This clinical consensus statement outlines the evaluation and management of cardiovascular abnormalities in Masters athletes, highlighting increased prevalence of atrial and ventricular arrhythmias, coronary atherosclerosis, aortic dilatation, myocardial fibrosis, and exercise-induced cardiomyopathy despite high fitness levels. It shows individualized risk stratification and shared decision-making, noting that current management largely extrapolates from non-athletic populations and highlighting the need for athlete-specific evidence to guide screening, treatment, and exercise recommendations.

Source: JACC