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Published Online First: 13 August 2008. doi:10.1136/hrt.2008.153783
Heart 2008;94:1254-1255
Copyright © 2008 BMJ Publishing Group Ltd & British Cardiovascular Society

EDITORIALS

Echocardiographic assessment of left ventricular hypertrophy in elite athletes

Ramzi Y Khamis, Jamil Mayet

International Centre for Circulatory Health, Imperial College Healthcare NHS Trust, St Mary’s Hospital, London W2 1LA, UK

Dr Jamil Mayet, International Centre for Circulatory Health, Imperial College Healthcare NHS Trust, St Mary’s Hospital, London W2 1LA, UK; j.mayet@ic.ac.uk

The first 150 words of the full text of this article appear below.

Intense, sustained physical activity results, over time, in physiological conditioning. In aiming to optimise cardiovascular performance, the heart undergoes quite dramatic changes. Some of these physiological changes, in particular those relating to myocardial hypertrophy, may mimic pathological states, which are well known to pose cardiovascular risk.

The description of "athlete’s heart" first appears in the literature in 1899, with Henschen1 reporting the changes associated with cross-country skiing. Using only physical examination, and careful percussion, he was able to describe enlargement of both the left and right heart. He concluded that these changes were favourable in improving performance.

With the advent of modern echocardiography and other imaging techniques, these changes have been further observed and documented. Over the years, opinion has ranged from the one extreme of considering these changes favourable in order to optimise cardiovascular performance, to the other extreme of considering these physiological changes potentially dangerous. More important clinically . . . [Full text of this article]


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