Internist Unexpected Findings in Medical Treatment of a Mature-Age Athlete

Relevance. Regular physical activity is one of the key principles of a healthy lifestyle, which has been proven to prolong life in both healthy people and people with cardiovascular diseases. However, there is a lot of data on the potential adverse effects of intense physical activity required to participate in professional or amateur sports. Case descriptions. The work describes a clinical case of severe coronary atherosclerosis of a mature-aged athlete. The clinical, laboratory, and instrumental data of the patient are presented, as well as detailed management tactics taking into account the current state of the issue. Possible mechanisms of increased calcification of the coronary bed in people involved in intensive training are discussed. Conclusion. It is necessary to understand the features of the course of coronary heart disease in athletes of older age groups: high tolerance to physical activity, often subclinical course of the disease, which implies more active questioning and the use of stress visualization techniques. Low-symptom nature of clinical manifestations, hemodynamic features require careful selection of antianginal therapy. Treatment of ischemic heart disease in this cohort of individuals should be carried out in accordance with current clinical guidelines, while the doctor's recommendations regarding the intensity of physical activity should be strictly individual and based on the results of stress tests.