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.
引用
收藏
页码：727 / 729
页数：3
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