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The arrhythmogenic right ventricular cardiomyopathy in comparison to the athletic heart
Author(s) -
Mascia Giuseppe,
Arbelo Elena,
Porto Italo,
Brugada Ramon,
Brugada Josep
Publication year - 2020
Publication title -
journal of cardiovascular electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.193
H-Index - 138
eISSN - 1540-8167
pISSN - 1045-3873
DOI - 10.1111/jce.14526
Subject(s) - medicine , cardiology , pathological , sudden cardiac death , athletes , cardiomyopathy , arrhythmogenic right ventricular dysplasia , heart failure , physical therapy
Intense exercise‐induced right ventricular remodeling is a potential adaptation of cardiac function and structure. The features of the remodeling may overlap with those of a very early form of arrhythmogenic right ventricular cardiomyopathy (ARVC): at this early stage, it could be difficult to discriminate ARVC, from exercise‐induced cardiac adaptation that may develop in normal individuals. The purpose of this paper is to discuss which exercise‐induced remodeling may be a pathological or a physiological finding. A complete evaluation may be required to identify the pathological features of ARVC that would include potential risk of sudden cardiac death during sport or, to avoid the false diagnosis of ARVC. The most recent expert assessment of arrhythmogenic cardiomyopathy focuses on endurance athletes presenting with clinical features indistinguishable from ARVC.