Evidence map›Paper›PMID 41906578›Full record

ArticleJACC. Case reports2026

Arrhythmogenic Cardiomyopathy Diagnosed Late in a Master Recreational Endurance Athlete.

Vasiliki Gardikioti, Alexios Antonopoulos, Alexandros Kasiakogias, Antigoni Miliou, Theodoros Tsampras, Kyriakos Dimitriadis, Athanasios Kordalis, George Lazaros, Konstantinos Tsioufis, Charalambos Vlachopoulos

Abstract readCase Reports
In one paragraph

Article in JACC. Case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Vasiliki GardikiotiCardiogenetics and Sports Cardiology Unit, 1st Department of Cardiology, Hippokration General Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Alexios AntonopoulosCardiogenetics and Sports Cardiology Unit, 1st Department of Cardiology, Hippokration General Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Alexandros KasiakogiasCardiogenetics and Sports Cardiology Unit, 1st Department of Cardiology, Hippokration General Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Antigoni MiliouCardiogenetics and Sports Cardiology Unit, 1st Department of Cardiology, Hippokration General Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Theodoros TsamprasCardiogenetics and Sports Cardiology Unit, 1st Department of Cardiology, Hippokration General Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Kyriakos DimitriadisCardiogenetics and Sports Cardiology Unit, 1st Department of Cardiology, Hippokration General Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Athanasios KordalisCardiogenetics and Sports Cardiology Unit, 1st Department of Cardiology, Hippokration General Hospital, National and Kapodistrian University of Athens, Athens, Greece.
George LazarosCardiogenetics and Sports Cardiology Unit, 1st Department of Cardiology, Hippokration General Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Konstantinos TsioufisCardiogenetics and Sports Cardiology Unit, 1st Department of Cardiology, Hippokration General Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Charalambos VlachopoulosCardiogenetics and Sports Cardiology Unit, 1st Department of Cardiology, Hippokration General Hospital, National and Kapodistrian University of Athens, Athens, Greece. Electronic address: cvlachop@otenet.gr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrompt recognition of arrhythmogenic conditions in recreational and competitive athletes is essential for clinical management and for providing appropriate exercise recommendations. CASE SUMMARY: We report the case of a 67-year-old athletic individual with a high burden of ventricular arrhythmias and a phenotype within the dilated/nondilated left ventricular cardiomyopathy spectrum. Genetic testing identified a likely causative variant in the Filamin C (FLNC) gene. An integrative evaluation incorporating advanced cardiac imaging, genetic analysis, and invasive electrophysiology was undertaken to optimize risk stratification and customize exercise counseling. DISCUSSION: In arrhythmogenic cardiomyopathy with confirmed or suspected genetic etiology, a multimodal evaluation is essential for accurate patient phenotyping. The impact of exercise on disease expression in specific gene variants associated with predominantly left-sided involvement remains insufficiently understood and requires further research and shared decision-making. TAKE-HOME MESSAGE: A comprehensive multidisciplinary evaluation is key for diagnosis, risk stratification, and management of athletes with ventricular arrhythmias.

Indexed as

cardiomyopathyexercisegenetic testingventricular arrhythmias

Identifiers

PMID41906578
PMCPMC13045583

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Registered trials

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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.