Joint clinical consensus outlines evaluation and management considerations for arrhythmias, coronary atherosclerosis, aortic dilatation, myocardial fibrosis, and related findings in older competitive athletes.
Masters athletes may have a higher prevalence of cardiovascular abnormalities, including atrial arrhythmias and coronary atherosclerosis.
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Atrial fibrillation is more common in Masters athletes, particularly among endurance athletes, despite lower traditional risk factors.
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Coronary calcification is more prevalent in male Masters athletes, with a non-linear relationship between exercise volume and coronary artery calcium scores.
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Aortic dilatation findings vary by sport, with some athletes showing higher prevalence, necessitating individualized evaluation for management.
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Shared decision-making is crucial in managing Masters athletes, considering their unique challenges and the limited evidence available.
