Coronary artery disease in athletes

An adverse effect of intense exercise?

Research output: Contribution to journalReview article

1 Citation (Scopus)

Abstract

Regular physical exercise is responsible for various health benefits, and is recommended for primary and secondary cardiovascular (CV) prevention. Despite these recognized benefits, various clinical events can occur in athletes, including acute myocardial infarction and sudden cardiac death (SCD); the main cause of SCD in veteran athletes is coronary artery disease (CAD). The relationship between intense exercise training and CAD is controversial, and a U-shaped association has been hypothesized. If this is the case, screening for subclinical CAD in older athletes may be justified, and various different methodologies have been proposed. However, the methodology for screening veteran athletes is not consensual, and several markers of CAD, in addition to clinical CV risk factors, could improve risk stratification in this population. In the present paper we review the published data on CAD in athletes, focusing on the relationship between the dose of exercise and CAD, as well as the implications for pre-participation screening of veteran athletes.

Original languageEnglish
Pages (from-to)77-85
Number of pages9
JournalRevista Portuguesa de Cardiologia
Volume37
Issue number1
Early online date8 Jan 2018
DOIs
Publication statusPublished - Jan 2018

Fingerprint

Athletes
Coronary Artery Disease
Exercise
Veterans
Sudden Cardiac Death
Insurance Benefits
Secondary Prevention
Myocardial Infarction
Population

Keywords

  • Coronary artery disease
  • Coronary computed tomography angiography
  • Dose of exercise
  • Veteran athletes

Cite this

@article{6735e916c3174f38be0f7e24ebd2a0f7,
title = "Coronary artery disease in athletes: An adverse effect of intense exercise?",
abstract = "Regular physical exercise is responsible for various health benefits, and is recommended for primary and secondary cardiovascular (CV) prevention. Despite these recognized benefits, various clinical events can occur in athletes, including acute myocardial infarction and sudden cardiac death (SCD); the main cause of SCD in veteran athletes is coronary artery disease (CAD). The relationship between intense exercise training and CAD is controversial, and a U-shaped association has been hypothesized. If this is the case, screening for subclinical CAD in older athletes may be justified, and various different methodologies have been proposed. However, the methodology for screening veteran athletes is not consensual, and several markers of CAD, in addition to clinical CV risk factors, could improve risk stratification in this population. In the present paper we review the published data on CAD in athletes, focusing on the relationship between the dose of exercise and CAD, as well as the implications for pre-participation screening of veteran athletes.",
keywords = "Coronary artery disease, Coronary computed tomography angiography, Dose of exercise, Veteran athletes",
author = "H{\'e}lder Dores and {de Ara{\'u}jo Gon{\cc}alves}, Pedro and Nuno Cardim and Nuno Neuparth",
note = "Copyright {\circledC} 2017 Sociedade Portuguesa de Cardiologia. Publicado por Elsevier Espa{\~n}a, S.L.U. All rights reserved.",
year = "2018",
month = "1",
doi = "10.1016/j.repc.2017.06.006",
language = "English",
volume = "37",
pages = "77--85",
journal = "Revista Portuguesa de Cardiologia",
issn = "0870-2551",
publisher = "Sociedade Portuguesa de Cardiologia",
number = "1",

}

TY - JOUR

T1 - Coronary artery disease in athletes

T2 - An adverse effect of intense exercise?

AU - Dores, Hélder

AU - de Araújo Gonçalves, Pedro

AU - Cardim, Nuno

AU - Neuparth, Nuno

N1 - Copyright © 2017 Sociedade Portuguesa de Cardiologia. Publicado por Elsevier España, S.L.U. All rights reserved.

PY - 2018/1

Y1 - 2018/1

N2 - Regular physical exercise is responsible for various health benefits, and is recommended for primary and secondary cardiovascular (CV) prevention. Despite these recognized benefits, various clinical events can occur in athletes, including acute myocardial infarction and sudden cardiac death (SCD); the main cause of SCD in veteran athletes is coronary artery disease (CAD). The relationship between intense exercise training and CAD is controversial, and a U-shaped association has been hypothesized. If this is the case, screening for subclinical CAD in older athletes may be justified, and various different methodologies have been proposed. However, the methodology for screening veteran athletes is not consensual, and several markers of CAD, in addition to clinical CV risk factors, could improve risk stratification in this population. In the present paper we review the published data on CAD in athletes, focusing on the relationship between the dose of exercise and CAD, as well as the implications for pre-participation screening of veteran athletes.

AB - Regular physical exercise is responsible for various health benefits, and is recommended for primary and secondary cardiovascular (CV) prevention. Despite these recognized benefits, various clinical events can occur in athletes, including acute myocardial infarction and sudden cardiac death (SCD); the main cause of SCD in veteran athletes is coronary artery disease (CAD). The relationship between intense exercise training and CAD is controversial, and a U-shaped association has been hypothesized. If this is the case, screening for subclinical CAD in older athletes may be justified, and various different methodologies have been proposed. However, the methodology for screening veteran athletes is not consensual, and several markers of CAD, in addition to clinical CV risk factors, could improve risk stratification in this population. In the present paper we review the published data on CAD in athletes, focusing on the relationship between the dose of exercise and CAD, as well as the implications for pre-participation screening of veteran athletes.

KW - Coronary artery disease

KW - Coronary computed tomography angiography

KW - Dose of exercise

KW - Veteran athletes

U2 - 10.1016/j.repc.2017.06.006

DO - 10.1016/j.repc.2017.06.006

M3 - Review article

VL - 37

SP - 77

EP - 85

JO - Revista Portuguesa de Cardiologia

JF - Revista Portuguesa de Cardiologia

SN - 0870-2551

IS - 1

ER -