A study of Australian Ironman Triathlon finishers strongly suggests ultra-endurance athletes can cause damage to their heart muscle that can result in abnormal heart rhythms.
This problem specifically affects the right ventricle. It was found in nearly 90 percent of ultra-endurance athletes.
The study was performed on 15 athletes; they were examined both before and several days following the Triathlon. The athletes had both electrocardiograms and echocardiograms taken, and their blood was analyzed for creatine kinase (CK) and other chemical markers of myocardial injury.