The role of cardiac magnetic resonance in sports cardiology: results from a large cohort of athletes

ConclusionCMR is more efficient in identifying a pathologic cardiac substrate in athletes in case of VAs (i.e., polymorphic beats), abnormal ECG repolarisation (negative T-waves in inferolateral leads), and borderline echocardiographic findings (LV hypertrophy, mildly depressed LV function). On the other hand, CMR is associated with a large proportion of negative results. Therefore, a careful clinical selection is needed to indicate CMR in athletes appropriately.Graphical AbstractClinical indications for CMR and positive CMR findings.The left panel shows clinical indications for CMR in our athletic cohort and the percentage of negative CMRs. In contrast, the right one shows the percentages of positive CMR findings with some examples. The white arrows in the right panel show an ARVD with a dilated right ventricle and multiple aneurysms of its free wall. The red arrows show the distribution of LGE in the left ventricle. The red panel below shows indications associated with positive CMR findings. ARVD, arrhythmogenic right ventricular disease; BAV, bicuspid aortic valve; CMP, cardiomyopathies; CMR, cardiac magnetic resonance; DCM, dilated cardiomyopathy; ECG, electrocardiogram; Echo, echocardiogram; FHx, family history; HCM, hypertrophic cardiomyopathy; LAD, left axis deviation; LBBB, left bundle branch block; LGE, late gadolinium enhancement; LV, left ventricle; LVH, left ventricular hypertrophy; LVNC, left ventricular non-compaction; MVP, mitral valve prolapse; RV, right ventr...
Source: Clinical Research in Cardiology - Category: Cardiology Source Type: research