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Imaging focal and interstitial fibrosis with cardiovascular magnetic resonance in athletes with left ventricular hypertrophy: implications for sporting participation.
Waterhouse, Deirdre F Ismail, Tevfik F Prasad, Sanjay K Wilson, Mathew G O'Hanlon, Rory
Waterhouse, Deirdre F
Ismail, Tevfik F
Prasad, Sanjay K
Wilson, Mathew G
O'Hanlon, Rory
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Editors
Other Contributors
Date
2012-11
Date Submitted
Keywords
SPORTS
CARDIOVASCULAR DISEASE
CARDIOVASCULAR DISEASE
Other Subjects
Subject Mesh
Arrhythmias, Cardiac
Athletes
Cardiomyopathy, Dilated
Death, Sudden, Cardiac
Echocardiography
Fibrosis
Forecasting
Humans
Hypertrophy, Left Ventricular
Magnetic Resonance Angiography
Myocarditis
Myocardium
Sports
Athletes
Cardiomyopathy, Dilated
Death, Sudden, Cardiac
Echocardiography
Fibrosis
Forecasting
Humans
Hypertrophy, Left Ventricular
Magnetic Resonance Angiography
Myocarditis
Myocardium
Sports
Planned Date
Start Date
Collaborators
Principal Investigators
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Waterhouse.pdf
Adobe PDF, 415.27 KB
Alternative Titles
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Abstract
Long-term high-intensity physical activity is associated with morphological changes, termed as the 'athlete's heart'. The differentiation of physiological cardiac adaptive changes in response to high-level exercise from pathological changes consistent with an inherited cardiomyopathy is imperative. Cardiovascular magnetic resonance (CMR) imaging allows definition of abnormal processes occurring at the tissue level, including, importantly, myocardial fibrosis. It is therefore vital in accurately making this differentiation. In this review, we will review the role of CMR imaging of fibrosis, and detail CMR characterisation of myocardial fibrosis in various cardiomyopathies, and the implications of fibrosis. Additionally, we will outline advances in imaging fibrosis, in particular T1 mapping. Finally we will address the role of CMR in pre-participation screening.
Language
en
ISSN
1473-0480
eISSN
ISBN
DOI
10.1136/bjsports-2012-091482
PMID
23097483