Prevalence of Subclinical Coronary Artery Disease in Masters Endurance Athletes With a Low Atherosclerotic Risk Profile

@article{Merghani2017PrevalenceOS,
  title={Prevalence of Subclinical Coronary Artery Disease in Masters Endurance Athletes With a Low Atherosclerotic Risk Profile},
  author={Ahmed Merghani and Viviana Maestrini and Stefania Rosmini and Andrew T Cox and Harshil Dhutia and Rachel Bastiaenan and Sarojini David and Tee Joo Yeo and Rajay Narain and Aneil Malhotra and Michael Papadakis and Mathew G. Wilson and Maite Tome and K. Alfakih and James C. Moon and Sanjay Sharma},
  journal={Circulation},
  year={2017},
  volume={136},
  pages={126–137}
}
Background: Studies in middle-age and older (masters) athletes with atherosclerotic risk factors for coronary artery disease report higher coronary artery calcium (CAC) scores compared with sedentary individuals. Few studies have assessed the prevalence of coronary artery disease in masters athletes with a low atherosclerotic risk profile. Methods: We assessed 152 masters athletes 54.4±8.5 years of age (70% male) and 92 controls of similar age, sex, and low Framingham 10-year coronary artery… 
Coronary atherosclerotic burden in veteran male recreational athletes with low to intermediate cardiovascular risk.
  • H. Dores, P. Gonçalves, +5 authors Sanjay Sharma
  • Medicine
    Revista portuguesa de cardiologia : orgao oficial da Sociedade Portuguesa de Cardiologia = Portuguese journal of cardiology : an official journal of the Portuguese Society of Cardiology
  • 2020
TLDR
The prevalence of subclinical CAD detected by cardiac CT in veteran male recreational athletes with low to intermediate CV risk was high and up to a quarter of the cohort had a high coronary atherosclerotic burden.
Subclinical coronary artery disease in veteran athletes: is a new preparticipation methodology required?
TLDR
Conventional methodology used in preparticipation evaluation of veteran athletes, based on clinical CV risk factors and exercise testing, was poor at identifying significant subclinical CAD.
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TLDR
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TLDR
Questions regarding the best management strategy for athletes with elevated CAC raise questions regarding how to approach treatment and exercise recommendations in this subgroup of athletes.
Exercise and Coronary Atherosclerosis
TLDR
A review of the medical literature demonstrates that the prevalence of coronary artery calcification and atherosclerotic plaques, which are strong predictors for future cardiovascular morbidity and mortality, was higher in athletes compared with controls, and wasHigher in the most active athletes comparedwith less active athletes.
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TLDR
A comprehensive risk assessment for older athletes is proposed that combines conventional and novel risk factors for ASCVD, a 12-lead resting electrocardiogram, and a CAC score to improve the selection of patients for initiation or avoidance of pharmacological therapy.
Exercise Capacity, Coronary Artery Fatty Plaque, Coronary Calcium Score, and Cardiovascular Events in Subjects With Stable Coronary Artery Disease
TLDR
Achieving ≥8.2 METs with moderate exercise intensity and volume as walking resulted in lower CAC scores and fewer CVD events, suggesting vigorous exerciseintensity and volume may not be needed for CAD patients to derive benefit.
Aspirin to Prevent Sudden Cardiac Death in Athletes with High Coronary Artery Calcium Scores.
TLDR
Targeted screening for subclinical coronary atherosclerosis with coronary artery calcium scores is prudent to guide appropriately dosed aspirin use to mitigate the increasing frequency of sports-related sudden cardiac death due to plaque rupture.
Comprehensive assessment of cardiovascular structure and function and disease risk in middle-aged ultra-endurance athletes.
TLDR
The data indicate that middle-aged ultra-endurance ATH do not have marked signs of widespread cardiovascular dysfunction or elevated CHD risk compared to CON meeting physical activity guidelines.
The heart of the ageing endurance athlete: the role of chronic coronary stress
TLDR
This review article will provide a critical analysis of the existing data on the long-term effects of endurance exercise on the heart and suggest that lifelong intense exercise imposes chronic coronary stress on theheart.
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