Multimodality imaging provides a practical step-by-step approach to distinguish between extreme physiology and structural cardiac disease during the cardiovascular evaluation of athletes.
Does multimodality imaging help distinguish between extreme physiology and structural cardiac disease in athletes?
Multimodality imaging provides a comprehensive approach to differentiate physiological athlete's heart from pathological structural cardiac diseases, aiding in the prevention of sudden cardiac death.
"Athlete's heart" is a spectrum of morphological and functional changes which occur in the heart of people who practice physical activity. When athlete's heart occurs with its most marked expression, it may overlap with a differential diagnosis with certain structural cardiac diseases, including cardiomyopathies, valvular diseases, aortopathies, myocarditis, and coronary artery anomalies. Identifying the underlying cardiac is essential to reduce the potential for sudden cardiac death. For this purpose, a spectrum of imaging modalities, including rest and exercise stress echocardiography, speckle tracking echocardiography, cardiac magnetic resonance, computed tomography, and nuclear scintigraphy, can be undertaken. The objective of this review article is to provide to the clinician a practical step-by-step approach, aiming at distinguishing between extreme physiology and structural cardiac disease during the athlete's cardiovascular evaluation.
D’Andrea et al. (Sun,) conducted a review in Athlete's heart. Multimodality imaging was evaluated. Multimodality imaging provides a practical step-by-step approach to distinguish between extreme physiology and structural cardiac disease during the cardiovascular evaluation of athletes.
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