Differences in coronary vasodilatory capacity and atherosclerosis in endurance athletes using coronary CTA and computational fluid dynamics (CFD): Comparison with a sedentary lifestyle.

•Regular endurance training with a minimum of 1 hour per unit and 3 x week improves vasodilatory capacity and reduces high-risk and mixed non-calcified plaque burden.•In practice suggests plan, which may provide relief of angina chest pain due to improved vasodilatory capacity.•Coronary CTA with FFRCT may be useful for evaluation of CHD in endurance athletes.