TY - JOUR
T1 - Physiological left ventricular hypertrophy or hypertrophic cardiomyopathy in an elite adolescent athlete
T2 - Role of detraining in resolving the clinical dilemma
AU - Basavarajaiah, S.
AU - Wilson, M.
AU - Junagde, S.
AU - Jackson, G.
AU - Whyte, G.
AU - Sharma, S.
PY - 2006/8
Y1 - 2006/8
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=33746924042&partnerID=8YFLogxK
U2 - 10.1136/bjsm.2005.024596
DO - 10.1136/bjsm.2005.024596
M3 - Comment/debate
C2 - 16864569
AN - SCOPUS:33746924042
SN - 0306-3674
VL - 40
SP - 727
EP - 729
JO - British Journal of Sports Medicine
JF - British Journal of Sports Medicine
IS - 8
ER -
