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Comment & Response
May 26, 2021

Time to Reconsider the Importance of Autonomic Function in Paralympic Athletes With Spinal Cord Injury

Author Affiliations
  • 1International Collaboration on Repair Discoveries, Division of Physical Medicine and Rehabilitation, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada
  • 2School of Sport, Exercise and Rehabilitation Sciences, University of Birmingham, Birmingham, United Kingdom
JAMA Cardiol. 2021;6(8):976-977. doi:10.1001/jamacardio.2021.1130

To the Editor We read the recent article by Pelliccia and colleagues1 with great interest. The authors are to be commended for conducting this study in a large sample (N = 252) of Paralympic athletes. One of the main findings was that cardiac remodeling in Paralympic athletes differed by disability (ie, spinal cord injury [SCI] and non-SCI) and sport discipline (endurance and nonendurance). Herein, we discuss pertinent consideration for individuals with SCI, who account for 44% of the cohort.

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