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Year : 2019  |  Volume : 29  |  Issue : 4  |  Page : 139-148

Echocardiography in Athletes in Primary Prevention of Sudden Death

1 Department of Cardiology, Umberto I, Nocera Inferiore; Department of Cardiology, Luigi Vanvitelli University of Naples, Monaldi Hospital, Naples, Italy
2 Department of Advanced Biomedical Sciences, Federico II University of Naples, Naples, Italy
3 Department of Cardiology, Umberto I, Nocera Inferiore, Italy
4 Department of Cardiology, Luigi Vanvitelli University of Naples, Monaldi Hospital, Naples, Italy
5 Department of Radiology, Centro Cardiologico Monzino, IRCCS, Milan, Italy

Correspondence Address:
Antonello D’Andrea
Corso Vittorio Emanuele 121A, 80121 Naples
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jcecho.jcecho_26_19

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Echocardiography is a noninvasive imaging technique useful to provide clinical data regarding physiological adaptations of athlete's heart. Echocardiographic characteristics may be helpful for the clinicians to identify structural cardiac disease, responsible of sudden death during sport activities. The application of echocardiography in preparticipation screening might be essential: it shows high sensitivity and specificity for identification of structural cardiac disease and it is the first-line imagining technique for primary prevention of SCD in athletes. Moreover, new echocardiographic techniques distinguish extreme sport cardiac remodeling from beginning state of cardiomyopathy, as hypertrophic or dilated cardiomyopathy and arrhythmogenic right ventricle dysplasia. The aim of this paper is to review the scientific literature and the clinical knowledge about athlete's heart and main structural heart disease and to describe the rule of echocardiography in primary prevention of SCD in athletes.

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