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Exercise-induced cardiac remodeling is a regulated, reversible biventricular adaptation to hemodynamic load, distinct from pathology. Recent ACC/ESC guidelines underscore that sustained training is required to maintain this phenotype of efficiency. Clinical Pearl: A key updated differentiator is the significant regression of structural changes after ~3 months of detraining. A lack of regression should prompt investigation for underlying cardiomyopathy. #RegressionIsKey #SportsCardiology #Athlete
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