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The upper limit of physiologic cardiac hypertrophy in highly trained elite athletes.

Authors
  • Pelliccia, A1
  • Maron, B J
  • Spataro, A
  • Proschan, M A
  • Spirito, P
  • 1 Department of Medicine, Comitato Olimpico Nazionale Italiano, Rome.
Type
Published Article
Journal
The New England journal of medicine
Publication Date
Jan 31, 1991
Volume
324
Issue
5
Pages
295–301
Identifiers
PMID: 1824720
Source
Medline
License
Unknown

Abstract

On the basis of these data, a left-ventricular-wall thickness of greater than or equal to 13 mm is very uncommon in highly trained athletes, virtually confined to athletes training in rowing sports, and associated with an enlarged left ventricular cavity. In addition, the upper limit to which the thickness of the left ventricular wall may be increased by athletic training appears to be 16 mm. Therefore, athletes with a wall thickness of more than 16 mm and a nondilated left ventricular cavity are likely to have primary forms of pathologic hypertrophy, such as hypertrophic cardiomyopathy.

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