{"id":1088,"date":"2025-11-18T04:18:33","date_gmt":"2025-11-18T04:18:33","guid":{"rendered":"https:\/\/kardio.pro\/?p=1088"},"modified":"2026-01-08T17:00:09","modified_gmt":"2026-01-08T17:00:09","slug":"cardiologist-for-marathon-safe-and-sound-over-the-42195-kilometers","status":"publish","type":"post","link":"https:\/\/kardio.pro\/en\/cardiologist-for-marathon-safe-and-sound-over-the-42195-kilometers\/","title":{"rendered":"Cardiologist for marathons: Safe and healthy over the 42.195 kilometers"},"content":{"rendered":"
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Cardiologist for marathons: Safe and healthy over the 42.195 kilometers<\/h1>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
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A cardiologist with marathon expertise is your most important medical partner for mastering the immense challenge of a marathon not only successfully, but above all in good heart health. The fascination of marathons is unbroken, but the extreme stress places the highest demands on the cardiovascular system. As a certified sports cardiologist (DGK) and experienced Cardiologist for marathon<\/b>Dr. Raphael Bruno offers you specialized care tailored to the unique needs of long-distance runners - from preventive care to performance optimization.<\/p>

The marathon and the heart: an extreme challenge<\/b><\/p>

A marathon is more than just a long race; it is a physiological stress test for the entire body. The heart has to provide an enormous pumping performance for hours, maintaining up to 80% of the maximum heart rate. This results in a considerable volume load, fluid and electrolyte shifts and stressing the heart muscle to its limits. A healthy, well-trained heart adapts to these demands. However, if undetected heart disease is present, this extreme strain can become a serious, even life-threatening risk. The task of the Cardiologists for marathons<\/b>-runner is to minimize this risk.<\/p>

The examination by the cardiologist before the marathon: the \u201eheart MOT\u201c<\/b><\/p>

Every runner planning a marathon - especially beginners and all athletes over the age of 35 - should have a sports cardiology examination beforehand. This \u201eheart check-up\u201c is the most important preventative measure to ensure that you start safely.<\/p>

Checklist for the marathon check-up<\/b><\/p>

Investigation part<\/p><\/td>

What is being done?<\/p><\/td>

Specific question for marathon runners<\/p><\/td><\/tr>

Sports anamnesis<\/b><\/b><\/p><\/td>

Detailed discussion about the scope of training, goals, previous experience and family history.<\/p><\/td>

Are there any indications of a genetic predisposition or training-related overload symptoms?<\/p><\/td><\/tr>

Physical examination<\/b><\/b><\/p><\/td>

Whole-body status with a focus on the heart, lungs and musculoskeletal system.<\/p><\/td>

Do you have any orthopaedic or internal problems that could affect your marathon training?<\/p><\/td><\/tr>

Resting ECG<\/b><\/b><\/p><\/td>

Recording of the heart rhythm at rest, evaluation according to athlete criteria.<\/p><\/td>

Does the ECG show typical, harmless athlete adaptations or indications of a pathological change?<\/p><\/td><\/tr>

Cardiac ultrasound (echo)<\/b><\/b><\/p><\/td>

Detailed representation of heart size, wall thickness, pumping function and heart valves.<\/p><\/td>

Is it a healthy \u201eathlete's heart\u201c or is there a pathological thickening (e.g. HCM)?<\/p><\/td><\/tr>

Exercise ECG<\/b><\/b><\/p><\/td>

Monitoring of ECG, blood pressure and rhythm up to maximum exertion on the ergometer.<\/p><\/td>

Do circulatory disorders, dangerous arrhythmias or a pathological rise in blood pressure occur under extreme stress?<\/p><\/td><\/tr>

Laboratory examination<\/b><\/b><\/p><\/td>

Blood count, kidney and liver values, electrolytes, iron status if necessary.<\/p><\/td>

Are there any deficiencies (e.g. iron deficiency anemia) that limit performance?<\/p><\/td><\/tr><\/tbody><\/table>

Cardiologist and marathon training: performance diagnostics for optimal control<\/b><\/p>

A Cardiologist for marathon<\/b>-Runner can do more than just check your health. Using sports medical performance diagnostics (lactate test or spiroergometry), we can put your training on a scientific basis. Instead of training according to standardized plans, we determine your individual heart rate and speed ranges. This allows us to precisely control your training in order to improve your basic endurance, your speed at the anaerobic threshold and your ability to regenerate. Such diagnostics are the key to avoiding over- and under-training and to achieving your best possible performance on race day.<\/p>

Warning signs during training: when to see a cardiologist before a marathon?<\/b><\/p>

Your body sends you signals. As a runner, you must learn to distinguish between normal training exhaustion and genuine warning symptoms. Never ignore the following \u201ered flags\u201c. If they occur, seek immediate Cardiologists for marathons<\/b>-preparation.<\/p>