Key result
Physical exercise accelerates ARVC expression and arrhythmia risk while physiological remodeling complicates diagnosis in athletes.
Why the study?
Differentiating ARVC from athletic cardiac remodelling is challenging, as athlete's heart features can mimic ARVC and reduce the performance of International Task Force Criteria, risking false-positive or false-negative diagnoses.
How does physical exercise impact disease progression and arrhythmia risk in patients with ARVC, and how can ARVC be differentiated from athlete's heart?
How does physical exercise impact disease progression and arrhythmia risk in patients with ARVC, and how can ARVC be differentiated from athlete's heart?
Physical exercise is a strong determinant of ARVC phenotypic expression and arrhythmia risk, making the differentiation between ARVC and exercise-induced athlete's heart crucial to avoid misdiagnosis and inappropriate management.
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May support exercise restriction in ARVC; leaves open validated criteria to distinguish it from athlete's heart.
Gasperetti et al. (2020) conducted a review in Arrhythmogenic right ventricular cardiomyopathy (ARVC). Physical exercise was evaluated. Physical exercise accelerates ARVC phenotypic expression and arrhythmia risk, while exercise-induced physiological remodeling can mimic ARVC features and complicate diagnosis in athletes.
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