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Canadian Journal of Cardiology

Management of the Master Endurance Athlete With Stable Coronary Artery Disease

Published:April 27, 2022DOI:https://doi.org/10.1016/j.cjca.2022.04.013
      Exercise has numerous physiologic benefits.
      • Parry-Williams G.
      • Gati S.
      • Sharma S.
      The heart of the ageing endurance athlete: the role of chronic coronary stress.
      Aerobic exercise can reduce anxiety and depression and improve self-esteem. The optimal volume and aerobic training intensity required to maximise cardiovascular benefits remain uncertain. While guidelines endorse a minimum of 150 minutes of moderate intensity exercise weekly for cardiovascular risk reduction, MEAs frequently train well beyond the minimum recommended volume.
      • Pelliccia A.
      • Sharma S.
      • Gati S.
      • et al.
      2020 ESC guidelines on sports cardiology and exercise in patients with cardiovascular disease.
      Secondary prevention data suggests a reversed J-shaped dose-response relationship between exercise exposure and mortality, implying a possible threshold beyond which the benefits of exercise may be attenuated.
      • Parry-Williams G.
      • Gati S.
      • Sharma S.
      The heart of the ageing endurance athlete: the role of chronic coronary stress.
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