1. Cardiovascular Performance Program, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts;
2. Boston Athletic Association, Boston, Massachusetts; and
3. Brigham and Women's Hospital, Division of Cardiovascular Medicine, Department of Medicine, Harvard Medical School, Boston, Massachusetts;
4. Cardiology Division, Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
5. Henry Low Heart Center, Division of Cardiology, Hartford Hospital, Hartford, Connecticut;