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January 9, 2026Circulation Arrhythmia and Electrophysiology

Athlete’s Heart or Heart at Risk? Cardiac Remodeling and Exercise-Induced Ventricular Arrhythmias in Elite Athletes

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Key result

Common exercise-induced ventricular ectopic beats occurred in 14.8% of athletes and were associated with greater exercise-induced cardiac remodeling and performance.

Authors

GGGiuseppe Di GioiaMSMaria Rosaria SqueoAFArmando Ferrera

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Overview

Analysis shows prevalence of exercise-induced arrhythmias in athletes, indicating implications for cardiac health.

Key Points

  • This research aims to evaluate the prevalence of ventricular ectopic beats and their connection to cardiac remodeling in elite athletes.
  • Analyzed a cohort of Olympic athletes with preparticipation screening.
  • Conducted exercise-electrocardiography tests and echocardiography to assess heart function.
  • Classified VEB morphology into common and uncommon types.
  • 14.8% of athletes exhibited exercise-induced VEBs, with higher prevalence in males.
  • Common VEBs were found more frequently with increased exercise capacity.
  • Common VEBs correlated with greater exercise-induced cardiac remodeling, including changes in right and left ventricles.

Cite This Study

Gioia et al. (2025) studied this question. Common exercise-induced ventricular ectopic beats occurred in 14.8% of athletes and were associated with greater exercise-induced cardiac remodeling and performance.

synapsesocial.com/papers/69609567f6dae357db7c148fhttps://doi.org/10.1161/circep.125.014143
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Ventricular arrhythmias in athletes: morphologic features and risk stratification of pathological myocardial substrate2026
  2. 2Modern Interpretation of Electrocardiogram and Premature Ventricular Beats in Athletes2025
  3. 3Prevalence and relation to training of electrocardiographic findings in Caucasian children and adolescents 8-18 year-old practicing competitive sport.2025 · 4 citations
  4. 4Severe Left Ventricular Dilation With Preserved Contractile Reserve in an Adolescent Elite Athlete2026
  5. 5Adaptive Changes in Endurance Athletes: A Review of Molecular, Echocardiographic and Electrocardiographic Findings2025