• LVEDD >55
  • Responds to de-training
  • Super-normal exercise capacity
  • No MRI scar tissue or perfusion defects
  • Seems to be more pronounced among rowers 🚣 and bicyclists 🚴‍♀️
  • Endurance athletes tend to have more dilation
  • Needs to be differentiated from Hypertrophic Cardiomyopathy
    • Unusual LVH pattern
    • LVEDD <45
    • Marked LAE
    • Bizarre ECG
    • Abnormal LV filling
    • Reduced TDI velocity
    • Female