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We are pleased that Dr Leischik1 shares our interest in trying to elucidate the long-term clinical consequences of intense endurance exercise. It is a contentious issue which is the subject of very passionately held views. The adage: “The only person who is wrong is the person who is certain that they are right” seems appropriate when evidence is conflicted and there is no immediate means of definitively proving whether permanent right ventricular (RV) injury can occur. Dr Leischik …
Competing interests None.
Provenance and peer review Not commissioned; internally peer reviewed.