Key result
Endurance training in a 50-year-old male long-distance runner was associated with the paradoxical development of excessive subclinical myocardial ischemia and increased coronary calcification.
Why the study?
Endurance training is paradoxically associated with an increased coronary calcification burden even without traditional cardiovascular risk factors, and coronary events remain the leading cause of exercise-related sudden death.
Case Report (n=1)
This case highlights that endurance athletes can develop extensive coronary artery disease and subclinical myocardial ischemia despite lacking traditional cardiovascular risk factors.
Answers are grounded in this paper and cite their sources.
Should not change exercise advice for athletes; leaves open whether endurance training can paradoxically accelerate coronary disease in select cases.
Despite the established benefits of regular physical activity in cardiovascular disease prevention, coronary events in the context of atherosclerotic coronary artery disease are the most common cause of exercise-related sudden death. A paradoxical development of an increased coronary calcification burden is likely associated with endurance training even in the absence of any of the traditional cardiovascular risk factors. In this case report, we present a 50-year-old male long-distance runner with excessive subclinical myocardial ischemia.
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Katsi et al. (2020) conducted a case report in Coronary artery disease (n=1). Endurance training was evaluated. Endurance training in a 50-year-old male long-distance runner was associated with the paradoxical development of excessive subclinical myocardial ischemia and increased coronary calcification.
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