Abstract
Extensive investigations, beginning well over a century ago, have sought to characterize the unique features of the athletic heart. Exercise-induced cardiac remodeling, resulting from repetitive exposure to intense exercise, describes the process by which adaptations in myocardial structure and function occur. The athletic heart is typically characterized by either eccentric or concentric hypertrophy, depending on the type of exercise undertaken. These adaptations frequently mimic pathologic cardiomyopathies, and clinical evaluation may be necessary to rule out the presence of an inherited or acquired condition. This chapter provides an overview of the physiology of exercise and structural adaptations characteristic of exercise-induced cardiac remodeling observed in athletes.
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