Abstract
Sudden cardiac death in marathon runners is not a new problem. At increased risk are middle-aged men who are unaware of the risk of sub-clinical coronary atherosclerosis. For over a decade, Dr Arthur J Siegel at Harvard Medical School, USA has researched and published extensively on this topic in a bid to raise awareness of the risks of race-related cardiac arrest. He calls on healthcare providers to consider coronary artery calcium scoring to assess the anticipated benefit of pre-race aspirin for enhanced primary prevention. Humans have been partaking in long-distance running for thousands of years.
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