Heart failure & cardiomyopathies

Impact of Prior Exercise Practice on Disease Characteristics in Desmoplakin-Related Arrhythmogenic Left Ventricular Cardiomyopathy

JACC Clin ElectrophysiolPublished monocentric retrospective study

Authors' conclusion

Prior exercise intensity, duration, and cumulated lifetime dose were not associated with an increased risk of developing an ALVC phenotype at the time of diagnosis in DSP variant carriers.

Study context

Population
Patients with desmoplakin (DSP) pathogenic or likely pathogenic variant, interviewed about their exercise practice before genetic or disease diagnosismean age 39 ± 19 years, 49% female
Participants
85 patients
Exposure
association of high-intensity (HI) and long duration (LD) exercise practice with the risk of arrhythmogenic left ventricular cardiomyopathy (ALVC) phenotype occurrence at diagnosis

Main finding

As reported in the abstract

Prior exercise practice · before genetic or disease diagnosis

Practiced HI exercise

69%

Practiced LD exercise

66%

Observational data: associations, not effects.

Further findings

ALVC phenotype at time of diagnosis

  • ALVC phenotype at time of diagnosis: No HI exercise 65%
  • ALVC phenotype at time of diagnosis: No LD exercise 69%
  • ALVC phenotype at time of diagnosis: HI vs no HI P = 0.60
  • ALVC phenotype at time of diagnosis: LD vs no LD P = 0.95

Distribution of prior calculated exercise dose, with vs without ALVC phenotype at diagnosis

Not different
P = 0.57

Original publication

Impact of Prior Exercise Practice on Disease Characteristics in Desmoplakin-Related Arrhythmogenic Left Ventricular Cardiomyopathy. JACC Clin Electrophysiol. Published 3 July 2025. doi:10.1016/j.jacep.2025.05.007

Summarised from the published abstract; every number is checked against it

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