Chest. 1991 May;99(5):1306-8.

A world record marathon runner with silent ischemia without coronary atherosclerosis.

Source

Department of Medicine, St. Vincent Medical Center, Toledo, Ohio.

Abstract

A 62-year-old world record marathon runner was found to have silent ischemia manifested by a very abnormal stress test, whereas at autopsy nine months later, there was virtually no coronary atherosclerosis nor other disease of the coronary microvasculature. However, there was focal fibrosis of the papillary muscles consistent with remote ischemia secondary to possible CV. It is postulated that endurance-related high catecholamine levels might have been responsible.

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Catecholamines

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Cited by 2 PubMed Central articles

Diverse patterns of myocardial fibrosis in lifelong, veteran endurance athletes. [J Appl Physiol. 2011]
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