Very interesting work from the team at @HartcentrumH in the rapidly evolving field of #Sportscardiology! 1 in 6 elite endurance athletes showing reduction in #LVEF or #RVEF. But is this part of the athletic phenotype spectrum or a marker of cardiac disease? Read all about it👇🤓

🧵1/ 🫀 Big left atrium: athlete’s heart or early disease? In our new EHJ Cardiovascular Imaging paper, we introduce the LA:LV ratio to distinguish adaptive vs. maladaptive remodeling. ~0.5 = physiological ≥0.75 = suspect pathology 👉 https://t.co/FerreXmOy0 #SportsCardiology

📢 New paper out in the @JCardFail! We show that a simple single-point mPAP/CO ratio during exercise can identify high-risk patients with unexplained dyspnea just as well as more complex methods & with better reproducibility. The future of #CPETecho looks bright.

🎗️ New paper out! Step-count-based telerehabilitation during and after chemotherapy is feasible, acceptable and highly appreciated by patients 🏃‍♀️📱💪 👉 Thread below 👇 #CardioOncology #DigitalHealth #Rehab #BreastCancer #CPETecho

1/ 🚨 Just published in Circulation @CircAHA! Exercise RV–PA coupling predicts adverse outcomes in primary mitral regurgitation (PMR) 💥 We showed that TAPSE/sPAP (measured at VT1; intermediate exercise) is: ✅ Feasible ✅ Prognostic ✅ Validated externally 🧵Thread:

New paper from our Master@Heart study led by #RikPauwels in #EJPC Lp(a) is an independent predictor of coronary atherosclerosis on imaging in highly active, healthy men. ❤️ A key step toward better risk stratification in athletic populations. 👉 link: https://t.co/wlicSwx6Kg

📢New Study Alert ‼️ 🚨 Engine–Chassis Mismatch in #HFpEF + Obesity lead by @S_FoulkesAEP, @_Sara_Ferreira and @mhaykows The engine is bigger… but not enough to carry the load. Obese HFpEF patients show higher absolute VO₂ & CO — yet lower indexed values. #CPETecho #GLP1

3. RVOT Ventricular Tachycardia: VT from the right ventricular outflow tract isn’t always benign. What seems idiopathic may be the first sign of ACM. A multimodality approach (exercise testing 🏃‍♂️, CMR, genetics 🧬) is crucial to rule out underlying disease.

2. Hot-phase ACM vs. Myocarditis: Inflammatory episodes mimicking myocarditis may represent the hot phase of ACM, driving myocardial injury and early phenotypic expression in susceptible athletes.

Key takeaways: 1. Exercise as a "second hit": High-intensity training may act as a second hit in genetically predisposed athletes (e.g., PKP2 mutations), accelerating ACM onset and severity.

Happy to share that our ACM case from #EAPC Milan was awarded Best Case in Sports Cardiology and published in EHJ-CR! 🎉 #ACM #Arrhythmias #SportsCardiology #athletesheart https://t.co/rY5dllQ9SB

🚨 our paper in JACC: Cardiovascular Imaging on Atrial Functional MR (AFMR) in HFpEF! @JACCJournals 🫀 Moderate AFMR is linked to worse outcomes, even with adjustments for LA/LV function 🔍Exercise-induced increases in AFMR, even mild, provide additional prognostic value. 🏃‍♂️

Excellent presentation by my colleague #RikPauwels on the impact of training duration and intensity on coronary artery disease in middle-aged endurance athletes #ESC

📄 Free full-text access now available! Effect of PFA vs. 🔥RFA on left atrial function in paroxysmal #AFib — @hrs_journal 👇 Read & download here: 🔗 https://t.co/W3Ahb7pLfD https://t.co/LIswpw05WZ

📢 New paper out! In our #EJPC editorial, we propose a standardized pathway using #CPETecho — combining respiratory gas analysis with exercise echocardiography — to improve HFpEF diagnosis and management in patients with unexplained dyspnea.

🚨 New in Heart Rhythm! We compared pulsed field ablation (#PFA) vs. radiofrequency ablation (#RFA) for #PVI (pulmonary vein isolation) in paroxysmal AF. What happens to left atrial function after #PFA vs #RFA? The answer might surprise you. 🧵👇 🌟@LHoyesWouter | #LVerhaeghe🌟

📢 New paper out in #JASE! Excited to see our study now published in its final form: "Exercise Echocardiography for Risk Stratification in Unexplained Dyspnea: The Incremental Value of the mPAP/CO Slope" 👉

📢 New paper out! We respond to van Hattum et al.’s recent #EHJCVI study on the female athlete’s heart, comparing findings with our recent work in @BJSM_BMJ. 📎 Response: https://t.co/CbzT0xGN61 👉🏻 van Hattum et al: https://t.co/f8GpGsCYft 👉🏻 Rowe et al.:

🧵1/ Half of patients with exertional dyspnea due to HFpEF are missed by current diagnostic algorithms (H2FPEF, HFA-PEFF) ( @yreddyhf et al) Our multicenter study (n=2,452) in @JASEcho identifies a crucial missing link: 👉 the mPAP/CO slope

Our paper on #cardiac #troponins and #coronary #atherosclerosis in Masters #athletes just got published in @JACCJournals. Download your copy via: https://t.co/kPMeTBQQIX #sportscardio #exercise #prevention

#SportsMedicine #SportsCardiology #Wearables #Arrhythmias #AthletesHeart #SportsScience