Maron BJ. Structural features of the athlete heart as defined by echocardiography [J]. J Am Coll Cardiol. 1986;7(1):190–203.

Article  CAS  PubMed  Google Scholar 

Pluim BM, Zwinderman AH, Van Der Laarse A, et al. The athlete's heart. A meta-analysis of cardiac structure and function [J]. Circulation. 2000;101(3):336–44.

D’Andrea A, Riegler L, Golia E, et al. Range of right heart measurements in top-level athletes: the training impact. Int J Cardiol. 2013;164(1):48–57.

Article  PubMed  Google Scholar 

D’Andrea A, Caso P, Scarafile R, et al. Biventricular myocardial adaptation to different training protocols in competitive master athletes. Int J Cardiol. 2007;115(3):342–9.

Article  PubMed  Google Scholar 

Morganroth J, Maron BJ, Henry WL, et al. Comparative left ventricular dimensions in trained athletes. Ann Intern Med. 1975;82(4):521–4.

Article  CAS  PubMed  Google Scholar 

la Gerche A, Burns AT, Mooney DJ, et al. Exercise-induced right ventricular dysfunction and structural remodelling in endurance athletes. Eur Heart J. 2012;33(8):998–1006.

Article  PubMed  Google Scholar 

La Gerche A, Heidbüchel H, Burns AT, et al. Disproportionate exercise load and remodeling of the athlete’s right ventricle. Med Sci Sports Exerc. 2011;43(6):974–81.

Article  PubMed  Google Scholar 

Cavigli L, Zorzi A, Spadotto V, et al. The acute effects of an ultramarathon on biventricular function and ventricular arrhythmias in master athletes. Eur Heart J Cardiovasc Imaging. 2022;23(3):423–30.

Article  PubMed  Google Scholar 

Oxborough D, Shave R, Warburton D, et al. Dilatation and dysfunction of the right ventricle immediately after ultraendurance exercise: exploratory insights from conventional two-dimensional and speckle tracking echocardiography. Circ Cardiovasc Imaging. 2011;4(3):253–63.

Article  PubMed  Google Scholar 

Carlsson M, Ugander M, Heiberg E, et al. The quantitative relationship between longitudinal and radial function in left, right, and total heart pumping in humans. Am J Physiol Heart Circ Physiol. 2007;293(1):H636–44.

Article  CAS  PubMed  Google Scholar 

Teske AJ, Prakken NH, de Boeck BW, et al. Echocardiographic tissue deformation imaging of right ventricular systolic function in endurance athletes. Eur Heart J. 2009;30(8):969–77.

Article  PubMed  Google Scholar 

La Gerche A, Burns AT, D’Hooge J, et al. Exercise strain rate imaging demonstrates normal right ventricular contractile reserve and clarifies ambiguous resting measures in endurance athletes. J Am Soc Echocardiogr. 2012;25(3):253–62 e1.

Article  PubMed  Google Scholar 

Mizuguchi Y, Oishi Y, Miyoshi H, et al. The functional role of longitudinal, circumferential, and radial myocardial deformation for regulating the early impairment of left ventricular contraction and relaxation in patients with cardiovascular risk factors: a study with two-dimensional strain imaging. J Am Soc Echocardiogr. 2008;21(10):1138–44.

Article  PubMed  Google Scholar 

Vardell E, Malloy M. Joanna Briggs Institute: an evidence-based practice database. Med Ref Serv Q. 2013;32(4):434–42.

Article  PubMed  Google Scholar 

Zeng X, Zhang Y, Kwong JS, et al. The methodological quality assessment tools for preclinical and clinical studies, systematic review and meta-analysis, and clinical practice guideline: a systematic review. J Evid Based Med. 2015;8(1):2–10.

Article  PubMed  Google Scholar 

Higgins JP, Thompson SG, Deeks JJ, et al. Measuring inconsistency in meta-analyses. BMJ. 2003;327(7414):557–60.

Article  PubMed  PubMed Central  Google Scholar 

Zhang H, Gao F, Zheng Z, Wang X, Chen L. Assessment of right ventricular systolic function in amateur marathoners by two-dimensional specking echocardiography. Chin J Med Ultrasound(Electronic Edition). 2022;19(10):1091–7.

Bohm P, Schneider G, Linneweber L, et al. Right and Left Ventricular function and mass in male elite master athletes: a controlled contrast-enhanced cardiovascular magnetic resonance study. Circulation. 2016;133(20):1927–35.

Article  PubMed  Google Scholar 

Claeys M, Claessen G, Claus P, et al. Right ventricular strain rate during exercise accurately identifies male athletes with right ventricular arrhythmias. Eur Heart J Cardiovasc Imaging. 2020;21(3):282–90.

PubMed  Google Scholar 

Domenech-Ximenos B, Sanz-De La Garza M, Sepulveda-Martinez A, et al. Assessment of myocardial deformation with CMR: a comparison with ultrasound speckle tracking. Eur Radiol. 2021;31(10):7242–50.

Article  PubMed  Google Scholar 

la Gerche A, Claessen G, Dymarkowski S, et al. Exercise-induced right ventricular dysfunction is associated with ventricular arrhythmias in endurance athletes. Eur Heart J. 2015;36(30):1998–2010.

Article  PubMed  Google Scholar 

Missenard O, Gabaudan C, Astier H, et al. Absence of cardiac damage induced by long-term intensive endurance exercise training: a cardiac magnetic resonance and exercise echocardiography analysis in masters athletes. Am J Prev Cardiol. 2021;7:100196.

Article  PubMed  PubMed Central  Google Scholar 

Pagourelias ED, Kouidi E, Efthimiadis GK, et al. Right atrial and ventricular adaptations to training in male Caucasian athletes: an echocardiographic study. J Am Soc Echocardiogr. 2013;26(11):1344–52.

Article  PubMed  Google Scholar 

Rothwell O, George K, Somauroo J, et al. Right ventricular structure and function in the veteran ultramarathon runner: is there evidence for chronic maladaptation? J Am Soc Echocardiogr. 2018;31(5):598–605 e1.

Article  PubMed  Google Scholar 

Sanz-De La Garza M, Giraldeau G, Marin J, et al. Influence of gender on right ventricle adaptation to endurance exercise: an ultrasound two-dimensional speckle-tracking stress study. Eur J Appl Physiol. 2017;117(3):389–96.

Article  Google Scholar 

Stewart GM, Chan J, Kane GC, et al. Marked disparity in regional and transmural cardiac mechanics in the athlete’s heart. Med Sci Sports Exerc. 2020;52(9):1908–14.

Article  CAS  PubMed  Google Scholar 

Utomi V, Oxborough D, Ashley E, et al. The impact of chronic endurance and resistance training upon the right ventricular phenotype in male athletes. Eur J Appl Physiol. 2015;115(8):1673–82.

Article  PubMed  Google Scholar 

Vitarelli A, Capotosto L, Placanica G, et al. Comprehensive assessment of biventricular function and aortic stiffness in athletes with different forms of training by three-dimensional echocardiography and strain imaging. Eur Heart J Cardiovasc Imaging. 2013;14(10):1010–20.

Article  PubMed  Google Scholar 

Banks L, Sasson Z, Busato M, et al. Impaired left and right ventricular function following prolonged exercise in young athletes: influence of exercise intensity and responses to dobutamine stress. J Appl Physiol (1985). 2010;108(1):112–9.

Article  CAS  PubMed  Google Scholar 

Sanz De La Garza M, Grazioli G, Bijnens BH, et al. Inter-individual variability in right ventricle adaptation after an endurance race. Eur J Prev Cardiol. 2016;23(10):1114–24.

Article  Google Scholar 

Hu S, Zhang H, Ma H, et al. Assessment of right ventricular structure and systolic function in amateur marathon runners using three-dimensional speckle tracking echocardiography. Int J Cardiovasc Imaging. 2023;39(8):1473–82.

Article  PubMed  PubMed Central  Google Scholar 

Lord RN, Adams ZH, George K, et al. Exploratory assessment of right ventricular structure and function during prolonged endurance cycling exercise. Echo Res Pract. 2023;10(1):22.

Article  PubMed  PubMed Central  Google Scholar 

Tao R, Dharmavaram N, el Shaer A, et al. Relationship of TAPSE normalized by right ventricular area with pulmonary compliance, exercise capacity, and clinical outcomes. Circ Heart Fail. 2024;17(5):e010826.

Article  CAS  PubMed  Google Scholar 

Kovács A, Lakatos B, Tokodi M, et al. Right ventricular mechanical pattern in health and disease: beyond longitudinal shortening. Heart Fail Rev. 2019;24(4):511–20.

Article  PubMed  PubMed Central  Google Scholar 

Assabiny A, Apor A, Nagy A, et al. Myocardial mechanics of the right heart in elite athletes: all about remodeling? Eur Heart J Cardiovasc Imaging. 2013;14:ii11.

Google Scholar 

D’Andrea A, Caso P, Bossone E, et al. Right ventricular myocardial involvement in either physiological or pathological left ventricular hypertrophy: an ultrasound speckle-tracking two-dimensional strain analysis. Eur J Echocardiogr. 2010;11(6):492–500.

Article  PubMed