ReviewClinical cardiology2020
How to interpret right ventricular remodeling in athletes.
Review in Clinical cardiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- Sex-Specific Differences in Cardiovascular Adaptations and Risks in Elite Athletes: Bridging the Gap in Sports Cardiology.Clinical cardiology · 2024Pooled it
- The Right Heart of Elite Male and Female Cyclists: A Comparative Study of Cycling Disciplines.Journal of cardiovascular development and disease · 2026Article
- Distinct Myocardial Remodelling Profiles in Athletes: A Comparative Analysis Across Sporting Disciplines.Journal of cardiovascular translational research · 2025Review
- 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
- Review
- Tricuspid annular disjunction can be isolated and even arrhythmogenic. A cardiac magnetic resonance study.Archive of clinical cases · 2022Article
- Incomplete right bundle branch block: Challenges in electrocardiogram diagnosis.Anatolian journal of cardiology · 2021Article
- Post-marathon Decline in Right Ventricular Radial Motion Component Among Amateur Sportsmen.Frontiers in physiology · 2021Article
- Effect of Exercise-Induced Reductions in Blood Volume on Cardiac Output and Oxygen Transport Capacity.Frontiers in physiology · 2021Article
- Intrinsic Exercise Capacity and Mitochondrial DNA Lead to Opposing Vascular-Associated Risks.Function (Oxford, England) · 2021Article
- How to interpret right ventricular remodeling in athletes.Clinical cardiology · 2020Review
- Reply: Right ventricular remodeling in athletes and crista supraventricularis pattern.Clinical cardiology · 2020Article
- Right ventricular remodeling in athletes and crista supraventricularis pattern.Clinical cardiology · 2020Article
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Authors and funding
3 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Long-lasting athletic training induces an overload on the heart that leads to structural, functional, and electrical adaptive changes known as the "athlete's heart." The amount of this heart remodeling has been traditionally considered balanced between the left and the right heart chambers. However, during intense exercise, the right heart is exposed to a disproportional afterload and wall stress which over a long period of time could lead to more pronounced exercise-induced changes. Highly trained athletes, especially those involved in endurance sport disciplines, can develop marked right ventricular (RV) remodeling that could raise the suspicion of an underlying RV pathology including arrhythmogenic cardiomyopathy (ACM). The distinction between physiological and pathological RV remodeling is essential as ACM is a common cause of sudden cardiac death in athletes, and high-intensity exercise training has demonstrated to accelerate its phenotypic expression and worsen its prognosis. The distinction between physiological and pathological RV remodeling is essential since ACM is a common cause of sudden cardiac death in athletes, and high-intensity exercise training has demonstrated to accelerate the phenotypic expression and worsen the prognosis. This article outlines the physiological adaptation of the RV to acute exercise, the subsequent physiological structural and functional changes induced by athletic training and provides useful tips of how to differentiate between physiological RV remodeling and a cardiomyopathy phenotype.
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