{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T10:07:57Z","timestamp":1789553277652,"version":"build-2803163510"},"reference-count":37,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"12","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2026,6,16]]},"abstract":"<jats:sec xml:lang=\"en\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p xml:lang=\"en\">Evidence on cardiac adaptation in elite wrestlers remains limited. This study assessed electrical and structural cardiac remodeling in elite wrestlers, with particular focus on sex\u2010specific differences.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p xml:lang=\"en\">Elite World Wrestling Entertainment athletes undergoing electrocardiographic and echocardiographic evaluation during routine cardiovascular screening were included. Left ventricular (LV) geometry was classified according to relative wall thickness and LV mass on the basis of international recommendations. This was a retrospective analysis of prospectively acquired data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p xml:lang=\"en\">\n                      The cohort included 68 athletes (mean age, 28\u00b16\u2009years; 47 [69%] men), with similar weekly training volume between sexes (11.6\u00b15 h\/wk). No athlete reported performance\u2010enhancing drug use, although 1 admitted high\u2010energy drink consumption. Electrocardiographic abnormalities were observed in 2 athletes (3%). Women showed smaller absolute LV end\u2010diastolic diameter (46\u00b14 versus 52\u00b15\u2009mm,\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      &lt;0.001), but greater indexed LV dimensions (27\u00b13 versus 25\u00b13\u2009mm\/m\n                      <jats:sup>2<\/jats:sup>\n                      ,\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      =0.003). Two female athletes had LV ejection fraction &lt;50%. Right ventricular enlargement was observed in 23% of men and 14% of women (\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      =0.52), without sex differences in right ventricular fractional area change (39\u00b16% versus 40\u00b16%,\n                      <jats:italic toggle=\"no\">P<\/jats:italic>\n                      =0.42). Two male athletes had right ventricular fractional area change &lt;34%. LV geometry was predominantly normal (89% men, 95% women), while concentric remodeling was identified in 6 athletes (9%), including 5 men and 1 woman.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p xml:lang=\"en\">Elite wrestlers demonstrate predominantly normal cardiac electrical and structural profiles, with low prevalence of pathological findings. Sex\u2010related differences were observed in cardiac dimensions, particularly after indexation to body surface area.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/jaha.125.046704","type":"journal-article","created":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T12:14:46Z","timestamp":1781525686000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Wrestler's Heart: Cardiac Remodeling in World Wrestling Entertainment Athletes"],"prefix":"10.1161","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1091-9390","authenticated-orcid":false,"given":"Lorenzo\u2010Lupo","family":"Dei","sequence":"first","affiliation":[{"name":"St George's, University of London","place":["London, UK"]},{"name":"Careggi University Hospital","place":["Florence, Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-3445-3021","authenticated-orcid":false,"given":"Nithiwat","family":"Tangchompoo","sequence":"additional","affiliation":[{"name":"St George's, University of London","place":["London, UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-9910-387X","authenticated-orcid":false,"given":"Tiziana Cristina","family":"Minopoli","sequence":"additional","affiliation":[{"name":"St George's, University of London","place":["London, UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0616-2353","authenticated-orcid":false,"given":"Michael","family":"Papadakis","sequence":"additional","affiliation":[{"name":"St George's, University of London","place":["London, UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3630-6138","authenticated-orcid":false,"given":"Sanjay","family":"Sharma","sequence":"additional","affiliation":[{"name":"St George's, University of London","place":["London, UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-7040-2832","authenticated-orcid":false,"given":"Gherardo","family":"Finocchiaro","sequence":"additional","affiliation":[{"name":"St George's, University of London","place":["London, 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