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Does regular exercise guarantee a healthy heart? My brother runs more than 40 miles a week, but has occasional chest pain. He attributes it to stress, and says he can't possibly have heart disease since his fitness level is so high. Is this true? Many people mistakenly believe that regular vigorous exercise will make them immune to heart disease. Physical fitness reduces, but does not eliminate, cardiovascular risk. Heart disease can occur even in people with no risk factors. While stress can be the cause of chest pain, it's important not to rule out heart disease just to be on the safe side. FM Barbara A. Brehm, Ed.D., is professor of exercise and sport studies at Smith College, Northampton, Mass.
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