$Unique_ID{BRK01883} $Pretitle{} $Title{What is an "Athlete's Heart"?} $Subject{athlete athletes Athlete's athletic Heart pulse symptom symptoms health healthy exercise exercises cardiac hypertrophy ventricle ventricles blood circulation circulatory} $Volume{} $Log{ Blood Flow in the Heart*0004103.scf} Copyright (c) 1993 Tribune Media Services, Inc. What is an "Athlete's Heart"? ------------------------------------------------------------------------------ QUESTION: My friend tells me he is blessed with a slow pulse, and that he therefore has an "athlete's heart". The man doesn't do a confounded physical thing all day, and I can't understand this. Can you tell me what an athlete's heart is and what symptoms might accompany this condition? Has he discovered a new and easy way to develop this condition, and is it really all that healthy? Thanks for your fine column, I have learned a great deal. ------------------------------------------------------------------------------ ANSWER: Yes, an athlete's heart can be a fine thing, if you are an elite athlete, and the condition represents an adaptation of the heart to prolonged endurance exercise. There are two essential elements of athlete's heart, a slow pulse, often less than 40 beats a minute, and a thickened heart wall. Called cardiac hypertrophy, the wall of the left ventricle (responsible for pushing the blood through the body's circulatory system) becomes thicker and stronger, and is thus able to respond to the demands of athletic activity. And there are no symptoms, such as pain, shortness of breath or unusual fatigue associated with an athlete's heart. But careful now! Both a slow pulse and a thickened heart wall can be the result of circumstances that are far less desirable. If your friend is the couch potato you describe, a full examination is in order to discover the true cause of his slow pulse. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.