The myocardial remodeling of athletes heart is an essential process that occurs in sport exercises. However, depending on the type of load, remodeling can be of different type. An endurance load leading to eccentric cardiac remodeling, whereas power loads cause a concentric transformation of heart. Even in a same sport particular types of load can be different. This causes lead to difficulties in the differential diagnosis of physiological and pathological remodeling. Furthermore, it is believed that there must be sufficient time remodeling. We described the clinical observation, in which the athlete in the same sport, by changing the particularly of the training loads, there is objectively determined transformation of the myocardium in a relatively short period of time.
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