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Long-term exercise training-induced hemodynamic changes lead to an increase in both LV dilation and LVH, in order to normalize LV wall stress. Accordingly, athlete's heart can mimic diseases such as HCM or dilated cardiomyopathy (DCM).
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Numerous echocardiographic techniques, including left ventricular ejection fraction, are used in routine clinical practice to assess left ventricular systolic function. Strain echocardiography, performed by using the speckle-tracking technique, can identify subclinical left ventricular dysfunction before left ventricular ejection fraction declines.
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