Athletes often have an enlarged heart. When this is a natural, physiological adaptation to regular, endurance exercises, the condition is called athlete's heart. Those with athlete's heart often have a slow heart rate (considerably less than 60 beats per minute). There is no evidence that the condition is detrimental to health. However, when a person's exercise history is not known, athlete's heart is sometimes confused with abnormal, pathological changes associated with some heart diseases. In abnormal enlargements, the changes are not reversible and are accompanied by development of scarlike fibrous tissue (fibrosis) in the heart; athlete's heart is reversible and is not accompanied by fibrosis.




