EP. 45: The Endurance Enthusiast’s Heart w/Cardiologist Professor Graham Stuart, MSc.


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A conversation with Professor Graham Stuart, MSc. Professor Stuart is a congenital heart cardiologist. He also has a clinical interest in cardiac electrophysiology in children and adults with congenital heart disease. He runs a clinic for inherited cardiac conditions and has a research interest in exercise and the heart and sports cardiology. He is an Honorary Associate Professor in Sports and Exercise Cardiology at the University of Bristol and an Honorary Research Associate at the University of Exeter. He is an avid endurance enthusiast with multiple IRONMAN and marathon finishes and he is also an avid rower.
Professor Stuart discusses how the heart works and describes what's happening with the heart during an endurance event. He discusses differences in heart size by sex and populations.
We talk about the latest findings in cardiology about the perceived long-term effects of training for endurance events like marathons and IRONMAN distance triathlons, and whether there is any evidence for long-term adverse effects with such training.
We have an exchange about athletes who suddenly die during endurance events and what may be some of the typical causes. We discuss the type of heart related issues that should give an athlete pause or concern.
We talk about the precautions that athletes should take with age and whether wearable technology can help spot potential issues.
Professor Stuart discusses the latest in cardiology about the impact of COVID on athletes, whether there is any more clarity on “long COVID” and a cardiologist recommended return to sport protocol for athletes that have had COVID.
Finally, Professor Stuart gives his perspective on the future with heart technology and whether we will ever see any form of a fully implantable replacement heart either mechanical or organic that can run on its own battery for a long period of time.
About Professor Graham Stuart
Professor Stuart’s Twitter
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