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In this study, endurance-trained long-distance runners and swimmers were shown to have a pattern of eccentric left ventricular hypertrophy, with large left ventricular end-diastolic volumes and minimal or no increase in left ventricular wall thickness, compared with sedentary controls.The purpose of this review is to illustrate the spectrum of diseases that most frequently affect the apex of the LV including Tako-Tsubo cardiomyopathy, LV aneurysms and pseudoaneurysms, apical diverticula, apical ventricular remodelling, apical hypertrophic cardiomyopathy, LV non-compaction, arrhythmogenic right ventricular .
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