Cited by 390Cardiovascular Effects of ExerciseCardiomyopathy and Myosin StudiesCardiovascular and exercise physiology

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Remodeling of Left Ventricular Hypertrophy in Elite Athletes After Long-Term Deconditioning

Pelliccia, Antonio, Maron, Barry J., De Luca, Rosanna, Di Paolo, Fernando M., Spataro, Antonio, Culasso, Franco·2002·Circulation

DOI 10.1161/hc0802.104534

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Abstract

Background The clinical significance and long-term consequences of left ventricular (LV) hypertrophy associated with intensive athletic conditioning remain unresolved. Methods and results We prospectively evaluated 40 elite male athletes who had shown marked LV cavity enlargement of > or = 60 mm, wall thickness of > or = 13 mm, or both in a longitudinal fashion with serial echocardiograms, initially at peak training (age 24 +/- 4 years) and subsequently after a long-term deconditioning period (1 to 13 years; mean, 5.6 +/- 3.8). After detraining, LV cavity dimension decreased by 7% (61.2 +/- 2.9 to 57.2 +/- 3.1 mm; P or = 60 mm) in 9 athletes (22%); in contrast, wall thickness returned to normal in each athlete. Multiple regression analysis demonstrated that approximately 50% of the incomplete reduction in cavity dimension was explained by increased body weight and recreational physical activity performed during the follow-up period. No athlete had developed cardiac symptoms, impaired exercise performance, or evidence of LV dysfunction. Conclusions LV remodeling was evident after long-term detraining, with significant reduction in cavity size and normalization of wall thickness. Resolution of cavity enlargement was, however, incomplete in most cases, and substantial chamber dilatation persisted in >20% of athletes. The possibility that this residual LV hypertrophy, apparently part of the athlete's heart syndrome, may have future long-term clinical implications in some individu…

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Authors: Pelliccia, A., Maron, B. J., De Luca, R., Di Paolo, F. M., Spataro, A., & Culasso, F.
Affiliations: Minneapolis Heart Institute Foundation (US)
From the Institute of Sports Science, Department of Medicine (A.P., R.D.L., F.M.D.P., A.S.), Rome, Italy; Minneapolis Heart Institute Foundation (B.J.M.), Minneapolis, Minn; and Department of Experimental Medicine, University La Sapienza (F.C.), Rome, Italy.
ORCID: Pelliccia, Antonio
Maron, Barry J.
Spataro, Antonio
Venue: Circulation
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2002-02-26
Volume: 105
Issue: 8
Pages: 944-949
ISSN: 0009-7322 (ISSN-L)
1524-4539
DOI: 10.1161/hc0802.104534
OpenAlex: W2009338965
Cited by: 390
References: 28
Citations by year: 2026: 6 · 2025: 14 · 2024: 15 · 2023: 19 · 2022: 17 · 2021: 26 · 2020: 19 · 2019: 12 · 2018: 13 · 2017: 13 · 2016: 28 · 2015: 23 · 2014: 17 · 2013: 10 · 2012: 26
FWCI: 5.47
Type: journal article
Language: en
Open access: closed
Locations: Circulation (publishedVersion)
PubMed (publishedVersion)
Funders: Minneapolis Heart Institute Foundation
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Effects of Exercise
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiomyopathy and Myosin Studies
Health Sciences › Medicine › Physiology (medical) › Cardiovascular and exercise physiology
Keywords: left ventricular hypertrophy, detraining, left ventricular remodeling, left ventricular wall thickness, elite athletes, body weight, leisure-time physical activity
MeSH terms: Adaptation, Physiological, Adult, Aging, Cardiac Volume, Cardiomyopathy, Dilated, Cardiomyopathy, Hypertrophic, Diagnosis, Differential, Echocardiography, Electrocardiography, Heart Ventricles, Humans, Longitudinal Studies, Male, Physical Fitness, Rome, Sports, Stroke Volume, Time, Reproducibility of Results, Observer Variation, Ventricular Function, Hypertrophy, Left Ventricular, Cardiovascular Deconditioning

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Remodeling of Left Ventricular Hypertrophy in Elite Athletes After Long-Term Deconditioning

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