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David Frost reviews Practical and Personal Looks at Coronary Artery Diseases (CAD) in Master's Rowers - download the additional information link below.
Timestamps
00:45 David Frost's journey through CAD
Coronary artery calcification - men need checking after age 70 more than women.
Even rowers who are known for being stoic - if you feel something in your chest, get it checked out.
"You have the coronary arteries of a 92 year old" was my signal that I needed help. The Agatston Score is is a proxy for heart health.
04:30 Five things that cause inflammation
- environmental stress
- toxins stress
- too much sunlight
- smoking
- exercise
Inflammation in your arteries can cause an issue if you work too hard, too fast for too long.
08:00 Rowers have a higher than average incidence of atrial fibrillation (AFIB)
Maybe rowers are doing themselves a disservice by training long and hard. What to do about this?
12:00 Heart age vs calendar age
There are interesting heart age metrics - pulse wave velocity measure tells how elastic your arteries are. Heart Rate Variability - the higher it is the better you are recovering.
David encourages masters to measure these and track their trends.
Dr Churchill in Boston is studying masters rowers' aorta for ASCVD.
Get a calcium CT scan - it helped David understand his condition.
18:00 A self-scan system
Perceived exertion, rest and hydration are a good guide to how you are feeling each day. David is mindful of recovery as well.
What age should you start getting the calcium CT scan done?
For men from age 40 and women maybe 50. For the plus wave velocity test this could be done from mid life - age 40 maybe ladies a bit later. Note David is a layman, not a doctor.
Rowing training is more 80% steady state and 20% higher intensity. This has trended upwards from about 60% when David was younger.
As humans we are slow to recognise when our body moved into the "next" stage. The competitive mindset can make us live in denial of aging.
It's not good for you to carry to much body fat - your waist to hip ratio is worth checking.
25:00 Burden or banish? David's new book
Sloth and gluttony contribute to heart disease - 80% is preventable. Lifestyle measures can defer the onset of heart disease.
Hopefully rowers can start to banish the preventable problem.
STRESSED spelled backwards is DESSERTS.

David's package of information
https://1drv.ms/p/c/af369003831e6951/EZ82vA6IqaRAtv172PZYmW0BV8HomDD4kselkTqn1Ykffw