ArticleScientific reports2021
Right heart exercise-training-adaptation and remodelling in endurance athletes.
Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 21 citations in OpenAlex.
- The Right Heart of Elite Male and Female Cyclists: A Comparative Study of Cycling Disciplines.Journal of cardiovascular development and disease · 2026Article
- Dynamic right ventricular and atrial volume responses to exercise in endurance-trained and untrained healthy individuals.PloS one · 2026Article
- Cardiovascular magnetic resonance to differentiate veteran athlete's heart with cavity dilatation and mild dilated cardiomyopathy.European heart journal. Cardiovascular Imaging · 2025Article
- Adaptive Changes in Endurance Athletes: A Review of Molecular, Echocardiographic and Electrocardiographic Findings.International journal of molecular sciences · 2025Review
- Extreme phenotypes of the female athlete's heart: a sports-specific cardiac magnetic resonance imaging study.European heart journal. Cardiovascular Imaging · 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
- Associations between night/shift working and late-life brain health.Brain communications · 2025Article
- Cardiac Adaptation in Power Athletes: Differential Impact of Judo and Weightlifting.Journal of clinical medicine · 2024Article
- Sex differences in the associations between right heart structure and peak exercise capacity parameters in amateur cyclists.Frontiers in physiology · 2024Article
- The athlete's heart: insights from echocardiography.Echo research and practice · 2023Review
- Normative values of non-invasively assessed RV function and pulmonary circulation coupling for pre-participation screening derived from 497 male elite athletes.Clinical research in cardiology : official journal of the German Cardiac Society · 2023Article
- Functional and Morphological Adaptations in the Heart of Children Aged 12-14 Years following Two Different Endurance Training Protocols.Sports (Basel, Switzerland) · 2023Article
- Tricuspid annular disjunction can be isolated and even arrhythmogenic. A cardiac magnetic resonance study.Archive of clinical cases · 2022Article
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Long-term sports training leads to myocardial adaptations, with remodelling of the heart chambers. However, while myocardial adaptations of the left heart are well described, remodelling of the right heart and its impact on the development of arrhythmias is still debated. To conduct a systematic review on right ventricle (RV) and right atrium (RA) structural and functional changes in athletes who participate in long-term endurance training. Systematic review. A systematic literature search was conducted. All the articles reporting right heart echocardiographic (ECHO) and cardiac magnetic resonance (CMR) parameters evaluated in endurance athletes and sedentary subjects were considered eligible. A multivariate analysis was conducted to investigate whether age, sex, body surface area (BSA), intensity of training are associated with RV ECHO, CMR parameters and RA ECHO parameters. A positive association between age and right atrium area (RAA) (P = 0.01) was found. This is a negative association to RV E/A (P = 0.004), and RV end diastolic diameter (RVED) longitudinal (P = 0.01). A positive association between BSA and RVED middle (P = 0.001), as well between BSA and RAA (P = 0.05) was found, along with a negative association with RV E/A (P = 0.002). A positive association between intensity of training and RV end systolic area (RVESA) (P = 0.03), RV end diastolic volume indexed (RVEDVI) (P = 0.01), RV end systolic volume indexed (RVESVI) (P = 0.01) was found, along with a negative association with ejection fraction (EF %) (P = 0.01). Endurance athletes demonstrated an association between RV remodelling and age, BSA and intensity of training.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.