A Young Rower with an Unusual Left Ventricular Hypertrophy

  • Filippo M. Quattrini
  • Fernando Maria Di Paolo
  • Cataldo Pisicchio
  • Roberto Ciardo
  • Antonio Pelliccia


This 18-year-old male, elite rower was referred for cardiologic evaluation to our Institution for the presence of abnormal repolarization pattern on the 12-lead ECG, performed elsewhere in the setting of national preparticipation screening program. The athlete was engaged in daily training sessions of approximately 6 hours(h), mostly on the water but also in the gym. He had competed in several international events, including Olympic Games, and was gold and silver medallist in the World Rowing Championship. The personal history was negative for symptoms or cardiac disease. The father had systemic hypertension with mild renal dysfunction. No other known cardiovascular diseases or premature (<50 years) sudden cardiac death among relatives were reported.


Left Ventricular Hypertrophy Myocardial Bridge Systolic Anterior Motion Abnormal Repolarization Cardiologic Evaluation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Pelliccia A, Fagard R, Bjørnstad HH, Anastassakis A, Arbustini E, Assanelli D, Biffi A, Borjesson M, Carrè F, Corrado D, Delise P, Dorwarth U, Hirth A, Heidbuchel H, Hoffmann E, Mellwig KP, Panhuyzen-Goedkoop N, Pisani A, Solberg E, van-Buuren F, Vanhees L. Recommendations for competitive sports participation in athletes with cardiovascular disease. A consensus document from the Study Group of Sports Cardiology of the Working Group of Cardiac Rehabilitation and Exercise Physiology, and the Working Group of Myocardial and Pericardial Diseases of the European Society of Cardiology. Eur Heart J 2005, 26:1422–1445PubMedCrossRefGoogle Scholar
  2. 2.
    Maron BJ, Zipes DP. 36th Bethesda Conference: Eligibility recommendations for competitive athletes with cardiovascular abnormalities. J Am Coll Cardiol 2005, 45:2–64CrossRefGoogle Scholar
  3. 3.
    Maron BJ, Pelliccia A. The heart of trained athletes: cardiac remodelling and the risks of sports, including sudden death. Circulation 2006, 114:1633–1644PubMedCrossRefGoogle Scholar
  4. 4.
    Pelliccia A, Maron BJ, De Luca R, et al. Remodelling of left ventricular hypertrophy in elite athletes after long-term deconditioning. Circulation 2002, 105:944–949PubMedCrossRefGoogle Scholar
  5. 5.
    Klues HG, Schiffers A, Maron BJ. Phenotypic spectrum and patterns of left ventricular hypertrophy in hypertrophic cardiomyopathy: morphologic observations and significance as assessed by two-dimensional echocardiography in 600 patients. J Am Coll Cardiol 1995, 26:1699–1708PubMedCrossRefGoogle Scholar
  6. 6.
    Maron BJ. Hypertrophic cardiomyopathy: a systematic review. JAMA 2002, 287:1308–1320PubMedCrossRefGoogle Scholar
  7. 7.
    Pelliccia A, Maron BJ, Culasso F, Di Paolo FM, Caselli G, Biffi A, Piovano P. Clinical significance of abnormal electrocardiographic patterns in trained athletes. Circulation 2000, 102:278–284PubMedGoogle Scholar
  8. 8.
    Pelliccia A, Di Paolo FM, Quattrini FM, et al. Outcomes in athletes with marked ECG repolarization abnormalities. N Engl J Med 2008, 358:152–161PubMedCrossRefGoogle Scholar
  9. 9.
    Alegria JR, Herrmann J, Holmes DR Jr, et al. Myocardial bridging. Eur Heart J 2005, 26:1159–1168PubMedCrossRefGoogle Scholar
  10. 10.
    Yetman AT, McCrindle BW, MacDonald C, et al. Myocardial bridging in children with hypertrophic cardiomyopathy – a risk factor for sudden death. N Engl J Med 1998, 339:1201–1209PubMedCrossRefGoogle Scholar
  11. 11.
    Feld H, Guadanino V, Hollander G, et al. Exercise-induced ventricular tachycardia in association with a myocardial bridge. Chest 1991, 99:1295–1296PubMedCrossRefGoogle Scholar
  12. 12.
    Maron BJ. Sudden death in young athletes. N Engl J Med 2003, 349:1064–1075PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag London Limited 2009

Authors and Affiliations

  • Filippo M. Quattrini
    • 1
  • Fernando Maria Di Paolo
    • 1
  • Cataldo Pisicchio
    • 1
  • Roberto Ciardo
    • 1
  • Antonio Pelliccia
  1. 1.Institute of Sport Medicine and Science, Italian National Olympic CommitteeDepartment of Sport MedicineRomeItaly

Personalised recommendations