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college when I focused on 200s and 400s my mile time would improve Even my cross country times would improveIn the book you tell the story of your high school teammate Kevin Richards who collapsed and died at the end of a race because of a heart condition hypertrophic cardiomyopathy That's a different case where understanding your genes and how they interact with your running can have a major impact What can a parent of a young runner do to avoid such a tragedy  DE: Right now we're actually going in the wrong direction in terms of protecting athletes because an increasing number of states are allowing practitioners like chiropractors or even herbalists to do pre-participation screening for high school sports—and they have no cardiovascular training They are not going to know the difference between a heart murmur that's just from your heart getting stronger with training and one that could be dangerous We're talking about these really expensive solutions about screenings that are never going to happen giving every kid an EKG Never going to happen We're ignoring other low-cost solutions that can save some people—like having people who really have cardiovascular training do pre-participation screeningMany distance runners if not most are going to have a heart murmur when they're in really good shape Because your heart is a muscle like any muscle it grows when you work it out And so as you increase the strength of your heart you could have what's called a physiologic heart murmur that will go away when you get out of shape I would have a heart murmur when I would show up in high school or college and have my pre-participation physical Distance runners are very likely to be told—as my friend Kevin was—"You have a heart murmur but of course you do because you're a distance runner and in really good shape"I would encourage any parent of a distance runner who has a heart murmur to take them to a cardiologist particularly one who has a specialty in hypertrophic cardiomyopathy or at least is familiar with it because there are differences in the dangerous kind of heart murmur and the distance runner's heart murmur But only specialists can check thatIf someone in the family has died from cardiovascular reasons say before the age of 50 or even 60 and you can get DNA and find that they have one of the recognized genes for HCM then everybody in the family should get tested If they find out that you have this gene maybe you can get an implanted defibrillator That's an area where genetic testing has made some big differences for patients right now An athlete drops dead on a field at least every other week One in 500 Americans have the condition This is way more common than people thinkAre there any other very common preventable health risks that distance runners can learn about themselves through geneticsDE: That's the most obvious one but there are other heart conditions like Long Q-T Syndrome the other sudden death condition that people should look out for The reason we love running is it's great for us—except for the people who have some of these underlying conditions in which case it could be deadly to themPeople can now get tested for other “predisposition to injury” genes that have to do with tendons and ligaments Genes that code for collagens the so-called "body's glue" that basica (http://www.southbrookmc.com/wp/wp-content/themes/ample/product.php?name=b3q0a3-asica)lly holds your tissues together There’s a company that just started called Genomics A doctor has to order the test for a patie (http://www.southbrookmc.com/wp/wp-content/themes/ample/product.php?name=x9i0e6-tie)nt but that's pretty easy if a patient wants it I think people have to be careful about how much stock they put in the information because it just tells you a little bit of information about certain risk factorsThere are other things you can do—you can strengthen sport muscles You can stay out of certain environments It's the same reason people rehab after having surgery so they prevent a certain injury that they're predisposed to having from happening againWhat do you want distance runners who read your book to take away from itDE: One thing that occurred to me as I was putting this together is that some things that we think are genetics might not be and other things that we think are completely acts of will—like the drive to train—might actually have very important genetic components So really even though we sort of fit stories to what we think is going on we can't observe the genetics; we don't know what's really going onI would say to any distance runner: If you train with a partner and you're not getting the same results out of it as he or she is the problem is very likely you in the deepest sense of the word It's probably your genetics and you should try something different I was often afraid to try different training methods You get into a groove and you don't really want to change things and distance runners are creatures of 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Read the original story [23]
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