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Heart Health Awareness for Cyclists
By Bryan Martinez
Posted: 2025-03-03T02:12:00Z


We are excited to announce Dr. Fernando Roth as a PAA member and cardiologist of our newest Diamond Sponsor, Foothill Cardiology Medical Group.


Heart disease remains the leading cause of disability and death in the United States and around the world. Hypertension is the leading cause of strokes, heart failure, kidney disease, and heart attacks. High cholesterol is also a risk factor for atherosclerosis, or plaque buildup within the arteries feeding the heart and brain.


Preventing Heart Disease

Many people with high blood pressure or high cholesterol are unaware of their condition until it’s too late. High blood pressure, often called the “silent killer,” does not cause symptoms until a stroke or heart attack occurs. While exercise and fitness, such as cycling, significantly improve health, they are not the only factors in heart disease prevention. Genetics play a crucial role in cardiovascular risk, and there are too many cases of seemingly “healthy” athletes dying from sudden heart attacks.


A Simple Screening Test: The Coronary Calcium Scan

One effective and relatively inexpensive test that cardiologists use to screen for heart disease is the coronary calcium scan.

  • It is a quick, non-invasive, and low-radiation CT scan of the heart.
  • It measures calcium buildup in the arteries, which correlates with plaque buildup and predicts future heart attack and stroke risk.
  • Cost: Around $200 (not covered by insurance, but may be eligible for HSA or FSA funds).
  • Important Note: This test is unrelated to calcium levels in blood tests or how much milk you drink.


Key Factors in Heart Disease Prevention

While exercise, diet, weight control, stress reduction, not smoking, and good sleep all contribute to heart health, untreated high blood pressure or high cholesterol is dangerous. Fortunately, there are many inexpensive, safe, and effective medications available to manage these risk factors.


Who Should Get a Coronary Calcium Scan?

  • Recommended for: Individuals over 50 (some begin at 40).
  • Not necessary for: Those under 40, as the likelihood of detection is too low.
  • Where to get one: Most radiology facilities (ask your doctor for an order).


Final Thoughts

I encourage my fellow cyclists to get screened for high blood pressure and high cholesterol and to consider a coronary calcium scan if you are in the recommended age range.


If you have any questions, I’m happy to discuss this further.


Best wishes for a healthy and happy year of riding! 🚴‍♂️💙


www.foothillcardiology.com