Open research questions in Cardiovascular Effects of Exercise
101 unresolved questions extracted from the limitations and future-work sections of 418 Cardiovascular Effects of Exercise papers in our library. Each links back to the study that raised it.
What the literature leaves open
Altered healthcare-seeking, hospital utilization, and match-day behavioral changes re- main plausible explanations, but the absence of a consistent post-match rebound indicates that the underlying mechanism remains uncertain.
Watching the Game, Skipping the Hospital: World Cup Matches and Cardiovascular Hospitalizations · 2026 · DOIWe therefore could not determine whether match days affected symptom onset, emergency presentation, admission decisions, or some combination of these processes. We also could not assess out- of-hospital deaths or population-level mortality.
Watching the Game, Skipping the Hospital: World Cup Matches and Cardiovascular Hospitalizations · 2026 · DOIPurpose Exercise-induced cardiac adaptation in female athletes with extreme anthropometry remains poorly defined.
Exploring morpho-functional and cardiometabolic parameters in elite female athletes with extreme anthropometry · 2026 · DOIDespite increasing evidence supporting its benefits, many young patients remain insufficiently active because of concerns regarding exercise related risks, limited expertise.
Sport, exercise, and physical activity in children with cardiovascular disease. A Clinical Consensus Statement of the European Association of Preventive Cardiology (EAPC) of the ESC, the Association of Cardiovascular Nursing & Allied Professions (ACNAP) of the ESC, and the Association for European Paediatric and Congenital Cardiology (AEPC) · 2026 · DOIBACKGROUND: Young athletes and adolescents with high cardiorespiratory fitness appear to have a higher risk of atrial fibrillation (AF), but the extent to which this reflects causal effects or shared genetic, behavioral, and environmental factors remains uncertain.
Adolescent Cardiorespiratory Fitness and the Trade-Off Between Atrial Fibrillation Risk and Cardiovascular Benefits: A Nationwide Sibling-Controlled Cohort Study · 2026 · DOIIn particular, few studies have integrated histopathology with genomic, transcriptional, and protein-level analyses in non-human primate cardiomyopathy.
Integrative molecular pathology of sudden cardiac death associated with ARVC-like cardiomyopathy in a Western Lowland Gorilla · 2026 · DOIAbstract Background Cardiovascular disease is a major cause of morbidity and mortality in captive great apes, however, the molecular basis of sudden cardiac death (SCD) in gorillas remains poorly characterized.
Integrative molecular pathology of sudden cardiac death associated with ARVC-like cardiomyopathy in a Western Lowland Gorilla · 2026 · DOIThe molecular path from the variant of a gene to the clinical disease remains unclear.
Cardiomyocyte‐Specific Plakophilin‐2 Loss Is Sufficient to Induce Aging and Senescence of Nonmyocytes: Relevance to Arrhythmogenic Cardiomyopathy · 2026 · DOIOBJECTIVES: The cardiac morphology of elite athletes is related to sports disciplines and race; however, no studies have examined the effects of sports discipline on East Asian athletes.
Differences in athlete’s left ventricular morphology by sex and sports discipline categories in elite Japanese athletes · 2025 · DOIThe significance of autopsy in SCD cases should be emphasised because autopsy imaging is still insufficiently reliable to identify certain cardiac diseases, and death certification by itself can be erroneous.
Background: Left atrial (LA) size and function are linked to exercise intolerance in heart failure, while associations between LA parameters and exercise performance remain unclear in athletes.
Associations between left atrial indices and cardiorespiratory and muscular fitness among physically active military personnel · 2025 · DOIBackground Limited data are available on the diagnostic performance of contemporary ECG interpretation criteria in master athletes (aged over 35 years).
The diagnostic accuracy of contemporary ECG interpretation criteria in risk stratification of master athletes · 2025 · DOIDespite artificial intelligence's proven effectiveness in managing chronic conditions, the limited research on its application in sports cardiology, particularly regarding wearables, creates a critical gap that needs to be addressed.
Advancing Sports Cardiology: Integrating Artificial Intelligence with Wearable Devices for Cardiovascular Health Management · 2025 · DOIBACKGROUND: Desmosomal gene variants (DGVs) have been associated with a diverse spectrum of phenotypic manifestations within arrhythmogenic cardiomyopathy, but data on genotype-specific outcomes are lacking.
Whereas mRNA-based therapies have shown efficacy in humans, their therapeutic potential for inherited cardiomyopathies remains unclear.
Modified mRNA Treatment Restores Cardiac Function in Desmocollin-2–Deficient Mouse Models of Arrhythmogenic Right Ventricular Cardiomyopathy · 2025 · DOIAlthough genetic influences on resting heart rate (HR) have been observed, the genetic contribution to athletic bradycardia has not been elucidated.
Practically half of the genetic diagnoses remain inconclusive due to the identification of variants of uncertain significance.
Appropriate time interval to update ambiguous genetic diagnosis in inherited arrhythmogenic syndromes · 2025 · DOI2 However, since the cause of death could not be determined in 25% of cases, this conclusion should be interpreted with caution.
Future research is needed to establish the relationship between clinically relevant CAD outcomes and coronary artery calcification in Masters athletes, the role of sex, as well as exploration of the mechanisms underpinning these unexpected CV adaptations.
Focus on coronary atherosclerosis in athletes, angina with non-obstructive coronary arteries, mechanisms of acute vascular syndromes, and Marfan syndrome · 2025 · DOINeutrophil extracellular traps (NETs) trigger atherothrombosis during acute myocardial infarction (AMI), but the mechanisms of induction remain unclear.
Focus on coronary atherosclerosis in athletes, angina with non-obstructive coronary arteries, mechanisms of acute vascular syndromes, and Marfan syndrome · 2025 · DOI19,20 Despite the potential association between herpes zoster infection and cardiovascular events, limited studies have investigated the relationship between live zoster vaccination and cardiovascular outcomes.
The growing importance of non-traditional cardiovascular risk factors: global warning, infections, and extreme sports · 2025 · DOIResidual confounding remains a concern, and the generalizability may be limited by the under-representation of Black individuals.
The growing importance of non-traditional cardiovascular risk factors: global warning, infections, and extreme sports · 2025 · DOIHowever, only few studies have explored the prognostic value of right atrial (RA) reservoir strain (RASr) in these patients, particularly when combined with RV FWS measures.
The effects of exercise training on the atrial function in patients with ICM have been poorly investigated.
Changes in left atrial function following two regimens of combined exercise training in patients with ischemic cardiomyopathy: a pilot study · 2024 · DOITherefore, this study, aimed to identify early changes in AH in soccer players by evaluating the echocardiographic findings of adolescent Asian female soccer players for whom existing data are scarce.
Most-cited papers in Cardiovascular Effects of Exercise
- Sudden Death in Young Competitive Athletes · JAMA · 1996 · 1,482 citations
- Trends in Sudden Cardiovascular Death in Young Competitive Athletes After Implementation of a Preparticipation Screening Program · JAMA · 2006 · 1,254 citations
- Nontraumatic sports death in high school and college athletes · Medicine & Science in Sports & Exercise · 1995 · 415 citations
- Human Cardiovascular Control · Medicine & Science in Sports & Exercise · 1993 · 319 citations
- IMPEDANCE CARDIOGRAPHY AS A NONINVASIVE METHOD OF MONITORING CARDIAC FUNCTION AND OTHER PARAMETERS OF THE CARDIOVASCULAR SYSTEM* · Annals of the New York Academy of Sciences · 1970 · 309 citations
- Sex Matters: A Comprehensive Comparison of Female and Male Hearts · Frontiers in Physiology · 2022 · 222 citations
- Values and the Heart's Command · The Journal of Philosophy · 1973 · 154 citations
- Prospective screening of 5,615 high school athletes for risk of sudden cardiac death · Medicine & Science in Sports & Exercise · 1997 · 152 citations
- Cardiac Troponin Increases Among Runners in the Boston Marathon · Annals of Emergency Medicine · 2006 · 136 citations
- Anabolic androgenic steroids abuse and cardiac death in athletes: Morphological and toxicological findings in four fatal cases · Forensic Science International · 2011 · 134 citations
Most recent work
- Masters athletes with abnormal cardiovascular findings: a clinical consensus statement of the European Association of Preventive Cardiology of the ESC and the American College of Cardiology · European Heart Journal · 2026
- Cardiac evaluation of paediatric athletes · European Heart Journal · 2026
- Physical Activity in Pediatric Cardiomyopathies: Moving for Health: A Scientific Statement From the American Heart Association · Circulation · 2026
- Wearable-Derived Training Load and Coronary Atherosclerosis in Middle-Aged and Older Athletes and Physically Active Controls: A New Perspective From the Master@Heart Study · Circulation · 2026
- Sudden cardiac arrest and sudden cardiac death in athletes: an updated perspective · Health Problems of Civilization · 2026
- Desmoglein-2 Deficiency Drives Mitochondrial Morphological Remodeling in Cardiomyocytes · American Journal of Physiology-Heart and Circulatory Physiology · 2026
- Tricuspid regurgitation and outcomes in arrhythmogenic right ventricular cardiomyopathy: role of tricuspid annulus dilatation · European Heart Journal · 2026
- Swimming-induced pulmonary oedema in triathletes: A narrative review of epidemiology, risk factors and prevention · Sports Medicine and Health Science · 2026
- Desmoplakin-Related Arrhythmogenic Cardiomyopathy Carriers and Desmosomal-Type Acantholysis: A Previous Description of the Keratinocyte “Fingerprint Sign”. Comment on Metze et al. Desmosomal-Type Acantholysis—A New Histologic Pattern Related to Mutations of Genes for Desmosomal Proteins. Dermatopathology 2026, 13, 17 · Dermatopathology · 2026
- Cardiomyocyte‐Specific Plakophilin‐2 Loss Is Sufficient to Induce Aging and Senescence of Nonmyocytes: Relevance to Arrhythmogenic Cardiomyopathy · Journal of the American Heart Association · 2026
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