Left ventricular hypertrophy in athletes, a case-control analysis of interindividual variability

•Cardiac remodeling in athletes may vary despite similar body characteristics and training protocols•Blood pressure, body fat and weight may be additional determinants of left ventricular hypertrophy.•Left ventricular hypertrophy may be in some cases disproportionate to the sport activity.•Greater left ventricular hypertrophy doesn’t imply better physical performance.