title: Detraining-related changes in left ventricular wall thickness and longitudinal strain in a young athlete likely to have hypertrophic cardiomyopathy.
abstract: One of the diagnostic criteria in order to differentiate between physiological and pathological left ventricular hypertrophy is the wall thickness reduction after at least 3-month detraining period, which is considered a marker of the athlete's heart. This report describes detraining-related regression of LV hypertrophy and improvement in myocardial deformation in a junior athlete likely to have hypertrophic cardiomyopathy. Key pointsHypertrophic cardiomyopathy in adolescent athletes can be discovered by 12-lead ECGPhysical training is an important trigger for the clinical presentation of hypertrophic cardiomyopathyReverse LV remodeling (wall thickness reduction) with detraining is a common echocardiographic finding in athletes with physiological hypertrophyThis report demonstrates that reverse remodeling can also be found in adolescent athletes likely to have hypertrophic cardiomyopathy.
authors.affiliation: Clinical and Experimental Department of Medicine and Pharmacology, University Hospital of Messina , Messina, Italy.
authors.forename: Cesare
authors.initials: C
authors.lastname: de Gregorio
authors.forename: Giampiero
authors.initials: G
authors.lastname: Speranza
authors.forename: Alberto
authors.initials: A
authors.lastname: Magliarditi
authors.forename: Pietro
authors.initials: P
authors.lastname: Pugliatti
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Andò
authors.forename: Sebastiano
authors.initials: S
authors.lastname: Coglitore
keywords: Athlete’s heart; detraining; echocardiography; hypertrophic cardiomyopathy; left ventricular hypertrophy; myocardial function; strain echocardiography.