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Fogante M, Agliata G, Basile MC, Compagnucci P, Volpato G, Falanga U, Stronati G, Guerra F, Vignale D, Esposito A, Dello Russo A, Casella M, Giovagnoni A. Cardiac Imaging in Athlete's Heart: The Role of the Radiologist. MEDICINA (KAUNAS, LITHUANIA) 2021; 57:455. [PMID: 34066957 PMCID: PMC8148528 DOI: 10.3390/medicina57050455] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/02/2021] [Revised: 04/28/2021] [Accepted: 04/30/2021] [Indexed: 02/07/2023]
Abstract
Athlete's heart (AH) is the result of morphological and functional cardiac modifications due to long-lasting athletic training. Athletes can develop very marked structural myocardial changes, which may simulate or cover unknown cardiomyopathies. The differential diagnosis between AH and cardiomyopathy is necessary to prevent the risk of catastrophic events, such as sudden cardiac death, but it can be a challenging task. The improvement of the imaging modalities and the introduction of the new technologies in cardiac magnetic resonance (CMR) and cardiac computed tomography (CCT) can allow overcoming this challenge. Therefore, the radiologist, specialized in cardiac imaging, could have a pivotal role in the differential diagnosis between structural adaptative changes observed in the AH and pathological anomalies of cardiomyopathies. In this review, we summarize the main CMR and CCT techniques to evaluate the cardiac morphology, function, and tissue characterization, and we analyze the imaging features of the AH and the key differences with the main cardiomyopathies.
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Affiliation(s)
- Marco Fogante
- Department of Clinical, Special and Dental Sciences, University Hospital “Ospedali Riuniti Umberto I-Lancisi-Salesi”, 60126 Ancona, Italy; (G.A.); (M.C.B.); (M.C.); (A.G.)
| | - Giacomo Agliata
- Department of Clinical, Special and Dental Sciences, University Hospital “Ospedali Riuniti Umberto I-Lancisi-Salesi”, 60126 Ancona, Italy; (G.A.); (M.C.B.); (M.C.); (A.G.)
| | - Maria Chiara Basile
- Department of Clinical, Special and Dental Sciences, University Hospital “Ospedali Riuniti Umberto I-Lancisi-Salesi”, 60126 Ancona, Italy; (G.A.); (M.C.B.); (M.C.); (A.G.)
| | - Paolo Compagnucci
- Department of Biomedical Science and Public Health, University Hospital “Ospedali Riuniti Umberto I-Lancisi-Salesi”, 60126 Ancona, Italy; (P.C.); (G.V.); (U.F.); (G.S.); (F.G.); (A.D.R.)
| | - Giovanni Volpato
- Department of Biomedical Science and Public Health, University Hospital “Ospedali Riuniti Umberto I-Lancisi-Salesi”, 60126 Ancona, Italy; (P.C.); (G.V.); (U.F.); (G.S.); (F.G.); (A.D.R.)
| | - Umberto Falanga
- Department of Biomedical Science and Public Health, University Hospital “Ospedali Riuniti Umberto I-Lancisi-Salesi”, 60126 Ancona, Italy; (P.C.); (G.V.); (U.F.); (G.S.); (F.G.); (A.D.R.)
| | - Giulia Stronati
- Department of Biomedical Science and Public Health, University Hospital “Ospedali Riuniti Umberto I-Lancisi-Salesi”, 60126 Ancona, Italy; (P.C.); (G.V.); (U.F.); (G.S.); (F.G.); (A.D.R.)
| | - Federico Guerra
- Department of Biomedical Science and Public Health, University Hospital “Ospedali Riuniti Umberto I-Lancisi-Salesi”, 60126 Ancona, Italy; (P.C.); (G.V.); (U.F.); (G.S.); (F.G.); (A.D.R.)
| | - Davide Vignale
- Department of Radiology, University Hospital “San Raffaele Hospital”, 20132 Milan, Italy; (D.V.); (A.E.)
| | - Antonio Esposito
- Department of Radiology, University Hospital “San Raffaele Hospital”, 20132 Milan, Italy; (D.V.); (A.E.)
| | - Antonio Dello Russo
- Department of Biomedical Science and Public Health, University Hospital “Ospedali Riuniti Umberto I-Lancisi-Salesi”, 60126 Ancona, Italy; (P.C.); (G.V.); (U.F.); (G.S.); (F.G.); (A.D.R.)
| | - Michela Casella
- Department of Clinical, Special and Dental Sciences, University Hospital “Ospedali Riuniti Umberto I-Lancisi-Salesi”, 60126 Ancona, Italy; (G.A.); (M.C.B.); (M.C.); (A.G.)
| | - Andrea Giovagnoni
- Department of Clinical, Special and Dental Sciences, University Hospital “Ospedali Riuniti Umberto I-Lancisi-Salesi”, 60126 Ancona, Italy; (G.A.); (M.C.B.); (M.C.); (A.G.)
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Affiliation(s)
- Dimitris Tousoulis
- 1(st) Cardiology Department, National and Kapodistrian University of Athens University Medical School, Hippokration Hospital, Athens, Greece.
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(Athlete's heart vs hypertrophic cardiomyopathy - differential diagnostics according to current guidelines). COR ET VASA 2020. [DOI: 10.33678/cor.2019.087] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Tousoulis D. Magnetic resonance imaging in cardiology: Necessity or extravagance? Hellenic J Cardiol 2019; 60:1-2. [PMID: 31121265 DOI: 10.1016/j.hjc.2019.03.008] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2019] [Accepted: 03/22/2019] [Indexed: 11/22/2022] Open
Affiliation(s)
- Dimitris Tousoulis
- 1(st) Cardiology Department, National and Kapodistrian University of Athens University Medical School, Hippokration Hospital, Athens, Greece.
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