1. Right Ventricular Changes in Highly Trained Athletes: Between Physiology and Pathophysiology
- Author
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Antonello D'Andrea, Eduardo Bossone, Rosangela Cocchia, Raffaele Calabrò, Enrica Pezzullo, Lucia Riegler, Enrica Golia, Agostino Mattera Iacono, Raffaella Scarafile, Maria Giovanna Russo, Alberto Morello, D'Andrea, A, Morello, A, Iacono, Am, Scarafile, R, Cocchia, R, Riegler, L, Pezzullo, E, Golia, E, Bossone, E, Calabro, R, and Russo, Mg
- Subjects
Cardiac function curve ,medicine.medical_specialty ,sport training ,Cardiomyopathy ,Athletes heart ,Review Article ,strain ,Internal medicine ,Medicine ,Radiology, Nuclear Medicine and imaging ,skin and connective tissue diseases ,right heart ,Sport training ,biology ,business.industry ,Athletes ,Doppler ,medicine.disease ,biology.organism_classification ,Pathophysiology ,medicine.anatomical_structure ,Ventricle ,exercise-induced cardiomyopathy ,Right heart ,Cardiology ,sense organs ,Cardiology and Cardiovascular Medicine ,business - Abstract
Several studies have described the adaptive remodeling of the heart during exercise. In some more practiced endurance athletes, there is a disproportionate load on the right ventricle (RV), at least during exercise, and this might be the basis for a chronic pro-arrhythmic RV remodeling. Especially, in these kinds of athletes the recovery after detraining might be incomplete, in particular for RV changes. The observation of acute myocardial injury based on transient elevation of biomarkers and chronic myocardial scar, not completely reversible changes of the RV and an increased prevalence of some arrhythmias support the existence of an "exercise-induced cardiomyopathy." The aim of this paper is to review current knowledge about changes in the right heart in highly trained athletes and how these change influence cardiac function.
- Published
- 2015