{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T17:30:59Z","timestamp":1790011859432,"version":"4.0.1"},"reference-count":50,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2024,9,13]],"date-time":"2024-09-13T00:00:00Z","timestamp":1726185600000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Amsterdam Movement Sciences"},{"name":"Dutch Olympic Committee"},{"DOI":"10.13039\/501100014470","name":"Netherlands Heart Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100014470","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001826","name":"ZonMw","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001826","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Heart to Handle"},{"DOI":"10.13039\/100004336","name":"Novartis","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004336","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100004339","name":"Sanofi","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004339","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100004326","name":"Bayer","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004326","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>To quantitatively analyse exercise-induced cardiac remodelling (EICR) data in female athletes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>This scoping review included from the databases Medline, Embase, and Google Scholar, peer-reviewed original English-language articles on female athlete-populations aged \u226518 years containing data on electrocardiography (ECG), echocardiography or cardiac magnetic resonance (CMR), and excluded athletes with cardiovascular conditions. From the extracted ECG data, we calculated prevalence percentages, and from the imaging data we compared the results with the upper reference limits of the general female population (URL). We included 31 articles comprising 4896 female athletes, age mean of 22.2 \u00b1 4.6 years. On ECG (n = 889), the most prevalent findings were increased QRS voltages for LV hypertrophy (LVH, n = 97), J-point elevation (JPE, n = 108), and T-wave inversion (TWI, n = 104). On echocardiography (n = 4644), we found increased mean of means BSA-indexed volumes for the LV 67.3\u2005mL\/m2 (95%CI, 66.8\u201367.8; URL = 61) and right ventricle (RV) 82.7\u2005mL\/m2 (95%CI, 79.5\u201386.0; URL = 74), while atrial volumes, septal wall thickness, and LV mass were within the upper reference limits of the general population (URL). On CMR (n = 309), the mean of means volumes of LA (62.0\u2005mL\/m2; 95%CI, 58.8\u201365.2; URL = 61), LV (103.4\u2005mL\/m2; 95%CI, 101.8\u2013105.0; URL = 96), and RV (105.3\u2005mL\/m2; 95%CI, 103.3\u2013110.6; URL = 107.2) were &amp;gt; URL.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Female athletes demonstrate distinct features of electrical (increased QRS voltages for LVH, JPE, and TWI) and morphological EICR (biventricular dilatation). On CMR, LA was borderline dilated. Extensive studies on female athletes are needed to understand sex-specific EICR.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/eurjpc\/zwae293","type":"journal-article","created":{"date-parts":[[2024,9,14]],"date-time":"2024-09-14T08:30:01Z","timestamp":1726302601000},"source":"Crossref","is-referenced-by-count":4,"title":["Electrocardiographic and morphological cardiac remodelling in competitive female athletes \u2013 a scoping review"],"prefix":"10.1093","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9321-9321","authenticated-orcid":false,"given":"Nicole M","family":"Panhuyzen-Goedkoop","sequence":"first","affiliation":[{"name":"Heart Centre, Department of Cardiology, Amsterdam University Medical Centers, AMC , Meibergdreef 9, 1105 AZ Amsterdam ,","place":["the Netherlands"]},{"name":"Sports Cardiology, Sports Medical Centre Papendal , Papendallaan 7, 6816VD Arnhem ,","place":["the Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juliette C","family":"van Hattum","sequence":"additional","affiliation":[{"name":"Heart Centre, Department of Cardiology, Amsterdam University Medical Centers, AMC , Meibergdreef 9, 1105 AZ Amsterdam ,","place":["the Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florian E","family":"Beerman","sequence":"additional","affiliation":[{"name":"Heart Centre, Department of Cardiology, Amsterdam University Medical Centers, AMC , Meibergdreef 9, 1105 AZ Amsterdam ,","place":["the Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9 L M","family":"Verbeek","sequence":"additional","affiliation":[{"name":"Department for Health Evidence, Radboud University Medical Centre , Nijmegen ,","place":["the Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ren\u00e9 J","family":"Goedkoop","sequence":"additional","affiliation":[{"name":"Shogu Consulting , Le Ch\u00e2ble ,","place":["Switzerland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arjan","family":"Malekzadeh","sequence":"additional","affiliation":[{"name":"University Library, Amsterdam University Medical Centers , Meibergdreef, Amsterdam ,","place":["the Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ron J G","family":"Peters","sequence":"additional","affiliation":[{"name":"Heart Centre, Department of Cardiology, Amsterdam University Medical Centers, AMC , Meibergdreef 9, 1105 AZ Amsterdam ,","place":["the Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harald T","family":"J\u00f8rstad","sequence":"additional","affiliation":[{"name":"Heart Centre, Department of Cardiology, Amsterdam University Medical Centers, AMC , Meibergdreef 9, 1105 AZ Amsterdam ,","place":["the Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,9,13]]},"reference":[{"key":"2024102113543069500_zwae293-B1","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":"Annals Int Med"},{"key":"2024102113543069500_zwae293-B2","doi-asserted-by":"crossref","first-page":"1633","DOI":"10.1161\/CIRCULATIONAHA.106.613562","article-title":"The heart of trained athletes cardiac remodeling and the risks of sports, including sudden death","volume":"114","author":"Maron","year":"2006","journal-title":"Circulation"},{"key":"2024102113543069500_zwae293-B3","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":"2024102113543069500_zwae293-B4","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":"J Am Coll Cardiol Cardio Vasc Imaging"},{"key":"2024102113543069500_zwae293-B5","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1001\/jama.1996.03540030045030","article-title":"Athlete\u2019s heart in women. 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