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High-volume exercise links to more yet stable coronary plaques; leaves open implications for CV risk assessment in athletes.
Participants in the >2000 MET-min/wk group had a higher prevalence of CAC and atherosclerotic plaques. The most active group, however, had a more benign composition of plaques, with fewer mixed plaques and more often only calcified plaques. These observations may explain the increased longevity typical of endurance athletes despite the presence of more coronary atherosclerotic plaque in the most active participants.
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Aengevaeren et al. (2017) studied this question.
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