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The Haywire Heart


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Table of Contents

List of IllustrationsPrefaceIntroduction1 How the Heart Works | Case Study: Gene Kay, cross-country skier | Premature ventricular complexes2 The Athlete's Heart | Case Study: Jenni Lutze, triathlete | Premature ventricular complexes3 Heart Attacks, Arrhythmias, and Endurance Athletes | Case Study: Micah True, ultrarunner | Undiagnosed4 The Evidence | Case Study: Mike Endicott, cyclist and cross-country skier | Ventricular Tachycardia5 What to Look for in Yourself | Case Study: Genevieve Halvorsen, cyclist | Atrial Fibrillation6 Getting the News | Case Study: Mark Taylor, cyclist and mountaineer | Undiagnosed7 Addiction to Exertion | Case Study: Dave Scott, triathlete | Atrial Flutter, Atrial Fibrillation8 Treatment Options for Athlete Arrhythmia | Case Study: Paul Ernst, cross-country skier | Heart failure due to dilated cardiomyopathy9 The Takeaway | Case Study: Jason Agosta, runner | Highly symptomatic paroxysmal atrial fibrillationEpilogueAcknowledgmentsNotesGlossaryIndexAbout the Authors

Promotional Information

* There are 40 million endurance athletes in America. 80% of all endurance athletes are between age 30 and 55.* Endurance athletes are hooked on their sports. The average endurance athlete typically exercises 3-6 times per week for at least 4 hours. Triathletes train 5-6 days per week, often over 20 hours. Serious runners cover 20-40 miles or more in a week. * ARCs will reach endurance sports and health/fitness media.

About the Author

Chris Case is the managing editor of VeloNews, and author of "Cycling to Extremes," the groundbreaking VeloNews story that brought the problem of the athlete's heart to widespread attention. Dr. John Mandrola is a cardiac electrophysiologist in Louisville, Kentucky, and is himself an active cyclist who had atrial fibrillation. Lennard Zinn was a member of the U.S. national racing team and is a lifelong endurance athlete. He has reported on major stories for VeloNews for 30 years and is the author of the world's best-selling guide to bicycle maintenance and repair.


"A great resource to learn about warning signs, treatment options, and so on." -- Runner's World magazine "A must-read for any dedicated athlete--it examines the symptoms to watch for, what to do about your risks, and how to protect your heart so you can (safely) enjoy sports for the rest of your life." --Triathlete magazine "In the long term, warn the American authors of a new book, extreme exercisers could be setting themselves up for serious consequences." -- The Times "The Haywire Heart does give one reason to pause and consider...Anyone who does intense or long endurance training, especially over many years, should read this book." -- "Zinn and fellow authors Chris Case and John Mandrola, a cardiac electrophysiologist and cyclist with atrial fibrillation, do a good job of looking at all the angles." -- Canadian Cycling magazine

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