{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T22:34:09Z","timestamp":1787265249100,"version":"build-2736575974"},"reference-count":31,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2025,6,2]],"date-time":"2025-06-02T00:00:00Z","timestamp":1748822400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100031735","name":"Amsterdam Movement Sciences","doi-asserted-by":"publisher","award":["P1A210AMC2018"],"award-info":[{"award-number":["P1A210AMC2018"]}],"id":[{"id":"10.13039\/100031735","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Dutch National Olympic Committee & National Sports Federation","award":["JZ\/18.0166\/swt"],"award-info":[{"award-number":["JZ\/18.0166\/swt"]}]},{"name":"Heart to Handle Foundation"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,6,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Differentiating physiological exercise-induced cardiac remodelling (EICR) from pathology is challenging, especially in female athletes, where studies using state-of-the-art imaging techniques are lacking. We aimed to investigate extreme phenotypes of EICR in female elite athletes using magnetic resonance imaging (MRI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>Cross-sectional, multicentre study in female elite athletes using contrast-enhanced cardiac MRI. Left and right ventricle (LV, RV) indices and LV mass (LVM)-to-LV end-diastolic volume (EDV) ratios were investigated, indexed by body surface area (BSA). Cardiac remodelling was determined comparing cardiac MRI metrics to female reference values, stratified by ESC sports classification (endurance, mixed, power\/skill). In 173 female elite athletes (median age 25 years, median 18\u2005h training\/week, 97% Caucasian), mean LV EDV\/BSA and LVM\/BSA were 108 \u00b1 13\u2005mL\/m2 and 50 \u00b1 10\u2005g\/m2, with lower LVM\/LV EDV ratios (0.5 \u00b1 0.1) than the general population (0.7 \u00b1 0.1\u2005g\/mL; P &amp;lt; 0.001). Most athletes (71%) had isolated LV EDV increases; LVM increases (18%) commonly coincided with LV EDV increases. Compared with the general population (45 \u00b1 7\u2005g\/m2), only mixed (48 \u00b1 9\u2005g\/m2; P = 0.021) and endurance athletes (53 \u00b1 11\u2005g\/m2; P &amp;lt; 0.001) exhibited greater mean LVM with endurance athletes surpassing mixed athletes (P = 0.004). Mixed and endurance showed comparably greater median biventricular EDV compared with power\/skill athletes [LV: 109 (103\u2013119) and 111 (101\u2013118) vs. 99 (92\u2013105); RV: 110 (103\u2013118) and 112 (105\u2013124) vs. 101 (95\u2013104) mL\/m2; P &amp;lt; 0.001]. Maximum wall thickness &amp;gt; 11\u2005mm was rare (2%). Global T1 time was 968 \u00b1 22\u2005ms; extracellular volume was 25 \u00b1 4%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Female elite athletes, particularly endurance-trained athletes, display EICR marked by increased ventricular volumes, without prominent increases in LVM or wall thickness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration Number<\/jats:title>\n                    <jats:p>NL9328<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ehjci\/jeaf111","type":"journal-article","created":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T07:47:33Z","timestamp":1743493653000},"page":"1199-1207","source":"Crossref","is-referenced-by-count":9,"title":["Extreme phenotypes of the female athlete\u2019s heart: a sports-specific cardiac magnetic resonance imaging study"],"prefix":"10.1093","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0168-7783","authenticated-orcid":false,"given":"Juliette C","family":"van Hattum","sequence":"first","affiliation":[{"name":"Department of Cardiology, Amsterdam UMC Location University of Amsterdam , Room D3-221, Meibergdreef 9, 1105 AZ Amsterdam ,","place":["The Netherlands"]},{"name":"Amsterdam Cardiovascular Sciences \u00a0 - Heart Failure and Arrhythmias, University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-8894-3457","authenticated-orcid":false,"given":"Maarten A","family":"van Diepen","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Amsterdam UMC Location University of Amsterdam , Room D3-221, Meibergdreef 9, 1105 AZ Amsterdam ,","place":["The Netherlands"]},{"name":"Amsterdam Cardiovascular Sciences \u00a0 - Heart Failure and Arrhythmias, University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3785-4985","authenticated-orcid":false,"given":"Sjoerd M","family":"Verwijs","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Amsterdam UMC Location University of Amsterdam , Room D3-221, Meibergdreef 9, 1105 AZ Amsterdam ,","place":["The Netherlands"]},{"name":"Amsterdam Cardiovascular Sciences \u00a0 - Heart Failure and Arrhythmias, University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0861-0765","authenticated-orcid":false,"given":"S Matthijs","family":"Boekholdt","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Amsterdam UMC Location University of Amsterdam , Room D3-221, Meibergdreef 9, 1105 AZ Amsterdam ,","place":["The Netherlands"]},{"name":"Amsterdam Cardiovascular Sciences \u00a0 - Heart Failure and Arrhythmias, University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-1753-8755","authenticated-orcid":false,"given":"Adrienne","family":"van Randen","sequence":"additional","affiliation":[{"name":"Amsterdam Cardiovascular Sciences \u00a0 - Heart Failure and Arrhythmias, University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam ,","place":["The Netherlands"]},{"name":"Department of Radiology and Nuclear Medicine, Amsterdam UMC Location University of Amsterdam , Amsterdam ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5837-0472","authenticated-orcid":false,"given":"Maarten","family":"Groenink","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Amsterdam UMC Location University of Amsterdam , Room D3-221, Meibergdreef 9, 1105 AZ Amsterdam ,","place":["The Netherlands"]},{"name":"Amsterdam Cardiovascular Sciences \u00a0 - Heart Failure and Arrhythmias, University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3940-4670","authenticated-orcid":false,"given":"R Nils","family":"Planken","sequence":"additional","affiliation":[{"name":"Amsterdam Cardiovascular Sciences \u00a0 - Heart Failure and Arrhythmias, University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam ,","place":["The Netherlands"]},{"name":"Department of Radiology and Nuclear Medicine, Amsterdam UMC Location University of Amsterdam , Amsterdam ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maarten H","family":"Moen","sequence":"additional","affiliation":[{"name":"High-Performance Team, Dutch National Olympic Committee and National Sports Federation , Arnhem, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5589-2806","authenticated-orcid":false,"given":"Jo\u00eblle J N","family":"Daems","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Amsterdam UMC Location University of Amsterdam , Room D3-221, Meibergdreef 9, 1105 AZ Amsterdam ,","place":["The Netherlands"]},{"name":"Amsterdam Cardiovascular Sciences \u00a0 - Heart Failure and Arrhythmias, University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7043-3336","authenticated-orcid":false,"given":"Niek H J","family":"Prakken","sequence":"additional","affiliation":[{"name":"Medical Imaging Center, Department of Radiology and Nuclear Medicine, University Medical Centre Groningen, University of Groningen , Groningen ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8553-5025","authenticated-orcid":false,"given":"Danny A J P","family":"van de Sande","sequence":"additional","affiliation":[{"name":"Department of Cardiology, UMC Utrecht, University of Utrecht , Utrecht ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2542-9474","authenticated-orcid":false,"given":"Birgitta K","family":"Velthuis","sequence":"additional","affiliation":[{"name":"Department of Radiology, UMC Utrecht, University of Utrecht , Utrecht ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzanna","family":"de Vries","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Tjongerschans Hospital , Heerenveen ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-6156-3842","authenticated-orcid":false,"given":"Ronald J","family":"Walhout","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Gelderse Vallei Hospital , Ede ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yigal M","family":"Pinto","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Amsterdam UMC Location University of Amsterdam , Room D3-221, Meibergdreef 9, 1105 AZ Amsterdam ,","place":["The Netherlands"]},{"name":"Amsterdam Cardiovascular Sciences \u00a0 - Heart Failure and Arrhythmias, University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8924-9272","authenticated-orcid":false,"given":"Arthur A M","family":"Wilde","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Amsterdam UMC Location University of Amsterdam , Room D3-221, Meibergdreef 9, 1105 AZ Amsterdam ,","place":["The Netherlands"]},{"name":"Amsterdam Cardiovascular Sciences \u00a0 - Heart Failure and Arrhythmias, University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3617-3256","authenticated-orcid":false,"given":"Harald T","family":"J\u00f8rstad","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Amsterdam UMC Location University of Amsterdam , Room D3-221, Meibergdreef 9, 1105 AZ Amsterdam ,","place":["The Netherlands"]},{"name":"Amsterdam Cardiovascular Sciences \u00a0 - Heart Failure and Arrhythmias, University of Amsterdam, Meibergdreef 9, 1105 AZ Amsterdam ,","place":["The Netherlands"]},{"name":"Amsterdam Movement Sciences, Vrije Universiteit , Amsterdam ,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,6,2]]},"reference":[{"key":"2025062922373316600_jeaf111-B1","doi-asserted-by":"crossref","first-page":"1902","DOI":"10.1016\/j.jacc.2017.08.055","article-title":"Sports cardiology","volume":"70","author":"Baggish","year":"2017","journal-title":"J Am Coll Cardiol"},{"key":"2025062922373316600_jeaf111-B2","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1093\/eurheartj\/ehaa605","article-title":"2020 ESC Guidelines on sports cardiology and exercise in patients with cardiovascular disease","volume":"42","author":"Pelliccia","year":"2021","journal-title":"Eur Heart J"},{"key":"2025062922373316600_jeaf111-B3","doi-asserted-by":"crossref","first-page":"2262","DOI":"10.3390\/ijerph15102262","article-title":"Running as a form of therapy socio-psychological functions of mass running events for men and women","volume":"15","author":"Malchrowicz-Mo\u015bko","year":"2018","journal-title":"Int J Environ Res Public Health"},{"key":"2025062922373316600_jeaf111-B4","author":"International Olympic Committee"},{"key":"2025062922373316600_jeaf111-B5","doi-asserted-by":"crossref","first-page":"1387","DOI":"10.1053\/euhj.2000.2011","article-title":"Comparison of left ventricular ejection fraction and volumes in heart failure by echocardiography, radionuclide ventriculography and cardiovascular magnetic resonance; are they interchangeable?","volume":"21","author":"Bellenger","year":"2000","journal-title":"Eur Heart J"},{"key":"2025062922373316600_jeaf111-B6","doi-asserted-by":"crossref","first-page":"677","DOI":"10.1136\/bjsm.2008.054767","article-title":"Advances in cardiac imaging: the role of magnetic resonance imaging and computed tomography in identifying athletes at risk","volume":"43","author":"Prakken","year":"2009","journal-title":"Br J Sports Med"},{"key":"2025062922373316600_jeaf111-B7","doi-asserted-by":"publisher","author":"van Hal","DOI":"10.1007\/978-3-030-39074-7_6"},{"key":"2025062922373316600_jeaf111-B8","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1186\/s12947-020-00217-y","article-title":"Quantification of left ventricular mass by echocardiography compared to cardiac magnet resonance imaging in hemodialysis patients","volume":"18","author":"Grebe","year":"2020","journal-title":"Cardiovasc Ultrasound"},{"key":"2025062922373316600_jeaf111-B9","doi-asserted-by":"crossref","first-page":"945","DOI":"10.1007\/s10554-016-0858-4","article-title":"Left ventricular wall thickness in patients with hypertrophic cardiomyopathy: a comparison between cardiac magnetic resonance imaging and echocardiography","volume":"32","author":"Corona-Villalobos","year":"2016","journal-title":"Int J Cardiovasc Imaging"},{"key":"2025062922373316600_jeaf111-B10","doi-asserted-by":"crossref","first-page":"490.e7","DOI":"10.1016\/j.crad.2019.03.005","article-title":"A closer look at right ventricular 3D volume quantification by transthoracic echocardiography and cardiac MRI","volume":"74","author":"Greiner","year":"2019","journal-title":"Clin Radiol"},{"key":"2025062922373316600_jeaf111-B11","doi-asserted-by":"crossref","first-page":"1346","DOI":"10.1016\/j.jacc.2022.07.014","article-title":"The athlete\u2019s heart\u2014challenges and controversies","volume":"80","author":"La Gerche","year":"2022","journal-title":"J Am Coll Cardiol"},{"key":"2025062922373316600_jeaf111-B12","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":"JACC Cardiovasc Imaging"},{"key":"2025062922373316600_jeaf111-B13","doi-asserted-by":"crossref","first-page":"1119","DOI":"10.1136\/bjsports-2011-090520","article-title":"Sport category is an important determinant of cardiac adaptation: an MRI study","volume":"46","author":"Luijkx","year":"2012","journal-title":"Br J Sports Med"},{"key":"2025062922373316600_jeaf111-B14","doi-asserted-by":"crossref","first-page":"e011587","DOI":"10.1161\/CIRCIMAGING.120.011587","article-title":"Female athlete\u2019s heart: sex effects on electrical and structural remodeling","volume":"13","author":"D\u2019Ascenzi","year":"2020","journal-title":"Circ Cardiovasc Imaging"},{"key":"2025062922373316600_jeaf111-B15","doi-asserted-by":"crossref","first-page":"e001505","DOI":"10.1136\/bmjsem-2022-001505","article-title":"ELITE: rationale and design of a longitudinal elite athlete, extreme cardiovascular phenotyping, prospective cohort study","volume":"9","author":"van Hattum","year":"2023","journal-title":"BMJ Open Sport Exerc Med"},{"key":"2025062922373316600_jeaf111-B16","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1186\/s12968-020-00683-3","article-title":"Reference ranges (\u201cnormal values\u201d) for cardiovascular magnetic resonance (CMR) in adults and children: 2020 update","volume":"22","author":"Kawel-Boehm","year":"2020","journal-title":"J Cardiovasc Magn Reson"},{"key":"2025062922373316600_jeaf111-B17","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1253\/circj.CJ-15-0054","article-title":"Myocardial T1 mapping","volume":"79","author":"Bulluck","year":"2015","journal-title":"Circ J"},{"key":"2025062922373316600_jeaf111-B18","first-page":"1009","article-title":"A CHecklist for statistical assessment of medical papers (the CHAMP statement): explanation and elaboration","volume":"55","author":"Mansournia","year":"2021","journal-title":"Br J Sports Med"},{"key":"2025062922373316600_jeaf111-B19","doi-asserted-by":"crossref","first-page":"22532","DOI":"10.1038\/s41598-021-02028-1","article-title":"Right heart exercise-training-adaptation and remodelling in endurance athletes","volume":"11","author":"Conti","year":"2021","journal-title":"Sci Rep"},{"key":"2025062922373316600_jeaf111-B20","doi-asserted-by":"crossref","first-page":"e23144","DOI":"10.1097\/MD.0000000000023144","article-title":"Sport disciplines and cardiac remodeling in elite university athletes competing in 2017 Taipei Summer Universiade","volume":"99","author":"Adea","year":"2020","journal-title":"Medicine (Baltimore)"},{"key":"2025062922373316600_jeaf111-B21","doi-asserted-by":"publisher","DOI":"10.1093\/eurjpc\/zwae293","article-title":"Electrocardiographic and morphological cardiac remodelling in competitive female athletes\u2014a scoping review","volume":"zwae293","author":"Panhuyzen-Goedkoop","year":"2024","journal-title":"Eur J Prev Cardiol"},{"key":"2025062922373316600_jeaf111-B22","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1097\/HJR.0b013e3283347fdb","article-title":"Cardiac MRI reference values for athletes and nonathletes corrected for body surface area, training hours\/week and sex","volume":"17","author":"Prakken","year":"2010","journal-title":"Eur J Cardiovasc Prev Rehabil"},{"key":"2025062922373316600_jeaf111-B23","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1186\/s12968-023-00910-7","article-title":"Reference ventricular dimensions and function parameters by cardiovascular magnetic resonance in highly trained Caucasian athletes","volume":"25","author":"Maceira","year":"2023","journal-title":"J Cardiovasc Magn Reson"},{"key":"2025062922373316600_jeaf111-B24","doi-asserted-by":"crossref","first-page":"521","DOI":"10.7326\/0003-4819-82-4-521","article-title":"Comparative left ventricular dimensions in trained athletes","volume":"82","author":"Morganroth","year":"1975","journal-title":"Ann Intern Med"},{"key":"2025062922373316600_jeaf111-B25","doi-asserted-by":"crossref","first-page":"336","DOI":"10.1161\/01.CIR.101.3.336","article-title":"The athlete\u2019s heart","volume":"101","author":"Pluim","year":"2000","journal-title":"Circulation"},{"key":"2025062922373316600_jeaf111-B26","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1001\/jama.1996.03540030045030","article-title":"Athlete\u2019s heart in women. Echocardiographic characterization of highly trained elite female athletes","volume":"276","author":"Pelliccia","year":"1996","journal-title":"JAMA"},{"key":"2025062922373316600_jeaf111-B27","doi-asserted-by":"crossref","first-page":"26339","DOI":"10.1074\/jbc.M414409200","article-title":"Estrogen inhibits cardiomyocyte hypertrophy in vitro","volume":"280","author":"Pedram","year":"2005","journal-title":"J Biol Chem"},{"key":"2025062922373316600_jeaf111-B28","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1055\/s-2004-817827","article-title":"Left ventricular morphology and function in female athletes: a meta-analysis","volume":"25","author":"Whyte","year":"2004","journal-title":"Int J Sports Med"},{"key":"2025062922373316600_jeaf111-B29","doi-asserted-by":"crossref","first-page":"49","DOI":"10.1016\/S0167-5273(00)00417-4","article-title":"Gender differences in athlete\u2019s heart: association with 24-h blood pressure","volume":"77","author":"\u017demva","year":"2001","journal-title":"Int J Cardiol"},{"key":"2025062922373316600_jeaf111-B30","doi-asserted-by":"crossref","first-page":"913","DOI":"10.1007\/s10554-016-0845-9","article-title":"Evaluation of cardiac masses by CMR\u2014strengths and pitfalls: a tertiary center experience","volume":"32","author":"Tumma","year":"2016","journal-title":"Int J Cardiovasc Imaging"},{"key":"2025062922373316600_jeaf111-B31","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1016\/j.jcmg.2009.09.017","article-title":"Multimodality comparison of quantitative volumetric analysis of the right ventricle","volume":"3","author":"Sugeng","year":"2010","journal-title":"JACC Cardiovasc Imaging"}],"container-title":["European Heart Journal - Cardiovascular Imaging"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ehjcimaging\/advance-article-pdf\/doi\/10.1093\/ehjci\/jeaf111\/63167798\/jeaf111.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcimaging\/article-pdf\/26\/7\/1199\/63167798\/jeaf111.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcimaging\/article-pdf\/26\/7\/1199\/63167798\/jeaf111.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,29]],"date-time":"2025-06-29T22:37:47Z","timestamp":1751236667000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcimaging\/article\/26\/7\/1199\/8126182"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,2]]},"references-count":31,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2025,6,2]]},"published-print":{"date-parts":[[2025,6,30]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjci\/jeaf111","relation":{},"ISSN":["2047-2404","2047-2412"],"issn-type":[{"value":"2047-2404","type":"print"},{"value":"2047-2412","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,7]]},"published":{"date-parts":[[2025,6,2]]}}}