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April 2026

Performance Q&A The big cycling questions answered by our team of expert coaches, nutritionists and riders

- John Whitney

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01 I HAVE HEART DISEASE. IS CYCLING A GOOD IDEA?

Regular exercise is a wondrous defence against many health conditions – cancer, dementia, diabetes and depression to name just a few. Missing from that list is heart disease. To be clear, for many people the link between exercise and cardiovascular health will be overwhelmingly positive. But the relationship between the two is nuanced and needs careful consideration. We need to look at how cardiac conditions intersect with cycling for riders of different ages and at varying levels of intensity. The cardiac landscape is obviously different for young adults and masters (over-40) cyclists. Unless known from childhood, heart conditions are uncommon in young people. In fact, severe and lethal conditions are so rare that the clinical value of screening for them is outweighed by the logistics. In contrast, heart conditions are more common in middle age and beyond, so the potential benefits and risks of long-duration and high-intensity cycling for the master's athlete group need to be evaluated.

Note that the authors of this article, Dr Nigel Stephens and Phil Cavell, are both midlife cyclists. To help explain it all, we've used case studies from real patients who have been cared for by Dr Stephens.

HEART ATTACKS, ANGIOPLASTY AND BYPASS SURGERY

The most common cause of a heart attack is a blockage to a coronary artery. We all have three arteries that supply blood to the heart's muscle. If one contains fatty plaques (atherosclerosis), there's a risk of rupture and immediate blockage of blood flow to the myocardium. This is a heart attack.

Endurance exercise and statins both exhibit the useful property of making fatty plaques less viscous and more stable over time. In the long term, cyclists are therefore better protected from plaque ruptures than those who are new to cycling and exercise.

Case study #1

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यह कहानी Cycling Plus UK के April 2026 संस्करण से ली गई है।

हजारों चुनिंदा प्रीमियम कहानियों और 10,000 से अधिक पत्रिकाओं और समाचार पत्रों तक पहुंचने के लिए मैगज़्टर गोल्ड की सदस्यता लें।

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Cycling Plus UK

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