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Cardiac hypertrophy refers to the enlargement of the heart. This condition occurs when the heart muscle thickens in response to increased workload or stress, such as during regular intense physical training or in the presence of certain medical conditions. The term 'hypertrophy' signifies an increase in the size of an organ or tissue through the enlargement of its cells.

Athletes, especially those involved in activities that require significant cardiovascular endurance, may develop cardiac hypertrophy as an adaptation to the increased demands of their sport. This adaptation can improve cardiac efficiency, enhancing the heart's ability to pump blood and deliver oxygen to the muscles during exercise. However, it’s important to note that while physiological hypertrophy from training can be beneficial, pathological hypertrophy, which can result from conditions like hypertension or heart disease, may lead to adverse health effects.

In contrast, the other choices depict unrelated or opposing conditions. Shrinking of the heart or atrophy, weakening of heart muscles, and abnormal heart rhythm do not describe the process of cellular enlargement that characterizes cardiac hypertrophy.

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