Tackling an unmet need in sports cardiology: understanding exercise-induced cardiac remodelling and its clinical consequences

The limitations of investigation on EICR

Prior scientific endeavours have mostly targeted on describing EICR in healthier athletes and contrasting this with pathological mimics. For illustration, early research contrasted the ‘physiological’ still left ventricular wall thickening involved with athlete’s heart to hypertrophic cardiomyopathy.1 These scientific studies offered some a must have scientific instruments enabling better discrimination of physiology from pathology, while new observations have questioned the dichotomous separation between balanced ‘physiological’ myocardial hypertrophy and disease.

Several inquiries exemplify latest knowledge gaps and the limits of our comprehending of EICR. Why does EICR incompletely solve on detraining? Why does myocardial scar exist in some of the fittest athletes? Why are arrhythmias more widespread in ostensibly healthier athletes? Could selected attributes of EICR predispose some athletes to arrhythmias and thus discriminate involving athletes with a decrease and bigger arrhythmic chance?

Defining the determinants of training-induced cardiac remodelling

Despite all the advances, there are persisting uncertainties about the determinants and prognosis of EICR. Foremost is the require to dissect …