#Imaging In #Athletes from @mmartinezheart’s phenomenal talk at @LLUHealth
➡️ physiological adaption in athletes common
➡️ not every “abnormal” finding is a pathology #Echofirst #whyCMR must to evaluate
➡️ ekg interpretation jacc.org/doi/abs/10.101…
➡️ type of cardiac remodeling depend on the sports and activity
Eccentric
Nondilated concentric
LV concentric
➡️ increased LV size and lower EF not uncommon- Stroke volume
#WhYCMR all the way.
Every professional athlete with concern of CVD get a CMR!
#whyCMR in athletes
➡️ accurate biventricular size and function
➡️ LVH assessment - accurate measurement of the septum
➡️ myocardial fibrosis indicates pathology
➡️ risk stratification
➡️LV trabeculation overcalled
➡️ LVNC falsely over diagnosed in Athelets
➡️ LGE assessment with increased LV trabeculation important!
➡️T wave inversions on EKG - needs further eval
➡️ stress echo very useful with risk stratification
➡️ detraining literature weak
➡️ can occur within weeks however no athlete likes detraining
➡️ not useful and not routinely done by the experts
Take home points.
=> multimodality imaging is the key in evaluation of patients with #AtheletHeart
#WhyCMR #Echofirst
2 LBCT at #ACC23
Help with registry: orccastudy.org
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