The Athlete's Heart 2007: Diseases of the Coronary Circulation

The augmentation of myocardial function that accompanies vigorous exercise is dependent upon adequate coronary artery blood flow reserve. Coronary artery pathology may limit coronary blood flow and produce myocardial ischemia. The clinician charged with the care of athletes must have a high index of suspicion for underlying coronary artery pathology when faced with an individual with suggestive symptoms. This article discusses diseases of the coronary circulation relevant to athletes.