Key result
Obstructive HCM linked to reduced fitness during high-intensity sports in minimally symptomatic amateur athletes.
Why the study?
Recent recommendations have reduced restrictions on exercise and competitive sports in athletes with HCM, highlighting the need to evaluate fitness impacts and differentiate physiological from pathological LV hypertrophy in amateur athletes.
Case Report (n=1)
Comprehensive multimodality imaging, particularly stress echocardiography, is essential to detect dynamic obstructive hypertrophic cardiomyopathy in paucisymptomatic amateur athletes who may present with a normal resting ECG.
Alerts clinicians to consider stress echocardiography in paucisymptomatic athletes; leaves open screening impact on outcomes in obstructive HCM.
The safety of exercise in athletes with hypertrophic cardiomyopathy (HCM) and the emphasis on shared decision-making has led to the updating of the most recent recommendations, which have reduced restrictions on exercise and competitive sports activity in this population. This case report confirms that obstructive HCM reduces fitness in the amateur athlete, even if paucisymptomatic or asymptomatic, leading to a physical limitation to practicing high-intensity sports. It also points out how it is possible to differentiate physiological left ventricular (LV) hypertrophy from morphologically mild but pathological one, outlining the clinical aspects from a morphological and functional point of view.
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Massimo Bolognesi (2023) conducted a case report in Hypertrophic Cardiomyopathy (n=1). Obstructive hypertrophic cardiomyopathy reduces fitness in amateur athletes, causing physical limitations in high-intensity sports even when paucisymptomatic or asymptomatic.
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