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Changes in cardiac output during exercise increase blood cycling rate up to 21 L per minute in active individuals and 35 L per minute in elite athletes. Heart health and exercise performance are regulated by your cardiac output ability.
The effects of getting a fit heart leads to cardiac hypertrophy, a muscle adaptation as a result of increased work capacity. That is, there is a moderate increase in heart size and anatomies regardless of age as the result of an aerobic and anaerobic training program.