#208 Maratończyk z miażdżycą? Czy sport może szkodzić sercu? Fakty o miażdżycy u sportowców

Sport is the foundation of health, but did you know that people who have been training for decades at extreme endurance levels are more likely to be diagnosed with coronary artery calcification? In this episode, relying solely on hard clinical data, I analyze the phenomenon of "athlete's heart" and examine where prevention ends and specific cardiac risk begins. In this video, you'll learn: Why excellent performance doesn't always mean clear arteries. What the latest research (including Master@Heart 2023) says about the stability of atherosclerotic plaques in active people. Why training intensity can be more important than volume in the context of calcification progression. What is "electrical" risk and why do athletes more often struggle with atrial fibrillation? What symptoms in a physically active person should immediately prompt a visit to a cardiologist? This material is not intended to discourage exercise—it's an appeal for intelligent diagnosis and an understanding that fitness is not synonymous with immortality. 🔔 Subscribe to the channel if you want to take better care of your health and never miss a new episode! ❤️ Join the Club Health Community and support the channel's development not only with your heart, but also with your real life: 👉 https://tomaszjezewski.pl/dolacz-do-k... You'll gain access to additional content, a private club Discord server with live club discussions on specific topics, and practical, proven, and effective tips from my club members! 📢 Share this episode with your loved ones – every person you help consciously take care of their health is another step towards a better world. Together, we're promoting reliable preventative care! 🎓 Expand your knowledge and change your life for a healthier one – check out my courses: 👉 https://tomaszjezewski.pl/kursy/ 💬 Need a personalized consultation? Let's meet online or in person: 👉 https://tomaszjezewski.pl/spotkajmy-sie/ ☕️ If you appreciate what I do and want to buy me a symbolic coffee, I'd be delighted: 👉 https://buycoffee.to/drjezewski List of scientific sources for this episode: Merghani A, Maestrini V, Rosmini S, et al. Prevalence of Subclinical Coronary Artery Disease in Masters Endurance Athletes with a Low Atherosclerotic Risk Profile. Circulation. 2017;136(2):126-137. doi:10.1161/CIRCULATIONAHA.116.026964. De Bosscher R, Dausin C, Claus P, et al. Lifelong endurance exercise and its relationship with coronary atherosclerosis. Eur Heart J 2023;44(26):2388-2399. doi:10.1093/eurheartj/ehad152. Aengevaeren VL, Mosterd A, Bakker EA, et al. Exercise Volume Versus Intensity and the Progression of Coronary Atherosclerosis in Middle-Aged and Older Athletes: Findings From the MARC-2 Study. Circulation. 2023;147(13):993-1003. doi:10.1161/CIRCULATIONAHA.122.061173. Shuval K, Leonard D, DeFina LF, et al. Physical Activity and Progression of Coronary Artery Calcification in Men and Women. JAMA Cardiol. 2024;9(7):659-666. doi:10.1001/jamacardio.2024.0759. DeFina LF, Radford NB, Barlow CE, et al. Association of All-Cause and Cardiovascular Mortality With High Levels of Physical Activity and Concurrent Coronary Artery Calcification. JAMA Cardiol. 2019;4(2):174-181. doi:10.1001/jamacardio.2018.4628. Berry JD, Zabad N, Kyrouac D, Leonard D, et al. High-Volume Physical Activity and Clinical Coronary Artery Disease Outcomes: Findings From the Cooper Center Longitudinal Study. Circulation. 2025;151:1299-1308. doi:10.1161/CIRCULATIONAHA.124.070335. Newman W, Parry-Williams G, Wiles J, et al. Risk of atrial fibrillation in athletes: a systematic review and meta-analysis. Br J Sports Med. 2021;55(21):1233-1238. doi:10.1136/bjsports-2021-103994. Lampert R, Chung EH, Ackerman MJ, et al. 2024 HRS expert consensus statement on arrhythmias in the athlete: Evaluation, treatment, and return to play. Heart Rhythm. 2024;21(10):e151-e252. doi:10.1016/j.hrthm.2024.05.018. Javed W, Botis I, Goh ZM, et al. Ventricular Arrhythmia and Cardiac Fibrosis in Endurance Experienced Athletes: The VENTOUX Study. Circ Cardiovasc Imaging. 2025;18(8):e018470. doi:10.1161/CIRCIMAGING.125.018470. Pelliccia A, Sharma S, Gati S, et al. 2020 ESC Guidelines on sports cardiology and exercise in patients with cardiovascular disease. Eur Heart J 2021;42(1):17-96. doi:10.1093/eurheartj/ehaa605. Franklin BA, Thompson PD, Al-Zaiti SS, et al. Exercise-Related Acute Cardiovascular Events and Potential Deleterious Adaptations Following Long-Term Exercise Training: Placing the Risks Into Perspective—An Update. Circulation. 2020;141(13):e705-e736. doi:10.1161/CIR.0000000000000749. Reuters. Denmark's Christian Eriksen suffered a cardiac arrest when he collapsed during Euro 2020 opening match; team doctor said the reason remained unclear at that time. Reuters. 2021 Jun 13.