My patient wants to perform strenuous endurance exercise. What's the right advice?

Fabian Sanchis-Gomar, Alejandro Santos-Lozano, Nuria Garatachea, Helios Pareja-Galeano, Carmen Fiuza-Luces, Michael Joseph Joyner, Alejandro Lucia

Research output: Contribution to journalArticlepeer-review

10 Scopus citations


Abstract Prolonged strenuous endurance exercise (SEE) such as marathon running has recently been associated with potential deleterious cardiac effects, particularly increased risk of atrial fibrillation (AF). This topic is medically important due to the increasing number of participants in SEE events lasting several hours, including older people. The aim of this narrative review is to provide a summary of the evidence available on SEE and related issues such as cardiovascular mortality, AF, potential cardiac remodeling, cardiovascular events during exertion, or the need for pre-participation screening (with a special focus on beginners). This type of information can help physicians giving advice to their patients and the general public regarding safe SEE practice.

Original languageEnglish (US)
Article number20670
Pages (from-to)248-253
Number of pages6
JournalInternational Journal of Cardiology
StatePublished - Aug 5 2015


  • Arrhythmia
  • Atrial fibrillation
  • Health
  • Pre-participation screening
  • Strenuous endurance exercise
  • Sudden cardiac death

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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