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  Indian J Med Microbiol
 

Figure 2: Differential diagnosis between physiological and pathological adaptation to training. (a) “bull's eyes” and “athletes” heart of a Caucasian cyclist, with parallel increase in cavity diameters and wall thickness; (b) end-stage hypertrophic cardiomyopathy with mild reduction of left ventricular systolic function and mild enlargement of cavity diameters; (c) apical hypertrophic cardiomyopathy well detected by contrast echocardiography; (d) arrhythmogenic right ventricular dysplasia with right ventricular dilatation and trabeculation. LV: left ventricle; RV: right ventricle

Figure 2: Differential diagnosis between physiological and pathological adaptation to training. (a) “bull's eyes” and “athletes” heart of a Caucasian cyclist, with parallel increase in cavity diameters and wall thickness; (b) end-stage hypertrophic cardiomyopathy with mild reduction of left ventricular systolic function and mild enlargement of cavity diameters; (c) apical hypertrophic cardiomyopathy well detected by contrast echocardiography; (d) arrhythmogenic right ventricular dysplasia with right ventricular dilatation and trabeculation. LV: left ventricle; RV: right ventricle