Masters Athletes Present Unique CV Findings

Joint clinical consensus outlines evaluation and management considerations for arrhythmias, coronary atherosclerosis, aortic dilatation, myocardial fibrosis, and related findings in older competitive athletes.

By
Kathryn Wighton
April 6, 2026
6 min

Conexiant

Overview

Revise to specify cardiovascular abnormalities such as atrial arrhythmias, coronary atherosclerosis, and aortic dilatation.

Background

Understanding the cardiovascular health of Masters athletes is crucial as this population engages in high levels of physical activity that exceed standard recommendations. The unique physiological adaptations and potential cardiovascular risks associated with intense training warrant specific clinical attention. This consensus statement aims to guide healthcare professionals in the assessment and management of cardiovascular conditions in older athletes.

Data Highlights

No specific numerical data provided in the source material.

Key Findings

Masters athletes have a higher prevalence of atrial fibrillation compared to the general population, particularly among endurance athletes.
Coronary calcification and atherosclerosis are more common in male Masters athletes than in their less active peers.
Aortic dilatation prevalence varies by sport, with former elite strength athletes showing higher rates.
Management strategies for symptomatic Masters athletes should prioritize rhythm control over rate control.
Routine coronary artery calcium scoring is not recommended for asymptomatic, low-risk Masters athletes.

Clinical Implications

Healthcare providers should consider the unique cardiovascular profiles of Masters athletes when developing management plans. Shared decision-making is essential, particularly when discussing treatment options that may impact athletic performance. Regular monitoring and individualized evaluations are recommended for athletes with cardiovascular risk factors.

Conclusion

The cardiovascular health of Masters athletes presents unique challenges that require tailored management strategies. Ongoing research and clinical consensus will help refine approaches to optimize athlete health and performance.