While exercise is generally good for heart health, the document discusses how too much strenuous exercise can potentially harm the heart, especially for those with underlying cardiac issues. A new review found that most healthy individuals can tolerate high exercise levels, but it also caused changes to heart structure and function. Additionally, the review found that older marathon runners and people with heart conditions like cardiomyopathy may exacerbate their risks with strenuous exercise.

1. Fitness freak? Too much
exercise is bad for heart
Strenuous Work Outs Can Make Inherited Cardiac Abnormalities Worse,
Say Researchers
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2. Contd…
With many of us con templating marat hons or other endurance events in
2016, we, our spouses and other family members most likely have wondered
whether such strenuous training could be harmful to our hearts.A new
scientific review offers both reassurance and some caution. It found that
while most athletes' hearts can withstand most exercise, there are
exceptions.
Exercise, of course, is in general extremely beneficial for heart health. Dozens
of epidemiological studies have found that people who exercise in any
amount are much less likely to develop or die from heart disease than
people who are sedentary .
But these studies contain a disquieting subtext. Their plotted data typically
shows some type of bell curve to the heart benefits from exercise, meaning
that the more people work out, the less they are at risk of cardiac problems -
up to a point, and then the benefits plateau or decline.
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3. Contd…
Dr Paul Thompson, chief of cardiology at Hartford Hospital in
Connecticut and his colleagues along with scientists at the Radboud
University Medical Centre in the Netherlands, decided to delve more
comprehensively into the available data on the topic. The findings of
the new study , being published next month should reassure most of
us. “There is no evidence that there is a level of exercise that is
dangerous or too much for a normal, healthy person,“ Dr Thompson
said.
At the same time, those of us who work out should understand that
frequent exercise training causes “profound changes in cardiac
physiology and structure“.
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4. Contd…
In the short term, these changes can mimic heart damage with cardiac cells
often becoming “leaky“ after strenuous workouts, releasing proteins into the
bloodstream that, in other circumstances, could indicate a heart attack.
These proteins usually disappear within a few days, and the heart seems to
recover fully, Dr Thompson said.
But there are outliers. Seemingly healthy people for whom strenuous
exercise holds unexpected dangers.
Older marathon runners can be as susceptible as their sedentary
counterparts to atherosclerosis, or the buildup of plaques in the arteries, the
studies show. Exercising may increase the risk that the plaques will rupture,
precipitating a heart attack. According to the new review, people with
inherited heart abnormalities, such as cardiomyopathy may exacerbate their
conditions with strenuous exercise.
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