Chest pain in an elite master ultra-marathon runner: a case report with a follow-up on his subsequent athletic activity The ultra-marathon run enjoys increasing popularity, and the number of master ultra-marathon runners is growing annually. This study shows a case of a 51-year-old, very experienced long-distance runner (body mass 65.1 kg, height 168 cm), which participated in 2010 at a 48-hour ultra-marathon race, but due to acute heart problems after 16 hours anda distance from 129 km from the race. Two weeks after the race, an intensive heart examination was conducted to explain the failure due to chest pain. An electrocardiogram with 12 derivatives, a transthoracic 2D echocardiography in 3 apical projections of the left ventricle, a computed tomography of the breast, an invasive coronary angiography and a maximum oxygen intake test were carried out.The 12-channel ECG showed a negative T-wave in III and AVF without morphological abnormalities.The echocardiographic examinations showed a normal size and function of the heart chambers as well as a normal structure and function of the flaps.Only a trivial mitral and tricuspidal insufficiency was observed. The invasive coronary angiography showed - due to increased calcium value in the CT - only a non-significant systolic dynamic constriction in the eighth segment of the left anterior descending artery due to a muscle bridge.
The physical performance features of the athlete and a follow-up of his sporting activities showed that the heart problems he had during the ultra-marathon race did not prevent him from being active in sports. The case report can be found under http://ijomeh.eu/chest-pain-in-an-elite-master-ultra-marathoner-a-case-report-with-a-follow-up-on.119231.0,2.html