Δημοσίευση στις May-Jun 2018 στο PubMed: https://pubmed.ncbi.nlm.nih.gov/29964160/?from_term=tsioufis&from_sort=date&from_size=200&from_pos=84
Hellenic J Cardiol
Search in PubMed
Search in NLM Catalog
Add to Search
Individuals with hypertension that engage in regular exercise comprise a special patient group that needs a careful approach to differentiate hypertensive cardiac damage from physiologic cardiac adaptations. Echocardiography is the diagnostic modality of choice in such cases. Hypertensive left ventricular hypertrophy is expected to resemble isometric exercise-associated hypertrophy in some but not all cases. On the other side, the hearts of regularly exercising individuals are expected to be normal or present with a variable mix of increased end-diastolic volume and increased wall thickness. It is therefore important to clearly document the type, frequency and duration of exercise performed. Diastolic dysfunction even without hypertrophy is often the first and only presentation in hypertension. On the contrary, diastolic function in athletes may be enhanced in order to maintain a stroke volume in high heart rates. Novel imaging techniques such as global longitudinal strain are helpful to identify subclinical systolic dysfunction that is inconsistent with athletic cardiac changes.
Athlete’s heart; Left ventricular hypertrophy.
Copyright © 2018 Hellenic Society of Cardiology. Published by Elsevier B.V. All rights reserved.
The multi-modality cardiac imaging approach to the Athlete’s heart: an expert consensus of the European Association of Cardiovascular Imaging.
Eur Heart J Cardiovasc Imaging. 2015 Apr;16(4):353. doi: 10.1093/ehjci/jeu323.
Eur Heart J Cardiovasc Imaging. 2015.
Differentiating the athlete’s heart from hypertrophic cardiomyopathy.
Curr Opin Cardiol. 2015 Sep;30(5):500-5. doi: 10.1097/HCO.0000000000000203.
Curr Opin Cardiol. 2015.
Speckle tracking echocardiographic analysis of left ventricular systolic and diastolic functions of young elite athletes with eccentric and concentric type of cardiac remodeling.
Echocardiography. 2013 Nov;30(10):1202-8. doi: 10.1111/echo.12263. Epub 2013 Jun 25.
Efficacy of various “classic” echocardiographic and laboratory indices in distinguishing the “gray zone” between athlete’s heart and hypertrophic cardiomyopathy: a pilot study.
Echocardiography. 2013 Feb;30(2):131-9. doi: 10.1111/echo.12014. Epub 2012 Nov 20.
[Echocardiographic evaluation of the athlete’s heart: from morphological adaptations to myocardial function].
G Ital Cardiol (Rome). 2009 Aug;10(8):533-44.
G Ital Cardiol (Rome). 2009.