Metastability and Eye Movements: A Dynamical‑Systems Interpretation

  1. Why metastability is a natural language for gaze behavior The idea that perception, attention, and neural activity evolve through transiently stable states has deep roots in cognitive science and neuroscience. Concepts such as attractors , basins , noise‑induced transitions , and escape times appear in work on perceptual switching, decision‑making, and neural population dynamics (Kelso, 1995; Rabinovich et al., 2008; Deco & Jirsa, 2012). Eye movements, especially the alternation between fixations and saccades ,   fit remarkably well into this metastable picture. The Freidlin–Wentzell theory of rare events (Freidlin & Wentzell, 2012) provides a rigorous mathematical language for these intuitions. 2. Fixations as metastable states  Consider the gaze position X t as the state of a stochastic dynamical system. During a fixation the  gaze remains confined to a small region, microsaccades and noise generate small fluctuations, and the gaze tends to return...

Normative Reference Values of Right Heart in Competitive Athletes

Training-induced right ventricular (RV) enlargement is frequent in athletes. Unfortunately, RV dilatation is also a common phenotypic expression and one of the diagnostic criteria of arrhythmogenic RV cardiomyopathy (ARVC). The current echocardiographic reference values derived from the general population can overestimate the presence of RV dilatation in athletes. We performed a meta-analysis of the literature (J Am Soc Echocardiogr 2017;30:845-58) to derive the proper reference values for assessing RV enlargement in competitive athletes. We conducted systematic review of English-language studies in the MEDLINE, Scopus, and Cochrane databases investigating RV size and function by echocardiography and by cardiac magnetic resonance (CMR) in competitive athletes.

In total, 6,806 and 740 competitive athletes were included for the echocardiographic and CMR quantification of the RV, respectively. In this review, we present normal reference values for RV size and function to be applied in competitive athletes according to the disciplines practiced. The reference ranges reported in this review suggest that physicians should be aware that application of the current recommendations for normal population could be misleading when evaluating athletes. We suggest using these normative reference values, obtained in competitive athletes, to avoid the potential for mistakenly concluding, in this specific population, that RV size or function are abnormal.


Physicians should be aware that the application of the current recommendations for the normal population could be misleading when evaluating athletes. In the present systematic review and meta-analysis, we derived normative values for RV echocardiographic and CMR dimensions to be applied in competitive athletes to properly assess the presence and extent of RV dilatation. The extent of RV remodeling is particularly evident in athletes practicing combined disciplines. The application of the proposed cut-offs would prevent misleading interpretation of echocardiographic RV assessment and unwarranted exclusion from sports participation in athletes exhibiting physiologic RV enlargement. Conversely, measurements greatly exceeding the athlete-derived limits here reported are unlikely to represent a uniquely physiologic adaptation to training and should raise suspicion of a pathological cardiac condition.

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