How to interpret right ventricular remodeling in athletes.

Clinical Cardiology
María Sanz-de la GarzaStefano Caselli

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 worse...Continue Reading

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Citations

May 23, 2020·Clinical Cardiology·Amelia CarroStefano Caselli
May 24, 2020·Clinical Cardiology·Manuel Martinez-SellésAlejandro Lucia
Jun 18, 2021·Frontiers in Physiology·Janis SchierbauerWalter F J Schmidt

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Methods Mentioned

BETA
imaging techniques
biopsy

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