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Fitness Isn't Enough: Hidden Heart Risks in Athletes

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  Published in Sports and Competition on Friday, January 9th 2026 at 7:42 GMT by TheHealthSite

The Heart of the Matter: Why Fitness Isn't Enough

Dr. Anand Pandey, a leading cardiologist, explains that while athletes typically possess lower resting heart rates and highly efficient cardiovascular systems, these attributes do not confer complete protection. "Athletes are not invulnerable," Dr. Pandey stated. "Intense physical exertion can, in fact, trigger events in individuals with pre-existing, often undiagnosed, cardiac conditions." The critical issue isn't simply the presence of a healthy lifestyle, but the potential for underlying vulnerabilities that remain hidden until pushed to the limit.

Several factors can contribute to sudden cardiac arrest in athletes. These range from congenital heart defects - structural abnormalities present from birth - to acquired conditions developed over time.

• Congenital Heart Defects: These can involve misformed heart valves, abnormal connections between heart chambers, or other structural issues that impede normal function. Often, these defects don't present symptoms until significant strain is placed on the cardiovascular system.
• Myocarditis: Inflammation of the heart muscle, frequently caused by viral infections, can weaken the heart and disrupt its electrical signals. Even a mild viral illness can, in some cases, lead to myocarditis and subsequent cardiac complications.
• Arrhythmias: Irregular heartbeats, ranging from minor palpitations to life-threatening rhythm disturbances, can prevent the heart from effectively pumping blood. Certain arrhythmias are particularly dangerous during strenuous activity.
• Hypertrophic Cardiomyopathy (HCM): This condition, characterized by an abnormally thickened heart muscle, can obstruct blood flow and increase the risk of arrhythmias. It's a significant cause of sudden cardiac death in young athletes.
• Coronary Artery Disease (CAD): While more common in older populations, CAD - the narrowing of arteries supplying the heart - can also affect athletes, particularly those with family histories of heart disease or unhealthy cholesterol levels. Though less typical, it remains a possibility.

Proactive Screening: A Vital Step

Dr. Pandey emphasizes the importance of regular cardiac screenings for all athletes. "Early detection is paramount," he says. "Screenings like electrocardiograms (ECGs) and echocardiograms can help identify underlying conditions that might otherwise go unnoticed." An ECG records the electrical activity of the heart, potentially revealing arrhythmias or signs of muscle damage. An echocardiogram uses sound waves to create a moving picture of the heart, allowing doctors to assess its structure and function.

While comprehensive screenings are not foolproof, they significantly increase the chances of identifying potential problems before they become life-threatening. There is ongoing debate about the best protocols for athlete screening, with some advocating for more sophisticated testing beyond the standard ECG. However, the consensus is that some level of cardiac assessment is essential.

The death of K Lalremruata is a tragic loss, but it must also serve as a catalyst for increased awareness and preventative action. By prioritizing heart health and embracing proactive screening programs, we can work towards reducing the risk of similar tragedies and ensuring the safety of athletes at all levels.