Comment on: “Athlete’s Heart: Diagnostic Challenges and Future Perspectives”
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The athlete’s heart has been a diagnostic challenge for many decades. In an interesting review, the authors present strategies to differentiate exercise-induced physiological from pathological cardiac changes . It is emphasized that the athlete’s heart is characterized by a biventricular remodeling, regardless of the type of sports. We would like to comment on a few issues.
The diagnostic procedure presented in Fig. 1 is debatable, while the order of diagnostic tools is adequately presented in Table 2 . If the first-line examinations including resting electrocardiogram (ECG) are abnormal, the next step should be exercise ECG, possibly combined with cardiopulmonary exercise testing (CPET). Unfortunately, the importance of ECG stress testing was hardly mentioned. The exercise ECG can be useful to detect arrhythmias and especially in middle-aged and older athletes to identify coronary heart disease . The diagnostic accuracy of exercise ECG in athletes, however, is...
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Conflict of interest
The authors—Wilfried Kindermann, Axel Urhausen, and Jürgen Scharhag—declare that they have no conflicts of interest.
No funding was received for the publication of this letter.
- 6.Dickhuth HH, Röcker K, Hipp A, Heitkamp HC, Keul J. Echocardiographic findings in endurance athletes with hypertrophic non-obstructive cardiomyopathy (HNCM) compared to non-athletes with HNCM and to physiological hypertrophy (athlete’s heart). Int J Sports Med. 1994;15(5):273–7.CrossRefGoogle Scholar
- 9.Karila TA, Karjalainen JE, Mäntysaari MJ, Viitasalo MT, Seppälä TA. Anabolic androgenic steroids produce dose-dependant increase in left ventricular mass in power athletes, and this effect is potentiated by concomitant use of growth hormone. Int J Sports Med. 2003;24(5):337–43.CrossRefGoogle Scholar