Physiological left ventricular hypertrophy or hypertrophic cardiomyopathy in an elite adolescent athlete: Role of detraining in resolving the clinical dilemma

S. Basavarajaiah; M. Wilson; S. Junagde; G. Jackson; G. Whyte; S. Sharma

doi:10.1136/bjsm.2005.024596

Physiological left ventricular hypertrophy or hypertrophic cardiomyopathy in an elite adolescent athlete: Role of detraining in resolving the clinical dilemma

S. Basavarajaiah
, M. Wilson
, S. Junagde
, G. Jackson
, G. Whyte
, S. Sharma

Research output: Contribution to journal › Comment/debate › peer-review

42 Citations (Scopus)

Abstract

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.

Original language	English
Pages (from-to)	727-729
Number of pages	3
Journal	British Journal of Sports Medicine
Volume	40
Issue number	8
DOIs	https://doi.org/10.1136/bjsm.2005.024596
Publication status	Published - Aug 2006
Externally published	Yes

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title = "Physiological left ventricular hypertrophy or hypertrophic cardiomyopathy in an elite adolescent athlete: Role of detraining in resolving the clinical dilemma",

abstract = "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.",

author = "S. Basavarajaiah and M. Wilson and S. Junagde and G. Jackson and G. Whyte and S. Sharma",

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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 - https://www.scopus.com/pages/publications/33746924042

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 -

Physiological left ventricular hypertrophy or hypertrophic cardiomyopathy in an elite adolescent athlete: Role of detraining in resolving the clinical dilemma

Abstract

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