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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 …
Funding Cardiac Risk in the Young (CRY).
Competing interests None.
Ethics approval This study was conducted with the approval of the Royal Brompton Hospital, London.
Patient consent Obtained.
Provenance and peer review Not commissioned; not externally peer reviewed.