Evidence map›Paper›PMID 40470644›Full record

ReviewJournal of the American Heart Association2025

Exercise Prescription in Arrhythmogenic Cardiomyopathy: Finding the Right Balance Between Risks and Benefits.

Lorenzo-Lupo Dei, Jennie Han, Silvio Romano, Luigi Sciarra, Angeliki Asimaki, Michael Papadakis, Sanjay Sharma, Gherardo Finocchiaro

Abstract readReview
In one paragraph

Review in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

  1. Article
  2. Modeling the Exposome in Murine Cardiovascular Disease.JACC. Basic to translational science · 2026
    Review
  3. Article
  4. Precision Cardiogenomics in Athletes.International journal of molecular sciences · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Lorenzo-Lupo DeiDepartment of Life, Health and Environmental Sciences University of L'Aquila Italy.ORCID 0000-0002-1091-9390
Jennie HanSt Mary's Hospital Imperial College Healthcare NHS Trust London UK.ORCID 0000-0002-7089-8923
Silvio RomanoDepartment of Life, Health and Environmental Sciences University of L'Aquila Italy.ORCID 0000-0003-3520-4786
Luigi SciarraDepartment of Life, Health and Environmental Sciences University of L'Aquila Italy.ORCID 0000-0002-9669-1330
Angeliki AsimakiCardiovascular Sciences Research Centre, St George's University of London UK.ORCID 0000-0001-9886-6870
Michael PapadakisCardiovascular Sciences Research Centre, St George's University of London UK.ORCID 0000-0003-0616-2353
Sanjay SharmaCardiovascular Sciences Research Centre, St George's University of London UK.ORCID 0000-0002-3630-6138
Gherardo FinocchiaroCardiovascular Sciences Research Centre, St George's University of London UK.ORCID 0009-0006-7040-2832

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Arrhythmogenic cardiomyopathy (ACM) is an inherited cardiac condition, often caused by mutations in genes encoding desmosomal proteins. The pathologic hallmark of the disease is a fibrofatty replacement of the myocardium, which constitutes the substrate for potentially fatal ventricular arrhythmias. ACM is one of the most common etiology of sudden cardiac death in athletes and young individuals. Although it is well established that regular exercise confers multiple health benefits and better survival in the general population, intense exercise may accelerate the phenotypic expression and the propensity to ventricular arrhythmias in patients with ACM. This review discusses current evidence regarding the safety and the effects of exercise in ACM. We scrutinize research findings based on animal and human models that raise concerns on the possible detrimental role of intense exercise in this condition. Finally, we examine the current knowledge on exercise prescription focusing on the optimal amount of exercise that should be recommended to patients with ACM.

Indexed as

Arrhythmogenic Right Ventricular DysplasiaDeath, Sudden, CardiacExerciseExercise TherapyAnimalsHumansPhenotypeRisk AssessmentRisk Factorsarrhythmogenic cardiomyopathycardiomyopathiesdeath, sudden, cardiacexercise

Identifiers

PMID40470644
PMCPMC12229179

What OpenQuestion holds

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Registered trials

None linked

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.