Cardiac magnetic resonance imaging in separation of athlete’s heart from cardiomyopathy

    Authors

    Abstract

    Sudden cardiac death syndrome is rare in competitive athletes, however, when it occurs, it is a serious event, with broad social implications. Among the most common reasons for sudden cardiac death during or after vigorous physical activities are several conditions like; hypertrophic cardiomyopathy, arrhythmogenic right ventricular dysplasia, anomalies of coronary arteries, inherited channelopathy syndromes, and others, which occur less frequently. Several hundred thousands of young individuals are enrolled in competitive sports or repeated vigorous physical activities, so the development of more efficient systems for prevention of unwanted cardiovascular complications is becoming a major health and social objective. Due to of excellent temporal and spatial resolution, structural and functional analysis, tissue characterization, as well as precise structural analyzes of right ventricle, or other anatomic structure that is not easily imaged by echocardiography; cardiac magnetic resonance is a valuable and reproducible diagnostic tool for distinction of athlete’s heart from cardiomyopathy. (1-3)

    Keywords

    cardiac magnetic resonance imaging, sudden cardiac death syndrome, hypertrophic cardiomyopathy, arrhythmogenic right ventricular dysplasia, anomalies of coronary arteries, inherited channelopathy syndromes

    DOI

    https://doi.org/10.15836/ccar.2015.217

    Literature

    1. Semsarian C, Sweeting J, Ackerman MJ. Sudden cardiac death in athletes. Br J Sports Med. 2015;49(15):1017–23. https://doi.org/10.1136/bjsports-2015-h1218rep
    2. La Gerche A, Baggish AL, Knuuti J, Prior DL, Sharma S, Heidbuchel H, et al. Cardiac imaging and stress testing asymptomatic athletes to identify those at risk of sudden cardiac death. JACC Cardiovasc Imaging. 2013;6(9):993–1007. https://doi.org/10.1016/j.jcmg.2013.06.003
    3. Mangold S, Kramer U, Franzen E, Erz G, Bretschneider C, Seeger A, et al. Detection of cardiovascular disease in elite athletes using cardiac magnetic resonance imaging. Rofo. 2013;185(12):1167–74. https://doi.org/10.1055/s-0033-1350130
    Cardiologia Croatica
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    Cardiac magnetic resonance imaging in separation of athlete’s heart from cardiomyopathy

    Abstract
    Issue9-10
    Published
    Pages217
    PDF via DOIhttps://doi.org/10.15836/ccar.2015.217
    cardiac magnetic resonance imaging
    sudden cardiac death syndrome
    hypertrophic cardiomyopathy
    arrhythmogenic right ventricular dysplasia
    anomalies of coronary arteries
    inherited channelopathy syndromes

    Authors

    Viktor Peršic*ORCIDThalassotherapia Opatija – Clinic for treatment, rehabilitation and prevention of cardiovascular disease, Opatija, Croatia
    Vesna Pehar PejcinovicORCIDThalassotherapia Opatija – Clinic for treatment, rehabilitation and prevention of cardiovascular disease, Opatija, Croatia
    Damir RaljevicORCIDThalassotherapia Opatija – Clinic for treatment, rehabilitation and prevention of cardiovascular disease, Opatija, Croatia
    Marko BobanORCIDThalassotherapia Opatija – Clinic for treatment, rehabilitation and prevention of cardiovascular disease, Opatija, Croatia

    *Correspondence email: viktor.persic@ri.t-com.hr

    Abstract

    Sudden cardiac death syndrome is rare in competitive athletes, however, when it occurs, it is a serious event, with broad social implications. Among the most common reasons for sudden cardiac death during or after vigorous physical activities are several conditions like; hypertrophic cardiomyopathy, arrhythmogenic right ventricular dysplasia, anomalies of coronary arteries, inherited channelopathy syndromes, and others, which occur less frequently. Several hundred thousands of young individuals are enrolled in competitive sports or repeated vigorous physical activities, so the development of more efficient systems for prevention of unwanted cardiovascular complications is becoming a major health and social objective. Due to of excellent temporal and spatial resolution, structural and functional analysis, tissue characterization, as well as precise structural analyzes of right ventricle, or other anatomic structure that is not easily imaged by echocardiography; cardiac magnetic resonance is a valuable and reproducible diagnostic tool for distinction of athlete’s heart from cardiomyopathy. (1-3)

    Literature

    1. 1.
      Semsarian C, Sweeting J, Ackerman MJ. Sudden cardiac death in athletes. Br J Sports Med. 2015;49(15):1017–23.DOI
    2. 2.
      La Gerche A, Baggish AL, Knuuti J, Prior DL, Sharma S, Heidbuchel H, et al. Cardiac imaging and stress testing asymptomatic athletes to identify those at risk of sudden cardiac death. JACC Cardiovasc Imaging. 2013;6(9):993–1007.DOI
    3. 3.
      Mangold S, Kramer U, Franzen E, Erz G, Bretschneider C, Seeger A, et al. Detection of cardiovascular disease in elite athletes using cardiac magnetic resonance imaging. Rofo. 2013;185(12):1167–74.DOI