{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T15:19:49Z","timestamp":1790695189601,"version":"4.1.0"},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2011,6,20]],"date-time":"2011-06-20T00:00:00Z","timestamp":1308528000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Eur J Prev Cardiolog"],"published-print":{"date-parts":[[2012,8]]},"abstract":"<jats:p> Background: Cardiac magnetic resonance (CMR) evaluation of athletes for arrhythmogenic right ventricular cardiomyopathy\/dysplasia (ARVC\/D) is complicated by overlapping features such as right ventricular (RV) volume increase. The revised ARVC\/D diagnostic Task Force Criteria (TFC) incorporate cut-off values for RV ejection fraction (EF) and RV end-diastolic volume (EDV) on CMR. <\/jats:p><jats:p> Design: To distinguish ARVC\/D patients from athletes we compared CMR ventricular volumes, function, TFC cut-off values, and LV\/RV ratios since athletes show proportionate, and ARVC\/D patients disproportionate, changes in LV and RV. <\/jats:p><jats:p> Methods: Quantitative CMR parameters of 33 ARVC\/D patients (64% male, mean age 45.4 years, diagnosed by revised TFC), 66 healthy athletes and 66 healthy non-athletes (sex and age matched) were compared using revised TFC and new cut-off values representing LV\/RV balance. <\/jats:p><jats:p> Results and conclusions: Absolute values for ARVC\/D patients\/athletes\/non-athletes were: in males, RV EDV 149\/133\/106\u2009ml\/m<jats:sup>2<\/jats:sup>, ratio EDV LV\/RV 0.70\/0.91\/0.93, RV EF 34\/52\/54%, LV EF 48\/57\/58%, ratio EF LV\/RV 1.49\/1.10\/1.09; and in females, RV EDV 115\/115\/91\u2009ml\/m<jats:sup>2<\/jats:sup>, ratio EDV LV\/RV 0.86\/0.94\/0.97, RV EF 43\/54\/58%, LV EF 52\/57\/61%, ratio EF LV\/RV 1.23\/1.08\/1.04 ( p-values\u2009&lt;\u20090.05). Areas under the ROC-curve are 0.68 (RV EDV index), 0.84 (LV\/RV EDV ratio) and 0.93 (RV EF), demonstrating significantly ( p\u2009&lt;\u20090.001) better performance of RV EF and LV\/RV EDV ratio. If a wall motion abnormality is present (observed in 30 ARVC\/D patients and not in healthy subjects), RV EF can help distinguish ARVC\/D from physiological cardiac adaptation in athletes on CMR whereas RV EDV index cannot. A good alternative in athletes is the LV\/RV EDV ratio, representing normal proportionate adaptation of both ventricles. <\/jats:p>","DOI":"10.1177\/1741826711414215","type":"journal-article","created":{"date-parts":[[2011,6,21]],"date-time":"2011-06-21T05:32:22Z","timestamp":1308634342000},"page":"885-891","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":45,"title":["Impact of revised Task Force Criteria: distinguishing the athlete\u2019s heart from ARVC\/D using cardiac magnetic resonance imaging"],"prefix":"10.1093","volume":"19","author":[{"given":"Tim","family":"Luijkx","sequence":"first","affiliation":[{"name":"Department of Radiology, University Medical Center Utrecht, Utrecht, The Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Birgitta K","family":"Velthuis","sequence":"additional","affiliation":[{"name":"Department of Radiology, University Medical Center Utrecht, Utrecht, The Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niek HJ","family":"Prakken","sequence":"additional","affiliation":[{"name":"Department of Radiology, University Medical Center Utrecht, Utrecht, The Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Moniek GPJ","family":"Cox","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University Medical Center Utrecht, Utrecht, The Netherlands."},{"name":"Interuniversity Cardiology Institute of the Netherlands, Utrecht, The Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michiel L","family":"Bots","sequence":"additional","affiliation":[{"name":"Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Willem PThM","family":"Mali","sequence":"additional","affiliation":[{"name":"Department of Radiology, University Medical Center Utrecht, Utrecht, The Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard NW","family":"Hauer","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University Medical Center Utrecht, Utrecht, The Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maarten J","family":"Cramer","sequence":"additional","affiliation":[{"name":"Department of Cardiology, University Medical Center Utrecht, Utrecht, The Netherlands."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2011,6,20]]},"reference":[{"key":"bibr1-1741826711414215","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)60256-7"},{"key":"bibr2-1741826711414215","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(90)90176-E"},{"key":"bibr3-1741826711414215","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198801213180301"},{"key":"bibr4-1741826711414215","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2008.06.053"},{"key":"bibr5-1741826711414215","doi-asserted-by":"publisher","DOI":"10.1097\/01.hjr.0000238393.96975.32"},{"key":"bibr6-1741826711414215","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.71.3.215"},{"key":"bibr7-1741826711414215","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2004.04.028"},{"key":"bibr8-1741826711414215","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehq025"},{"key":"bibr9-1741826711414215","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2009.059188"},{"key":"bibr10-1741826711414215","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehn415"},{"key":"bibr11-1741826711414215","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2003.12.056"},{"key":"bibr12-1741826711414215","doi-asserted-by":"publisher","DOI":"10.1097\/HJR.0b013e3283347fdb"},{"key":"bibr13-1741826711414215","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2009.11.047"},{"key":"bibr14-1741826711414215","doi-asserted-by":"crossref","first-page":"242","DOI":"10.1249\/00005768-199409000-00011","volume":"26","author":"Mitchell JH","year":"1994","journal-title":"Med Sci Sports Exerc"},{"key":"bibr15-1741826711414215","doi-asserted-by":"publisher","DOI":"10.2174\/1874769800801010104"},{"key":"bibr16-1741826711414215","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2007.08.011"},{"key":"bibr17-1741826711414215","first-page":"1227","volume":"87","author":"Little R","year":"1992","journal-title":"J Am Stat Assoc"},{"key":"bibr18-1741826711414215","doi-asserted-by":"publisher","DOI":"10.1002\/9780470316696"},{"key":"bibr19-1741826711414215","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2006.01.014"},{"key":"bibr20-1741826711414215","first-page":"303","volume":"5","author":"Du Bois D","year":"1989","journal-title":"1916. 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