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September 14, 2026American Journal of Preventive CardiologyOpen Access

Study evaluates whether accelerated atherosclerosis in masters athletes extends beyond the heart to systemic vascular beds.

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Key result

Accelerated atherosclerosis in masters athletes is evaluated to determine whether the condition is isolated to the heart or extends to other systemic vascular beds.

Authors

JHJeffrey J. HsuTCTimothy W. Churchill

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Overview

Clinical review explores accelerated atherosclerosis in aging endurance athletes, suggesting vascular risks may extend beyond coronary circulation.

Key Points

  • To evaluate whether accelerated arterial plaque formation observed in older endurance athletes represents isolated coronary pathology or broader systemic vascular disease.
  • Synthesis of clinical literature assessing vascular adaptations, arterial calcification, and plaque morphology in lifelong endurance runners and cyclists.
  • Evaluation of non-coronary vascular beds, systemic inflammatory triggers, and mechanical stress associated with chronic high-volume exercise.
  • Lifelong endurance exercise frequently correlates with elevated coronary artery calcium scores despite favorable traditional lipid profiles.
  • Vascular manifestations may involve systemic arterial remodeling and peripheral plaque accumulation rather than remaining confined to the heart.

Cite This Study

Hsu et al. (2026) studied this question. Accelerated atherosclerosis in masters athletes is evaluated to determine whether the condition is isolated to the heart or extends to other systemic vascular beds.

synapsesocial.com/papers/6aa7afef79e9260bc85aad00https://doi.org/10.1016/j.ajpc.2026.101818
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Masters athletes with abnormal cardiovascular findings: a clinical consensus statement of the European Association of Preventive Cardiology of the ESC and the American College of Cardiology2026 · 8 citations
  2. 2Do athletes play by different rules? Obstructive coronary artery disease in asymptomatic competitive Masters athletes: a case series2020 · 4 citations
  3. 3Coronary Artery Disease in Athletes-Insights from Cardiac CT2025 · 1 citations
  4. 4Endurance exercise and the risk of cardiovascular pathology in men: a comparison between lifelong and late-onset endurance training and a non-athletic lifestyle - rationale and design of the Master@Heart study, a prospective cohort trial2021 · 30 citations
  5. 5Coronary atherosclerosis in middle‐aged athletes: Current insights, burning questions, and future perspectives2020 · 21 citations