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Myocardial Fibrosis in Athletes: Risk Marker or Physiological Adaptation? (mdpi.com)
12 points by PaulHoule 3 days ago | hide | past | favorite | 7 comments




I don't know about this one in particular, but I hike. Endurance, but not at the level they are talking about. I had a cardiac stress echo last year and I've had an EKG since--both show changes that don't seem to concern the docs. Dr. Google comes back with this might be a risk...or this might be normal for an athlete.

My grandfather started his career in the Polish mafia and eventually went straight to work as a laborer and then a bricklayer, he was told he had an "enlarged heart".

I got a bunch of workups because I fainted when exercising on a hot day when I'd eaten a bit too much and was a little infatuated with the instructor (I was the only student.) I got the plain echo and a stress echo and was told I had athlete's heart which they are not so sure if it is good or bad. I also wore a Holter monitor for 30 days and literally at the last 5 minutes of the period I had two bad heart beats so now I have A-Fib on my chart and my doc says the athlete's heart can make it worse so since then I'm only supposed to do an hour a day of cardio.

When all this was going on I had manifested an "evil twin" whose harebraned scheme had just blown up right at the time I had those two bad heartbeats and I can't believe the emotional distress I'd caused myself hadn't had anything to do it. I have one of those Kardia cards and haven't seen it happen again.


They did mine because I have the lipoprotein A gene. (Effectively, high LDL no matter what I do.)

Several of the people I exercise with have ended up having serious cardiac issues that seem to be related to endurance exercise.

I always try to be careful to take off enough rest days myself, but maybe that doesn't even matter and it comes from cumulative adaptation?


A bit of a meme, but why do endurance bikers look so old?

I'd go with very low fat percentage. I had a friend who ran marathons regularly, and he looked older because he was superlean and wiry.

Regular people can look older too just by losing weight rapidly: https://www.drugs.com/medical-answers/ozempic-face-3572731/


Long rides in the sunshine are rough on your skin especially if you aren't constantly applying sunscreen.



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