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June 14, 2023Medicine & Science in Sports & Exercise

Aortic Diameters and Calcifications in Former World-Class Cyclists

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Why the study?

Concerns exist regarding whether athletes, particularly older ones, face an increased risk of pathological aortic dilation, and their prevalence of aortic calcifications is unknown.

Does former professional cycling increase the risk of pathological aortic dilation and calcifications compared to untrained controls?

Population

Former male professional Grand Tour cyclists and sex/age-matched untrained controls free of cardiovascular risk

Comparison

Former professional cyclists vs untrained controls

Design

Retrospective cohort study

Authors

PVPedro L. ValenzuelaPreventive CardiologyAMAlicia M. MaceiraCardiac ImagingASAlejandro Santos‐LozanoUniversidad Europea Miguel de Cervantes

Discussion

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Implication

Similar aortic dimensions/distensibility but slightly higher ascending calcifications in former cyclists; leaves open long-term effects of elite endurance training.

Structured PICO

Does former professional cycling increase the risk of pathological aortic dilation and calcifications compared to untrained controls?

P
Population
Former male professional cyclists (finishers of at least one Grand Tour) and sex/age-matched untrained controls free of cardiovascular risk
I
Intervention
Former professional cycling (endurance sports)
C
Comparator
Untrained individuals with no previous sports history and free of cardiovascular risk
O
Outcome
Dimensions, distensibility, and prevalence of calcifications in the thoracic aorta measured by MRI and CTsurrogate

Former professional cyclists have larger aortic diameters and more frequent aortic calcifications than untrained controls, though diameters remain within normal limits.

Cite This Study

Valenzuela et al. (2023) studied this question.

synapsesocial.com/papers/6a6ff3f4e71d69abee084ac4https://doi.org/10.1249/mss.0000000000003236
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