How will a heart murmur affect my exercise and long distance running?

Doctor's Answer

Thank you for the question and I can understand your concerns.

Firstly, its great that your investigations are normal - this is very reassuring in many aspects.

Secondly your GP has done the right thing by getting the investigations done - great job!

Murmurs in themselves may not be significant provided you are not having concurrent symptoms such as:

  • Chest pain
  • Dizziness/light-headedness
  • Palpitations or collapse etc.

If you are fit and well, exercising regularly and have no other cardiac or family risk factors, then you can develop a murmur from changes in keeping with an athletic heart.

In terms of your exercising in the future, it would be unusual if a murmur alone caused significant problems without other symptoms or cardiac pathologies.

If you are worried, it might be worth considering a Pre-participation Screening (PPS) which provides a wholistic assessment of you as an individual - this is useful even if you have been exercising for some time.

As Dr Nandakumar mentions, an Exercise Tolerance Test (ETT) is definitely worth considering - or a more thorough assessment can be obtained with a Cardio-Pulmonary Exercise Test (CPET).

Good luck with your running and keep fit!

BW

Dr Dinesh

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