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    Imaging focal and interstitial fibrosis with cardiovascular magnetic resonance in athletes with left ventricular hypertrophy: implications for sporting participation.

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    Authors
    Waterhouse, Deirdre F
    Ismail, Tevfik F
    Prasad, Sanjay K
    Wilson, Mathew G
    O'Hanlon, Rory
    Affiliation
    Centre for Cardiovascular Magnetic Resonance, Blackrock Clinic, Dublin, Ireland.
    Issue Date
    2012-11
    Keywords
    SPORTS
    CARDIOVASCULAR DISEASE
    MeSH
    Arrhythmias, Cardiac
    Athletes
    Cardiomyopathy, Dilated
    Death, Sudden, Cardiac
    Echocardiography
    Fibrosis
    Forecasting
    Humans
    Hypertrophy, Left Ventricular
    Magnetic Resonance Angiography
    Myocarditis
    Myocardium
    Sports
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    Citation
    Imaging focal and interstitial fibrosis with cardiovascular magnetic resonance in athletes with left ventricular hypertrophy: implications for sporting participation. 2012, 46 Suppl 1:i69-77 Br J Sports Med
    Publisher
    BMJ Publishing Group Ltd
    Journal
    British journal of sports medicine
    URI
    http://hdl.handle.net/10147/285712
    DOI
    10.1136/bjsports-2012-091482
    PubMed ID
    23097483
    Additional Links
    http://bjsm.bmj.com/content/46/Suppl_1/i69.full.pdf+html
    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.
    Item Type
    Article
    Language
    en
    ISSN
    1473-0480
    ae974a485f413a2113503eed53cd6c53
    10.1136/bjsports-2012-091482
    Scopus Count
    Collections
    Blackrock Clinic

    entitlement

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