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Too much exercise can kill you. The Haywire Heart is the first book to examine heart conditions in athletes. Intended for anyone who competes in endurance sports like cycling, triathlon, running races of all distances, and cross-country skiing, The Haywire Heart presents the evidence that going too hard or too long can damage your heart forever. You’ll find what to watch out for, what to do about it, and how to protect your heart so you can enjoy the sports you love for years to come.
The Haywire Heart shares the developing research into a group of conditions known as “athlete’s heart”, starting with a wide-ranging look at the warning signs, symptoms, and how to recognize your potential risk. Leading cardiac electrophysiologist and masters athlete Dr. John Mandrola explores the prevention and treatment of heart conditions in athletes like arrhythmia, atrial fibrillation and flutter, tachycardia, hypertrophy, and coronary artery disease. He reviews new research about exercise intensity and duration, recovery, inflammation and calcification, and the ways athletes inflict lasting harm.
These heart problems are appearing with alarming frequency among masters athletes who are pushing their bodies harder than ever in the hope that exercise will keep them healthy and strong into their senior years. The book is complete with gripping case studies of elite and age-group athletes from journalist Chris Case―like the scary condition that nearly killed cyclist and coauthor Lennard Zinn―and includes a frank discussion of exercise addiction and the mental habits that prevent athletes from seeking medical help when they need it.
Dr. Mandrola explains why many doctors misdiagnose heart conditions in athletes and offers an invaluable guide on how to talk with your doctor about your condition and its proven treatments. He covers known heart irritants, training and rest modifications, effective medicines, and safe supplements that can reduce the likelihood of heart damage from exercise.
Heart conditions affect hardcore athletes as well as those who take up sports seeking better health and weight loss. The Haywire Heart is a groundbreaking and critically important guide to heart care for athletes. By protecting your heart now and watching for the warning signs, you can avoid crippling heart conditions and continue to exercise and compete for years to come.
- Sales Rank: #3630 in Books
- Published on: 2017-01-05
- Original language: English
- Dimensions: 9.00" h x 1.00" w x 6.00" l, .0 pounds
- Binding: Hardcover
- 320 pages
Review
Review quotes coming soon.
From the Back Cover
Heart conditions strike athletes, too. Despite their lean looks and healthy glow, athletes entering their 50s and 60s are seeing a dramatic rise in abnormal heart rhythms, known as arrhythmias. These older athletes are pushing their bodies harder than ever in the hope that exercise will keep them healthy and strong into their senior years.
But is it too much?
The Haywire Heart shares the latest research on a set of conditions dubbed “athlete’s heart.” Starting with a wide-ranging look at the telltale symptoms, The Haywire Heart explores the prevention and treatment of arrhythmias in endurance athletes and explains how you can recognize and reduce your potential risk.
Gripping case studies of exercise-induced disease illustrate how endurance athletes like you are confronting the problem. A frank discussion of exercise addiction will help you understand if your drive and determination go too far. And practical advice will guide those who suspect they have an arrhythmia on how to talk with a doctor about the condition and its proven treatments.
The Haywire Heart is a groundbreaking and critically important guide to heart care for athletes. The information contained in these pages will help you protect your heart now so that you can enjoy the healthy, active lifestyle that excites you and inspires your friends and family for decades to come.
***
If you’re an athlete, you already know that regular exercise is the best medicine for your general health. You’ve probably read the research suggesting that just 30 minutes a day is the ideal dose for improving your cardiovascular health. You’ve heard that those 30 minutes can reduce your risk of cancer and extend your life expectancy. And you may have laughed out loud.
Thirty minutes? That’s just a warm-up. What about those who live to push beyond? If a half hour is good, then surely more miles, day after day, year after year, must make you even fitter, even healthier, even happier. Right?
Think again.
When it comes to exercise, there really can be too much of a good thing, as researchers and physicians now know.
The Haywire Heart is the first book to examine the latest findings and reveal a paradoxical truth: Many endurance athletes are damaging their hearts by repeatedly pushing to extremes. Tragically, training hard for top performance can cause abnormal heart rhythms. These arrhythmias are not just frightening. They can be deadly. And they’re being diagnosed in increasing numbers of athletes, particularly in those who continue to strive for more as they enter middle age.
The Haywire Heart explains in detail how and why endurance exercise could cause a variety of heart arrhythmias. It presents the medical evidence and lays out your chances of developing a heart condition from the sport you love. And it tells you what you can do to prevent more damage and stay active.
In short, you’ll come to understand “athlete’s heart,” a problem that until now has been shrouded in misinformation. And you’ll see that with help from The Haywire Heart, a healthier and happier life awaits.
Chris Case is the managing editor of VeloNews and author of the groundbreaking article “Cycling to Extremes” that brought the problem of the athlete’s heart to national attention. A competitive runner from the age of 12, Case was a silver medalist at the US National Cyclocross Championships. He is a neuroscience graduate of Colgate University and has conducted clinical research at the National Institute of Mental Health in Bethesda, Maryland, and at the University of Colorado Health Sciences Center.
John Mandrola, MD, is a cardiac electrophysiologist as well as a runner and cyclist. His medical practice encompasses catheter ablation, including two decades of experience with AF ablation and cardiac device implantation. Mandrola has coauthored academic journal articles in the fields of electrophysiology, sports cardiology, palliative care, and outcomes research. He maintains a health, fitness, and medicine blog at drjohnm.org.
Lennard Zinn is a lifelong endurance athlete and a former member of the US national cycling team whose personal story of multifocal atrial tachycardia inspired this book. He is the senior technical writer for VeloNews and has reported on major stories for the magazine for more than 30 years. He holds a degree in physics from Colorado College and has held research positions at Los Alamos National Laboratory.
About the Author
Chris Case is the managing editor of VeloNews, and author of “Cycling to Extremes,” the groundbreaking VeloNews story that brought the problem of the athlete’s heart to widespread attention.
Dr. John Mandrola is a cardiac electrophysiologist in Louisville, Kentucky, and is himself an active cyclist who had atrial fibrillation.
Lennard Zinn was a member of the U.S. national racing team and is a lifelong endurance athlete. He has reported on major stories for VeloNews for 30 years and is the author of the world’s best-selling guide to bicycle maintenance and repair.
Most helpful customer reviews
10 of 11 people found the following review helpful.
Great review of the effects of endurance exercise on the heart
By David E. Mann, MD
This is a book about heart problems that occur in endurance athletes. It has to thread a difficult needle between discouraging folks from exercising and defining how much exercise is too much. Go to any mall in America and look around. Too much exercise doesn't seem to be a big problem, and indeed this book is not about the average American, but is intended for the life-long, hard-driving, endurance athlete. The authors do a good job in defining this focus and certainly wouldn't want the casual cover reader to conclude that moderate exercise is bad. But like anything, too much of a good thing can be bad, and the book is full of real-life stories of athletes who drove themselves so hard that their hearts suffered serious consequences.
The other audience of this book is physicians, particularly cardiologists and electrophysiologists who deal from time to time with endurance athletes. Their normals are not the same normals as the average patient, and they benefit from seeing doctors experiences in their problems.
I was surprised how much data there is associating multiple cardiac problems with endurance athleticism. It does give one pause (not that I'm at risk), and I would think this data and the patient stories in this book might indeed cause an "exercise addict" to moderate his or her ways.
My colleague and friend Dr. John Mandrola's chapters on the medical evidence of the effects of extreme exercise, as well as modern diagnostic and treatment modalities are very clear and would be of benefit to any patient with rhythm problems. Reading his advice for patients on how to prepare for a doctor's visit strikes so close to home: I wish all patient's would heed his advice!
My only minor quibble is with the final chapter, The Takeaway. This seems to be a bit of a hodgepodge, containing advice on supplements (I think the bane of the fitness industry), bystander CPR and ICDs, rather than a real summary of the book. The Epilogue of the book better serves that function. Advice to take garlic, or stating the Japanese have a high iodine intake and also a low incidence of heart disease seems less scientific than the rest of the book and maybe out of place.
But, overall this is an excellent book on a little-known subject, directed at athletes but containing lots of good information for doctors who take care of them.
1 of 1 people found the following review helpful.
Runner Gone Red
By ReadWriteRepeat
I am an endurance athlete (marathoner) and was diagnosed with idiopathic cardiomyopathy a few months ago.
I bought the book to explore answers to the idiopathic part of my diagnosis, especially as an athlete and vegan, which is perplexing but also intriguing my cardiologist enough to seek answers for me too.
I like that the book takes time to do what my cardiologist did which is explain the heart--the foundation and electrical makeup--in laymen's terms but nonetheless thoroughly. I skimmed that part and find the case studies especially instructive, or better yet, relatable. While I have not found an answer to my own "idiopathic" diagnosis in this text, I think this might have been good for me to have read when I used to deny overtraining! I also think it is useful to me as distance running coach to share with clients.
And lastly, I wish cardiologists would read it so that they can have better insight into the athlete mind and behavior instead of lumping every heart patient/athlete into a homogeneous pile of the former, tossing out some meds, and leaving us to our devices. Good read.
0 of 0 people found the following review helpful.
easy to understand language
By Mfeather
As an athlete who developed afib and recently had an ablation, this book is invaluable. It describes the condition and how the heart works in simple, easy to understand language. If I had to offer a critique, it would be that the book does not adequately explain why some athletes develop afib, and some don't -- is there a threshold on the U-shaped exercise curve you shouldn't go over? Are certain kinds of workouts worse for you than others? "Endurance sports" is a huge category. Most likely there isn't enough research to answer these questions, but as this isn't a peer-reviewed paper, some speculation is ok.
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