ArticleJACC. Cardiovascular imaging2017
RV Remodeling in Olympic Athletes.
Article in JACC. Cardiovascular imaging, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 2 of them syntheses that pooled it.
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Who cites it
50 citing papers in PubMed, 2 syntheses or guidelines pooled it, 135 citations in OpenAlex.
- Cardiac Structure and Function in Junior Athletes: A Systematic Review of Echocardiographic Studies.Reviews in cardiovascular medicine · 2022Pooled it
- Cardiac structure and function in elite female athletes: A systematic review and meta-analysis.Physiological reports · 2021Pooled it
- The Right Heart of Elite Male and Female Cyclists: A Comparative Study of Cycling Disciplines.Journal of cardiovascular development and disease · 2026Article
- Phenotyping the Structure and Function of the Heart of Elite Sailors: Implications for Pre-Participation Cardiac Screening.Journal of cardiovascular development and disease · 2026Article
- Noninvasive biventricular pressure-strain-volume loop-derived myocardial work analysis in competitive athletes.Scientific reports · 2026Article
- Investigation of Body Composition and Cardiac Sports Adaptation in Elite Water Polo Players.Sports (Basel, Switzerland) · 2025Article
- Echocardiography in the cardiac assessment of young athletes: a 2025 guideline from the British Society of Echocardiography (endorsed by Cardiac Risk in the Young).Echo research and practice · 2025Review
- The athletes heart-from acute stimulus to chronic adaptation.British medical bulletin · 2025Review
- Differential diagnosis between 'athlete's heart' and cardiomyopathies.The British journal of cardiology · 2025Article
- Diastolic function and dysfunction in athletes.European heart journal. Cardiovascular Imaging · 2024Review
- Cardiovascular Computed Tomography and Magnetic Resonance Imaging Guideline of the Brazilian Society of Cardiology and the Brazilian College of Radiology - 2024.Arquivos brasileiros de cardiologia · 2024Article
- The Role of Cardiovascular Imaging in the Diagnosis of Athlete's Heart: Navigating the Shades of Grey.Journal of imaging · 2024Review
- The athlete's heart: allometric considerations on published papers and relation to cardiovascular variables.European journal of applied physiology · 2024Review
- Effects of a 20-Week High-Intensity Strength Training Program on Muscle Strength Gain and Cardiac Adaptation in Untrained Men: Preliminary Results of a Prospective Longitudinal Study.JMIR formative research · 2023Article
- The athlete's heart: insights from echocardiography.Echo research and practice · 2023Review
- Assessment of right ventricular structure and systolic function in amateur marathon runners using three-dimensional speckle tracking echocardiography.The international journal of cardiovascular imaging · 2023Article
- Exercise and the Heart: Benefits, Risks and Adverse Effects of Exercise Training.Reviews in cardiovascular medicine · 2023Review
- Arrhythmogenic cardiomyopathy and differential diagnosis with physiological right ventricular remodelling in athletes using cardiovascular magnetic resonance.The international journal of cardiovascular imaging · 2022Article
- Certainties and Uncertainties of Cardiac Magnetic Resonance Imaging in Athletes.Journal of cardiovascular development and disease · 2022Review
- The Dysfunctional Right Ventricle in Dilated Cardiomyopathies: Looking from the Right Point of View.Journal of cardiovascular development and disease · 2022Review
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe aim of this study was to assess the impact of sex and different sports on right ventricular (RV) remodeling and compare the derived upper limits with widely used revised Task Force (TF) reference values.
backgroundUncertainties exist regarding the extent and physiological determinants of RV remodeling in highly trained athletes. The issue is important, considering that in athletes RV size occasionally exceeds the cutoff limits proposed to diagnose arrhythmogenic RV cardiomyopathy.
methodsA total of 1,009 Olympic athletes (mean age 24 ± 6 years; n = 647 [64%] males) participating in skill, power, mixed, and endurance sport were evaluated by 2-dimensional echocardiography and Doppler/tissue Doppler imaging. The right ventricular outflow tract (RVOT) in parasternal long-axis (PLAX) and short-axis views, fractional area change, s' velocity, and morphological features were assessed.
resultsIndexed RVOT PLAX was greater in females than in males (15.3 ± 2.2 mm/m
conclusionsRV remodeling occurs in Olympic athletes, with male sex and endurance practice playing the major impact. A significant subset (up to 32%) of athletes exceeds the normal TF limits; therefore, we recommend referring to the 95th percentiles here reported as referral values; alternatively, only major diagnostic TF criteria for arrhythmogenic RV cardiomyopathy may be appropriate.
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