{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T06:48:15Z","timestamp":1787813295838,"version":"build-2784847793"},"reference-count":20,"publisher":"Elsevier BV","issue":"7","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T00:00:00Z","timestamp":1780012800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jacc.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["JACC: Advances"],"published-print":{"date-parts":[[2026,7]]},"DOI":"10.1016\/j.jacadv.2026.102945","type":"journal-article","created":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T19:30:07Z","timestamp":1784748607000},"page":"102945","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"title":["Echocardiographic Characterization of Major League Soccer Players"],"prefix":"10.1016","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3012-0380","authenticated-orcid":false,"given":"Aakash","family":"Bavishi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chinyen","family":"Chuo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George","family":"Chiampas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robyn E.","family":"Bryde","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan H.","family":"Kim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dermot","family":"Phelan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margot","family":"Putukian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John A.","family":"Gallucci","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brad","family":"Mehl","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Holly","family":"Silvers","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew W.","family":"Martinez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jacadv.2026.102945_bib1","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1016\/S0735-1097(86)80282-0","article-title":"Structural features of the athlete heart as defined by echocardiography","volume":"7","author":"Maron","year":"1986","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.jacadv.2026.102945_bib2","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1056\/NEJM199101313240504","article-title":"The upper limit of physiologic cardiac hypertrophy in highly trained elite athletes","volume":"324","author":"Pelliccia","year":"1991","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jacadv.2026.102945_bib3","doi-asserted-by":"crossref","first-page":"802","DOI":"10.1016\/0002-9149(94)90439-1","article-title":"Morphology of the athlete's heart assessed by echocardiography in 947 elite athletes representing 27 sports","volume":"74","author":"Spirito","year":"1994","journal-title":"Am J Cardiol"},{"key":"10.1016\/j.jacadv.2026.102945_bib4","doi-asserted-by":"crossref","first-page":"965","DOI":"10.1016\/j.jcmg.2016.08.011","article-title":"Effect of sex and sporting discipline on LV adaptation to exercise","volume":"10","author":"Finocchiaro","year":"2017","journal-title":"Eur Heart J Cardiovasc Imaging"},{"key":"10.1016\/j.jacadv.2026.102945_bib5","doi-asserted-by":"crossref","first-page":"1453","DOI":"10.1016\/j.jacc.2021.08.003","article-title":"Exercise-induced cardiovascular adaptations and approach to exercise and cardiovascular disease","volume":"78","author":"Martinez Matthew","year":"2021","journal-title":"JACC"},{"key":"10.1016\/j.jacadv.2026.102945_bib6","doi-asserted-by":"crossref","first-page":"1085","DOI":"10.1161\/CIRCULATIONAHA.108.804617","article-title":"Sudden deaths in young competitive athletes","volume":"119","author":"Maron","year":"2009","journal-title":"Circulation"},{"key":"10.1016\/j.jacadv.2026.102945_bib7","doi-asserted-by":"crossref","first-page":"1636","DOI":"10.1016\/j.jacc.2014.01.041","article-title":"Incidence and causes of sudden death in U.S. College Athletes","volume":"63","author":"Maron","year":"2014","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.jacadv.2026.102945_bib8","doi-asserted-by":"crossref","first-page":"280","DOI":"10.1016\/S0735-1097(02)02633-5","article-title":"Echocardiographic characteristics of professional football players","volume":"41","author":"Abernethy","year":"2003","journal-title":"JACC"},{"key":"10.1016\/j.jacadv.2026.102945_bib9","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1001\/jamacardio.2015.0252","article-title":"Athletic cardiac remodeling in US professional basketball players","volume":"1","author":"Engel","year":"2016","journal-title":"JAMA Cardiol"},{"key":"10.1016\/j.jacadv.2026.102945_bib10","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1001\/jamacardio.2020.6088","article-title":"Cardiac structure and function in elite female and Male soccer players","volume":"6","author":"Churchill","year":"2021","journal-title":"JAMA Cardiol"},{"key":"10.1016\/j.jacadv.2026.102945_bib11","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.echo.2014.10.003","article-title":"Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging","volume":"28","author":"Lang","year":"2015","journal-title":"J Am Soc Echocardiogr"},{"key":"10.1016\/j.jacadv.2026.102945_bib12","doi-asserted-by":"crossref","first-page":"701","DOI":"10.1016\/j.recesp.2013.11.023","article-title":"Usefulness of echocardiography in preparticipation screening of competitive athletes","volume":"67","author":"Grazioli","year":"2014","journal-title":"Rev Esp Cardiol (Engl Ed)"},{"key":"10.1016\/j.jacadv.2026.102945_bib13","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1136\/heartjnl-2014-306110","article-title":"Echocardiographic findings in 2261 peri-pubertal athletes with or without inverted T waves at electrocardiogram","volume":"101","author":"Cal\u00f2","year":"2015","journal-title":"Heart"},{"key":"10.1016\/j.jacadv.2026.102945_bib14","doi-asserted-by":"crossref","first-page":"1383","DOI":"10.1016\/j.amjcard.2014.07.070","article-title":"Differentiating left ventricular hypertrophy in athletes from that in patients with hypertrophic cardiomyopathy","volume":"114","author":"Caselli","year":"2014","journal-title":"Am J Cardiol"},{"key":"10.1016\/j.jacadv.2026.102945_bib15","doi-asserted-by":"crossref","first-page":"791","DOI":"10.1161\/CIRCULATIONAHA.112.000974","article-title":"A meta-analysis of aortic root size in elite athletes","volume":"127","author":"Iskandar","year":"2013","journal-title":"Circulation"},{"key":"10.1016\/j.jacadv.2026.102945_bib16","doi-asserted-by":"crossref","first-page":"2148","DOI":"10.1016\/j.jacc.2008.09.014","article-title":"The relationship of left ventricular mass and geometry to incident cardiovascular events: the MESA (Multi-Ethnic study of atherosclerosis) study","volume":"52","author":"Bluemke","year":"2008","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.jacadv.2026.102945_bib17","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1016\/j.pcad.2012.01.006","article-title":"Exercise-induced cardiac remodeling","volume":"54","author":"Weiner","year":"2012","journal-title":"Prog Cardiovasc Dis"},{"key":"10.1016\/j.jacadv.2026.102945_bib18","first-page":"e716","article-title":"Clinical considerations for competitive sports participation for athletes with cardiovascular abnormalities: a scientific statement from the American Heart Association and American College of Cardiology","volume":"151","author":"Kim","year":"2025","journal-title":"Circulation"},{"key":"10.1016\/j.jacadv.2026.102945_bib19","doi-asserted-by":"crossref","first-page":"2256","DOI":"10.1016\/j.jacc.2007.12.061","article-title":"Ethnic differences in left ventricular remodeling in highly-trained athletes relevance to differentiating physiologic left ventricular hypertrophy from hypertrophic cardiomyopathy","volume":"51","author":"Basavarajaiah","year":"2008","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.jacadv.2026.102945_bib20","doi-asserted-by":"crossref","first-page":"935","DOI":"10.1001\/jamacardio.2024.1899","article-title":"Racial disparities in sports cardiology: a review","volume":"9","author":"Krishnan","year":"2024","journal-title":"JAMA Cardiol"}],"container-title":["JACC: Advances"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2772963X26003662?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2772963X26003662?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T20:22:28Z","timestamp":1785529348000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2772963X26003662"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":20,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["S2772963X26003662"],"URL":"https:\/\/doi.org\/10.1016\/j.jacadv.2026.102945","relation":{},"ISSN":["2772-963X"],"issn-type":[{"value":"2772-963X","type":"print"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Echocardiographic Characterization of Major League Soccer Players","name":"articletitle","label":"Article Title"},{"value":"JACC: Advances","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jacadv.2026.102945","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Published by Elsevier on behalf of the American College of Cardiology Foundation.","name":"copyright","label":"Copyright"}],"article-number":"102945"}}