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Related Experiment Video

Updated: Apr 23, 2026

Permanent Ligation of the Left Anterior Descending Coronary Artery in Mice: A Model of Post-myocardial Infarction Remodelling and Heart Failure
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Right heart structural and functional remodeling in athletes.

Antonello D'Andrea1, Andrè La Gerche, Enrica Golia

  • 1Chair of Cardiology, Second University of Naples, Naples, Italy.

Echocardiography (Mount Kisco, N.Y.)
|September 23, 2014
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Intensive exercise causes significant right heart changes in athletes, potentially leading to incomplete recovery and a substrate for arrhythmias. These adaptations in right ventricular morphology and function warrant further investigation.

Keywords:
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Area of Science:

  • Cardiology
  • Sports Medicine
  • Exercise Physiology

Background:

  • Athlete's heart describes cardiac adaptations to intense exercise.
  • Historically, focus was on left heart changes.
  • Recent research highlights significant right heart adaptations.

Purpose of the Study:

  • To review current data on right heart adaptation to exercise training.
  • To examine structural and functional changes in the right ventricle.
  • To discuss potential implications for athlete health.

Main Methods:

  • Review of recent scientific literature.
  • Analysis of noninvasive diagnostic techniques, including color Doppler echocardiography.
  • Focus on right ventricular (RV) morphology and function.

Main Results:

  • Intense exercise induces substantial structural and functional changes in the right heart.
  • Right ventricular adaptations may be profound and recovery sometimes incomplete.
  • These changes might predispose highly trained athletes to proarrhythmic RV remodeling.

Conclusions:

  • Right heart adaptation to exercise is a critical area of study.
  • Intense training can lead to significant RV remodeling.
  • Further research is needed to understand the long-term implications and proarrhythmic potential.