Athletic Heart

An athletic heart is a non-pathological condition where the heart is enlarged, and the heart rate at rest is below normal. There is remodeling of the heart in athletes due to continuous cardiac load. This condition is seen in athletes who regularly do exercise more than an hour per day and also may occur in heavyweight trainers.

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Why is deep bradycardia a disease for some and a sign of fitness for others?

Query: Hello doctor, Why deep bradycardia (35 BPM) is a disease for some people and for other people is a sign of fitness and health? What makes the difference in the deep bradycardia (35 BPM) between disease and fitness?  Read Full »

Dr. Salam Salloum

Answer: Hi, Welcome back to You raised a very good point. Cardiologist usually looks at the ECG and patient's symptoms. If the ECG does not show any features of conduction abnormalities and the patient is fit, healthy and has no symptoms, then it is reassuring especially if they are athletes....  Read Full »

Can bradycardia be related to sports activity?

Query: Hello doctor, I am male, 35 years old and weight 70 kilos, height 173 cm. Every year I do a medical checkup. In a recent medical check-up, there was a note related to heart rate (bradycardia), the result was 49 bpm. I also have checked manually and also using pulse meter, the result around 51 to 55...  Read Full »

Dr. Salam Salloum

Answer: Hi, Welcome to It is quite common and normal for regular athletes to have sinus bradycardia, I saw some with heart rate down to 40 to 45 bpm daytime. At night usually, the HR is slower and it can get down to 35 bpm. As long as you remain asymptomatic that is no lightheadedness and no ...  Read Full »

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