Running: The Risk of Coronary Events: Prevalence and Prognostic Relevance of Coronary Atherosclerosis in Marathon Runners

Stefan Möhlenkamp; Nils Lehmann; Frank Breuckmann; Martina Bröcker-Preuss; Kai Nassenstein; Martin Halle; Thomas Budde; Klaus Mann; Jörg Barkhausen; Gerd Heusch; Karl-Heinz Jöckel; Raimund Erbel


Eur Heart J. 2008;29(15):1903-1910. 

In This Article


Regular marathon running has a beneficial effect on the cardiovascular risk factor profile but the extent of calcified coronary plaque is underestimated from that risk factor profile, with 36% of marathon runners aged ≥50 having a CAC score ≥100 and 9% of these requiring coronary revascularization during two years of follow-up. Advanced CAC scores seem to contribute to increased myocardial damage and appear to impair outcome. Frequent marathon running may not protect these athletes from the risk of coronary events.


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