Exercise-Induced Cardiovascular Adaptations and Approach to Exercise and Cardiovascular Disease: JACC State-of-the-Art Review

Matthew W. Martinez, Jonathan H. Kim, Ankit B. Shah, Dermot Phelan, Michael S. Emery, Meagan M. Wasfy, Antonio B. Fernandez, T. Jared Bunch, Peter Dean, Alfred Danielian, Sheela Krishnan, Aaron L. Baggish, Thijs M.H. Eijsvogels, Eugene H. Chung, Benjamin D. Levine

Research output: Contribution to journalReview articlepeer-review

Abstract

The role of the sports cardiologist has evolved into an essential component of the medical care of athletes. In addition to the improvement in health outcomes caused by reductions in cardiovascular risk, exercise results in adaptations in cardiovascular structure and function, termed exercise-induced cardiac remodeling. As diagnostic modalities have evolved over the last century, we have learned much about the healthy athletic adaptation that occurs with exercise. Sports cardiologists care for those with known or previously unknown cardiovascular conditions, distinguish findings on testing as physiological adaptation or pathological changes, and provide evidence-based and “best judgment” assessment of the risks of sports participation. We review the effects of exercise on the heart, the approach to common clinical scenarios in sports cardiology, and the importance of a patient/athlete-centered, shared decision-making approach in the care provided to athletes.

Original languageEnglish (US)
Pages (from-to)1453-1470
Number of pages18
JournalJournal of the American College of Cardiology
Volume78
Issue number14
DOIs
StatePublished - Oct 5 2021

Keywords

  • athletes
  • prevention
  • sports cardiology

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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