenotype of the condition may mimic physiological left ventricular hypertrophy and requires careful evaluation of the athlete with an array of clinical tools. Correct interpretation of the results in such cases is crucial, as falsely labelling a young athlete with hypertrophic cardiomyopathy could curtail a flourishing career. Conversely, falsely attributing left ventricular hypertrophy to physiological adaptation in an individual with hypertrophic cardiomyopathy can increase their risk of exercise-associated sudden cardiac arrest. This chapter highlights a number of clinical methods that can be utilized to aid the sports physician when assessing such individuals and discusses historical and contemporary literature on hypertrophic cardiomyopathy in athletes.

scholarly journals Hypertrophic Cardiomyopathy in Athletes

2017 ◽  
Vol 12 (2) ◽  
pp. 80 ◽  
Author(s):  
Aneil Malhotra ◽  
Sanjay Sharma ◽  
◽  
Keyword(s):  
Hypertrophic Cardiomyopathy ◽  
Media Coverage ◽  
Young Athlete ◽  
Healthy Person ◽  
Young Person ◽  
Left Ventricular ◽  
Physiological Adaptation ◽  
Increased Risk ◽  
Clinical Tools ◽  
The Impact

Sudden cardiac death (SCD) in a young person is a rare but tragic occurrence. The impact is widespread, particularly in the modern era of media coverage and visibility of social media. Hypertrophic cardiomyopathy (HCM) is reported historically as the most common cause of SCD in athletes younger than 35 years of age. A diagnosis of HCM may be challenging in athletes as pathological hypertrophy of the left ventricle may also mimic physiological left ventricular hypertrophy (LVH) in response to exercise. Differentiation of physiological LVH from HCM requires an array of clinical tools that rely on detecting subtle features of disease in a supposedly healthy person who represents the segment of society with the highest functional capacity. Most studies are based on comparisons of clinical tests between healthy unaffected athletes and sedentary individuals with HCM. However, data are emerging that report the clinical features of athletes with HCM. This article focuses on studies that help shed further light to aid the clinical differentiation of physiological LVH from HCM. This distinction is particularly important in a young person: a diagnosis of HCM has significant ramifications on participation in competitive sport, yet an erroneous diagnosis of physiological adaptation in a young athlete with HCM may subject them to an increased risk of SCD.

Magnitude of Left Ventricular Hypertrophy and Risk of Sudden Death in Hypertrophic Cardiomyopathy

2000 ◽  
Vol 342 (24) ◽  
pp. 1778-1785 ◽  
Author(s):  
Paolo Spirito ◽  
Pietro Bellone ◽  
Kevin M. Harris ◽  
Paola Bernabò ◽  
Paolo Bruzzi ◽  
...  
Keyword(s):  
Hypertrophic Cardiomyopathy ◽  
Sudden Death ◽  
Left Ventricular Hypertrophy ◽  
Ventricular Hypertrophy ◽  
Left Ventricular

scholarly journals Early segmental relaxation abnormalities in hypertrophic cardiomyopathy for differential diagnostic of patients with left ventricular hypertrophy

2017 ◽  
Vol 40 (11) ◽  
pp. 1026-1032 ◽  
Author(s):  
Christian Voigt ◽  
Julia Münch ◽  
Maxim Avanesov ◽  
Anna Suling ◽  
Katrin Witzel ◽  
...  
Keyword(s):  
Hypertrophic Cardiomyopathy ◽  
Left Ventricular Hypertrophy ◽  
Ventricular Hypertrophy ◽  
Left Ventricular ◽  
Segmental Relaxation
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