Editorial| Volume 17, ISSUE 1, P1-2, January 2023

From the editor: Intensive exercise and insights from women

      Soon I expect to see in clinic a woman in her mid-50s who exercises intensively, has only moderate hypercholesterolemia, and yet already has a positive coronary artery calcium (CAC) score near the 80th percentile for her age. Could her level of exercise actually have contributed to the high CAC score? Last year in my lipid clinic, 3 or maybe 4 patients described similar intensive exercise, usually over decades of life, and unexpectedly high CAC.
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