Case report - (2012)11, 557 - 561
Detraining-Related Changes in Left Ventricular Wall Thickness and Longitudinal Strain in a Young Athlete Likely to Have Hypertrophic Cardiomyopathy
Cesare de Gregorio, Giampiero Speranza, Alberto Magliarditi, Pietro Pugliatti, Giuseppe Andò, Sebastiano Coglitore
Clinical and Experimental Department of Medicine and Pharmacology, University Hospital of Messina, Messina, Italy

Cesare de Gregorio
✉ Dipartimento Clinico-sperimentale di Medicina e Farmacologia Unità Operativa di Cardiologia, Azienda Ospedaliera, Universitaria di Messina, Via Consolare Valeria, 98125, Messina, Italy.
Email: cdegregorio@unime.it
Received: 16-04-2012 -- Accepted: 26-06-2012
Published (online): 01-09-2012
ABSTRACT

One of the diagnostic criteria in order to differentiate between physiological and pathological left ventricular hypertrophy is the wall thickness reduction after at least 3-month detraining period, which is considered a marker of the athlete’s heart. This report describes detraining-related regression of LV hypertrophy and improvement in myocardial deformation in a junior athlete likely to have hypertrophic cardiomyopathy.
Key words: Athlete’s heart, detraining, echocardiography, hypertrophic cardiomyopathy, left ventricular hypertrophy, myocardial function, strain echocardiography.

Key Points
  • Hypertrophic cardiomyopathy in adolescent athletes can be discovered by 12-lead ECG
  • Physical training is an important trigger for the clinical presentation of hypertrophic cardiomyopathy
  • Reverse LV remodeling (wall thickness reduction) with detraining is a common echocardiographic finding in athletes with physiological hypertrophy
  • This report demonstrates that reverse remodeling can also be found in adolescent athletes likely to have hypertrophic cardiomyopathy








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Detraining-Related Changes in Left Ventricular Wall Thickness and Longitudinal Strain in a Young Athlete Likely to Have Hypertrophic Cardiomyopathy
Cesare de Gregorio, Giampiero Speranza, Alberto Magliarditi, Pietro Pugliatti, Giuseppe Andò, Sebastiano Coglitore
2012(11), 557 - 561.