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  1. Mary Noelle Sheppard
  1. Correspondence to Dr Mary Noelle Sheppard, Department of Pathology, Royal Brompton Hospital, Sydney Street, London SW36NP UK; m.sheppard{at}rbht.nhs.uk

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The authors' reply: We would like to thank Dr Singh for his interest in our study.1 We concur with Dr Singh's observation that the contribution of isolated left ventricular hypertrophy (LVH) in sudden cardiac death in athletes has not yet been fully elucidated, and it may represent an innocent bystander as a result of the physiological adaptation to regular exercise. These issues have been highlighted in our manuscript, in which the authors discuss the possibility of idiopathic LVH representing either a spectrum of the hypertrophic cardiomyopathy (HCM) phenotype, an exaggeration of the …

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