Hypertension is the most common cardiovascular disease in athletes. Prompt diagnosis
and management is crucial for ensuring safe sport participation and prevention of long term
complications in athletes. Many diagnostic tools are involved in the management algorithm of
the hypertension starting from good anamnesis especially the family history, as well as other
simple and sophisticated paramedical imaging techniques, as ECG, Echocardiography, 24 Hours
ambulatory ECG monitoring, cardiac MRI and many others. Distinguishing an athlete heart from
pathological heart muscle hypertrophy is the key step for the differential diagnosis. Conclusion:
Proper pharmacological and non pharmacological measures will facilitate satisfying long term
prognosis for the athletes.
