When Cycling Performance Drops, This Is How Cardiologists Investigate
Автор: Nigel Stephens
Загружено: 2026-01-09
Просмотров: 11
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When performance drops and training feels harder than it should, many cyclists assume it is age, fitness, or form. Sometimes it is. Often, it is not that simple.
In this clip, consultant cardiologist and competitive cyclist Dr Nigel Stephens explains how unexplained performance decline is properly assessed. Rather than guessing, he outlines a structured, systematic approach that starts with detailed conversation and clinical examination before moving to objective testing.
This includes looking for hidden but important causes such as anaemia, heart valve disease, or cardiovascular inefficiency that may not be obvious at rest. Dr Stephens explains how cardiopulmonary exercise testing on the bike, measuring heart rate, blood pressure and breathing gases, can reveal what is really happening under load.
This is essential viewing for cyclists and endurance athletes who feel something is off, even when they appear healthy, and want clarity rather than assumptions.
Subscribe for more clear, evidence based conversations on heart health, performance and endurance sport.
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