Will, a 45-yr-old former collegiate swimmer turned lifelong triathlete, requests assistance with run training. His only significant medical history is a series of overuse injuries to his shoulders and Achilles tendon. In recent weeks, he notes his workouts are unusually difficult and reports feeling constriction in his chest with exertion – something he attributes to deficiencies in core strength. Upon further questioning, he explains that the chest constriction is improved with rest and that he often feels dizzy during recovery. What do you think is the underlying problem that could be causing Will’s symptoms during/after exercise?
Will probably has some form of  cardiovascular disease (CVD). As he was a collegiate athlete and now triathlete, he has undergone many years of intense exercise training, which could induce pathological cardiac remodeling, ultimately leading to myocardial fibrosis. This form of CVD can be common among trained athletes, particularly endurance athletes such as Will (swimming, triathlon).
Will, um ex-nador de 45 anos de idade, tornou-se triatleta de vida, solicita ajuda com o treinamento de corrida. Seu único histórico médico significativo é uma série de lesões de uso excessivo de seus ombros e tendão de Aquiles. Nas últimas semanas, ele observa que seus treinos são incomumente difíceis e relata sentir constrição no peito com esforço, algo que ele atribui a deficiências na força central.
Como ele era um atleta universitário e agora triatleta, ele passou por muitos anos de treinamento de exercício intenso, o que poderia induzir remodelação cardíaca patológica, levando, finalmente, à fibrose do miocárdio.