Endurance Exercise and Heart Hurt

An image of a person on an ultra-endurance run. New research shows a link between endurance exercise and heart damage.
Image by the use of Sopan Shewale @Unsplash

The previous ideology was once as soon as that endurance process can protect the heart from harm. On the other hand, provide research shows the protective factor of endurance process may not be true. With the emerging popularity of endurance and ultra-endurance sports activities actions, finding the connections between endurance process and coronary coronary heart harm is an important. While not unusual process improves reasonably numerous neatly being parameters and can build up life expectancy, cardio, and endurance enthusiasts are not immune to coronary coronary heart sickness.

Endurance training and the heart

New research signifies that endurance and ultra-endurance athletes can also be at risk for coronary coronary heart harm. Excessive endurance process appears to be a possibility factor for larger coronary plaques.1,2 Lifelong endurance athletes have further coronary plaques than an average healthy particular person.1 In numerous words, healthy non-athletes had fewer coronary plaques.

A 2023 know about when put next the heart neatly being of a control team of workers of fellows versus lifelong and late-onset male athletes (starting after age 30).1 The athletes have been maximum often cyclists, followed by the use of smaller groups of runners and triathletes. Lots of the control team of workers exercised for three hours or a lot much less every week. The control team of workers’s process was once as soon as necessarily running, and other non-endurance movements and one of the most control team of workers did not process eternally. 

The lifelong and late-onset male athletes performed spherical 10 to 11 hours every week of endurance process. The lifelong athletes moreover had a greater occurrence of coronary artery stenosis. All groups had similar blood drive, ldl ldl cholesterol, and blood glucose levels, on the other hand the control team of workers had higher body weights, BMIs, and body fat percentages. 

A 2016 know about moreover signifies that while not unusual physically procedure has been associated with lower mortality, there may be an process threshold where mortality risks build up.2 Probably the most necessary probability parts and harm from years of endurance training are

  • myocardial fibrosis, 
  • atrial worrying irritation (AF), 
  • ventricular arrhythmias,  
  • and coronary artery calcification.2

Parts of the heart affected by endurance process

Excessive endurance process affects a couple of areas of the heart at the side of, the atria and ventricles. With dysfunction of the heart tissues, blood, oxygen, and nutrient float all over the body it is going to be negatively affected. The damage and tear that long-term endurance process may end up in are:

  • impaired function of the precise ventricle, 
  • dilation of the left atrium, 
  • correct ventricle arrhythmias,
  • atrial worrying irritation,
  • and atrial flutter.2

Can coronary coronary heart harm be reversed?

Inside the 2016 know about, animals (rats) have been the subjects of a 16-week vigorous running program to test for a relationship between endurance process and coronary coronary heart harm. The rats developed left ventricular hypertrophy, diastolic dysfunction, and atrial dilation.2 The ones cardiac problems have been reversed once more to the heart’s distinctive state after 8 weeks of detraining.2 Even if the reversal was once as soon as seen in rats, the chance would most likely exist {{that a}} similar response could be seen in other folks.

How so much process is enough?

It is needless to say that process has neatly being and longevity benefits. However, it is the dose and type which can also be questionable. People who exercised for 15 minutes consistent with day had a 14% reduced probability of all-cause mortality and a three-year build up in life expectancy.2 Every 15 minutes previous the minimum amount further reduced all-cause mortality by the use of 4%.2 

More than 100 minutes of cheap process or 50 to 60 minutes consistent with day of strenuous process offered no additional neatly being benefits. The Copenhagen Heart Know about3 moreover showed the optimal amount of jogging was once as soon as two to a couple of events every week at a gradual or reasonable pace. Interestingly, those jogging at a strenuous pace did not experience a mortality fee so much different from sedentary other people.2

Long run research

Lifelong endurance process and sports activities actions people do not get additional protection towards coronary artery calcifications when put next to those who live an lively healthy way of living.1 In contrast, lifelong middle-aged endurance and ultra-endurance male athletes had further coronary plaques.1 Additional longitudinal research is needed to understand the contradiction between coronary coronary heart neatly being and cardiovascular process. However, it is affordable to say that process is good, on the other hand excessive process is in all probability unsafe. 


  1. De Bosscher R, Dausin C, Claus P, Bogaert J, Dymarkowski S, Goetschalckx Good enough, Ghekiere O, Van De Heyning CM, Van Herck P, Paelinck B, El Addouli H. Lifelong endurance process and its relation with coronary atherosclerosis. European Heart Mag. 2023;152. https://doi.org/10.1093/eurheartj/ehad152
  2. Lee AK, Morrison B, Isserow SH, Heilbron B, Krahn AD. The affect of excessive endurance process on the coronary coronary heart. British Columbia Medical Mag. 2016;58(4):203-9. https://bcmj.org/articles/impact-excessive-endurance-exercise-heart
  3. The Copenhagen The city Heart Know about – Whole Text View. ClinicalTrials.gov. https://clinicaltrials.gov/ct2/show/NCT02993172. Revealed December 15, 2016. 

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