Middleton N. Shave R. George K. et al.

Left ventricular function immediately following prolonged exercise: a meta-analysis.

Med Sci Sports Exerc. 2006; 38: 681-687View in Article Google ScholarLoef M. Walach H.

The combined effects of healthy lifestyle behaviors on all-cause mortality: a systematic review and meta-analysis.

Prev Med. 2012; 55: 163-170View in Article Google ScholarLord R. Oxborough D. Somauroo J. et al.

Echocardiographic evidence of the cardiac stress of competing in ultra-endurance exercise.

Dtsch Z Sportmed. 2014; 65: 93-101View in Article Google ScholarBaggish A.L. Yared K. Wang F. et al.

The impact of endurance exercise training on left ventricular systolic mechanics.

Am J Physiol - Heart Circulatory Physiol. 2008; 295: 1109-1116View in Article Google Scholarla Gerche A. Heidbüchel H. Burns A.T. et al.

Disproportionate exercise load and remodeling of the athlete’s right ventricle.

Med Sci Sports Exerc. 2011; 43: 974-981View in Article Google ScholarD’Ascenzi F. Pisicchio C. Caselli S. et al.

RV remodeling in Olympic athletes.

JACC: Cardiovasc Imaging. 2017; https://doi.org/10.1016/j.jcmg.2016.03.017View in Article Google ScholarZaidi A. Sharma S.

Arrhythmogenic right ventricular remodelling in endurance athletes: Pandora’s box or Achilles’ heel?.

Eur Heart J. 2015; 36: 1955-1957View in Article Google ScholarLa Gerche A. Burns A.T. Mooney D.J. et al.

Exercise-induced right ventricular dysfunction and structural remodelling in endurance athletes.

Eur Heart J. 2012; 33: 998-1006View in Article Google Scholarla Gerche A. Robberecht C. Kuiperi C. et al.

Lower than expected desmosomal gene mutation prevalence in endurance athletes with complex ventricular arrhythmias of right ventricular origin.

Heart. 2010; 96: 1268-1274View in Article Google ScholarPage M.J. McKenzie J.E. Bossuyt P.M. et al.

The PRISMA 2020 statement: an updated guideline for reporting systematic reviews.

BMJ. 2021; : 372https://doi.org/10.1136/bmj.n71View in Article Google Scholar

Elliott AD, Gerche A la. The right ventricle following prolonged endurance exercise: are we overlooking the more important side of the heart? A meta-analysis. doi:10.1136/bjsports-2014-093895

View in Article Google ScholarHuedo-Medina T.B. Sánchez-Meca J. Marín-Martínez F. et al.

Assessing heterogeneity in meta-analysis: Q statistic or I2 Index?.

Psychol Methods. 2006; 11: 193-206View in Article Google ScholarEgger M. Smith G.D. Schneider M. et al.

Bias in meta-analysis detected by a simple, graphical test.

Br Med J. 1997; 315: 629-634View in Article Google ScholarDávila-Román V.G. Guest T.M. Tuteur P.G. et al.

Transient right but not left ventricular dysfunction after strenuous exercise at high altitude.

J Am Coll Cardiol. 1997; 30: 468-473View in Article Google Scholarla Gerche A. Rakhit D.J. Claessen G.

Exercise and the right ventricle: a potential Achilles’ heel.

Cardiovasc Res. 2017; 113: 1499-1508View in Article Google ScholarD’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: 48-57View in Article Google ScholarBuchan T.A. Wright S.P. Esfandiari S. et al.

Pulmonary hemodynamic and right ventricular responses to brief and prolonged exercise in middle-aged endurance athletes.

Am J Physiol - Heart Circulatory Physiol. 2019; 316: H326-H334View in Article Google ScholarLord R. George K. Somauroo J. et al.

Alterations in cardiac mechanics following ultra-endurance exercise: insights from left and right ventricular area-deformation loops.

J Am Soc Echocardiogr. 2016; 29: 879-887.e1View in Article Google ScholarSanz De La Garza M. Grazioli G. Bijnens B.H. et al.

Inter-individual variability in right ventricle adaptation after an endurance race.

Eur J Prev Cardiol. 2016; 23: 1114-1124View in Article Google ScholarMousavi N. Czarnecki A. Kumar K. et al.

Relation of biomarkers and cardiac magnetic resonance imaging after marathon running.

Am J Cardiol. 2009; 103: 1467-1472View in Article Google ScholarZaidi A. Sheikh N. Jongman J.K. et al.

Clinical differentiation between physiological remodeling and arrhythmogenic right ventricular cardiomyopathy in athletes with marked electrocardiographic repolarization anomalies.

J Am Coll Cardiol. 2015; 65: 2702-2711View in Article Google ScholarDouglas P.S. O’Toole M.L. Miller W.D.B. et al.

Different effects of prolonged exercise on the right and left ventricles.

J Am Coll Cardiol. 1990; 15: 64-69View in Article Google Scholar

Carrio I, Serra-Grima R, Martinez-Duncker C, et al. Transient alterations in cardiac performance following a six hour race. Am J Cardiol 1990;65(22):1471–4.

View in Article Google ScholarNeilan T.G. Yoerger D.M. Douglas P.S. et al.

Persistent and reversible cardiac dysfunction among amateur marathon runners.

Eur Heart J. 2006; 27: 1079-1084View in Article Google ScholarNeilan T.G. Januzzi J.L. Lee-Lewandrowski E. et al.

Myocardial injury and ventricular dysfunction related to training levels among nonelite participants in the Boston Marathon.

Circulation. 2006; 114: 2325-2333View in Article Google ScholarNeilan T.G. Ton-Nu T.T. Jassal D.S. et al.

Myocardial adaptation to short-term high-intensity exercise in highly trained athletes.

J Am Soc Echocardiogr. 2006; 19: 1280-1285View in Article Google ScholarOxborough D. Shave R. Middleton N. et al.

The impact of marathon running upon ventricular function as assessed by 2D, Doppler, and tissue-Doppler echocardiography.

Echocardiography. 2006; 23: 635-641View in Article Google ScholarLa Gerche A. Connelly K.A. Mooney D.J. et al.

Biochemical and functional abnormalities of left and right ventricular function after ultra-endurance exercise.

Heart. 2008; 94: 860-866View in Article Google ScholarTrivax J.E. Franklin B.A. Goldstein J.A. et al.

Acute cardiac effects of marathon running.

J Appl Physiol. 2010; 108: 1148-1153View in Article Google ScholarO’Hanlon R. Wilson M. Wage R. et al.

Troponin release following endurance exercise: is inflammation the cause? A cardiovascular magnetic resonance study.

J Cardiovasc Magn Reson. 2010; 12: 1-7View in Article Google ScholarOxborough 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: 253-263View in Article Google ScholarOomah S.R. Mousavi N. Bhullar N. et al.

The role of three-dimensional echocardiography in the assessment of right ventricular dysfunction after a half marathon: comparison with cardiac magnetic resonance imaging.

J Am Soc Echocardiogr. 2011; 24: 207-213View in Article Google ScholarKarlstedt E. Chelvanathan A. da Silva M. et al.

The impact of repeated marathon running on cardiovascular function in the aging population.

J Cardiovasc Magn Reson. 2012; 14: 1-7View in Article Google ScholarSchattke S. Wagner M. Hättasch R. et al.

Single beat 3D echocardiography for the assessment of right ventricular dimension and function after endurance exercise: intraindividual comparison with magnetic resonance imaging.

Cardiovasc Ultrasound. 2012; 10: 1-9View in Article Google ScholarClaessen G. Claus P. Ghysels S. et al.

Right ventricular fatigue developing during endurance exercise: an exercise cardiac magnetic resonance study.

Med Sci Sports Exerc. 2014; 46: 1717-1726View in Article Google ScholarLord R. Somauroo J. Stembridge M. et al.

The right ventricle following ultra-endurance exercise: insights from novel echocardiography and 12-lead electrocardiography.

Eur J Appl Physiol. 2015; 115: 71-80View in Article Google ScholarMaufrais C. Millet G.P. Schuster I. et al.

Progressive and biphasic cardiac responses during extreme mountain ultramarathon.

Am J Physiol - Heart Circulatory Physiol. 2016; 310: H1340-H1348View in Article Google ScholarStewart G.M. Chan J. Yamada A. et al.

Impact of high-intensity endurance exercise on regional left and right ventricular myocardial mechanics.

Eur Heart J Cardiovasc Imaging. 2017; 18: 688-696View in Article Google ScholarGajda R. Kowalik E. Rybka S. et al.

Evaluation of the heart function of swimmers subjected to exhaustive repetitive endurance efforts during a 500-km relay.

Front Physiol. 2019; 10: 1-9View in Article Google ScholarMartinez V. la Garza MS de Grazioli G. et al.

Cardiac performance after an endurance open water swimming race.

Eur J Appl Physiol. 2019; 119: 961-970View in Article Google ScholarChristou G.A. Pagourelias E.D. Anifanti M.A. et al.

Exploring the determinants of the cardiac changes after ultra-long duration exercise: the echocardiographic Spartathlon study.

Eur J Prev Cardiol. 2020; 27: 1467-1477View in Article Google ScholarCoates A.M. King T.J. Currie K.D. et al.

Alterations in cardiac function following endurance exercise are not duration dependent.

Front Physiol. 2020; 11https://doi.org/10.3389/fphys.2020.581797View in Article Google ScholarChen H. Warncke M.L. Muellerleile K. et al.

Acute impact of an endurance race on biventricular and biatrial myocardial strain in competitive male and female triathletes evaluated by feature-tracking CMR.

Eur Radiol. 2021; (0123456789)https://doi.org/10.1007/s00330-021-08401-yView in Article Google Scholar