{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T00:05:41Z","timestamp":1780445141121,"version":"3.54.1"},"reference-count":45,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:00:00Z","timestamp":1773100800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Australian Government Research Training Program"},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council Postgraduate Scholarship","doi-asserted-by":"publisher","award":["2030942"],"award-info":[{"award-number":["2030942"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council Postgraduate Scholarship","doi-asserted-by":"publisher","award":["2031119"],"award-info":[{"award-number":["2031119"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council Postgraduate Scholarship","doi-asserted-by":"publisher","award":["APP 2027105"],"award-info":[{"award-number":["APP 2027105"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001232","name":"Royal Australian College of Physicians Research Entry Scholarship","doi-asserted-by":"publisher","award":["2023RES00039"],"award-info":[{"award-number":["2023RES00039"]}],"id":[{"id":"10.13039\/501100001232","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Heart Foundation PhD Scholarship","award":["107659"],"award-info":[{"award-number":["107659"]}]},{"name":"FWO Vlaanderen, Brussels, Belgium","award":["T004420N"],"award-info":[{"award-number":["T004420N"]}]},{"name":"FWO Vlaanderen, Brussels, Belgium","award":["V408525N"],"award-info":[{"award-number":["V408525N"]}]},{"name":"Liaison Committee for Education"},{"name":"Research and Innovation in Central Norway"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,6,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Atrial fibrillation (AF) is more prevalent among endurance athletes than in the general population. An exaggerated blood pressure (BP) response to exercise may contribute to atrial pressure excess and AF risk. We hypothesized that higher exercise BP would be associated with left atrial enlargement and AF prevalence in endurance athletes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>One hundred seventy-eight endurance-trained athletes, 89 with paroxysmal AF [median age 55 (IQR: 46\u201362 years), 92% male] and 89 age- and sex-matched athletes without AF, underwent resting echocardiography and cardiopulmonary exercise testing with automated BP measurements. Athletes with hypertension were excluded. Absolute BP responses [maximal systolic (SBPmax) and diastolic (DBPmax)] and BP responses relative to exercise workload (W) (SBP\/W-slope, DBP\/W-slope, and the SBPmax\/W-ratio) were compared between groups. Both groups had similar years of training (P = 0.83) and peak oxygen uptake (P = 0.34). Athletes with AF had significantly larger left atrial volumes (LAVi; 48 mL\/m2 vs. 42 mL\/m2, P &amp;lt; 0.001), higher mean resting SBP (132 \u00b1 13 mmHg vs. 127 \u00b1 14 mmHg, P = 0.018), and DBP (76 \u00b1 10 mmHg vs. 73 \u00b1 11 mmHg, P = 0.090) compared with athletes without AF. There were no differences in SBPmax (221 \u00b1 23 mmHg vs. 219 \u00b1 26 mmHg, P = 0.54) or DBPmax (P = 0.84) in athletes with and without AF, respectively. In athletes with AF, SBP\/W-slope was lower, whilst DBP\/W-slope and SBPmax\/W-ratio were similar to athletes without AF (P = 0.022, P = 0.63, and P = 0.82, respectively). Furthermore, there was no difference in exercise BP responses in those athletes with and without severely dilated LAVi.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In endurance athletes, neither AF nor left atrial dilation was associated with higher exercise BP responses.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/eurjpc\/zwag136","type":"journal-article","created":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T12:43:56Z","timestamp":1772887436000},"page":"1454-1464","source":"Crossref","is-referenced-by-count":2,"title":["Exercise blood pressure response does not differentiate endurance athletes with paroxysmal atrial fibrillation"],"prefix":"10.1093","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-3176-6751","authenticated-orcid":false,"given":"Kristel","family":"Janssens","sequence":"first","affiliation":[{"name":"Heart, Exercise and Research Trials (HEART) Laboratory, St.Vincent\u2019s Institute of Medical Research , 9 Princes Street, Fitzroy, VIC 3065 ,","place":["Australia"]},{"name":"Exercise and Nutrition Research Program, The Mary MacKillop Institute for Health Research, Australian Catholic University , Melbourne ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Turid","family":"Apelland","sequence":"additional","affiliation":[{"name":"Department of Medical Research, B\u00e6rum Hospital Vestre Viken Trust , Gjettum ,","place":["Norway"]},{"name":"Faculty of Medicine, Institute of Clinical Medicine, University of Oslo , Oslo ,","place":["Norway"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy M","family":"Mitchell","sequence":"additional","affiliation":[{"name":"Heart, Exercise and Research Trials (HEART) Laboratory, St.Vincent\u2019s Institute of Medical Research , 9 Princes Street, Fitzroy, VIC 3065 ,","place":["Australia"]},{"name":"Department of 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