Paroxysmal atrial fibrillation in male endurance athletes. A 9-year follow up

Hoogsteen, Jan

doi:10.1016/j.eupc.2004.01.004

Cited by 110 publications

(68 citation statements)

References 23 publications

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“…350,351 Indeed, AF is the primary arrhythmia observed in middle-aged athletes. 352 AF in athletes tends to be paroxysmal, vagally mediated, and highly symptomatic.…”

Section: Section 3: Modifiable Risk Factors For Af and Impact On Ablamentioning

confidence: 99%

See 1 more Smart Citation

2012 HRS/EHRA/ECAS Expert Consensus Statement on Catheter and Surgical Ablation of Atrial Fibrillation: Recommendations for Patient Selection, Procedural Techniques, Patient Management and Follow-up, Definitions, Endpoints, and Research Trial Design

Calkins,

Kuck,

Cappato

et al. 2012

Heart Rhythm

1,762

1,468

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“…350,351 Indeed, AF is the primary arrhythmia observed in middle-aged athletes. 352 AF in athletes tends to be paroxysmal, vagally mediated, and highly symptomatic.…”

Section: Section 3: Modifiable Risk Factors For Af and Impact On Ablamentioning

confidence: 99%

“…350 Professional athletes represent a unique treatment dilemma because medical therapy for AF might not only reduce athletic performance but it could also be prohibited in some sports. 369 …”

Section: Section 3: Modifiable Risk Factors For Af and Impact On Ablamentioning

confidence: 99%

2012 HRS/EHRA/ECAS Expert Consensus Statement on Catheter and Surgical Ablation of Atrial Fibrillation: Recommendations for Patient Selection, Procedural Techniques, Patient Management and Follow-up, Definitions, Endpoints, and Research Trial Design

Calkins,

Kuck,

Cappato

et al. 2012

Heart Rhythm

1,762

1,468

View full text Add to dashboard Cite

“…Although few data support the concept that limitation of sports activities can have favourable outcomes in athletes with AF, 16,42 it is advisable to look for cases where arrhythmia may be a manifestation of excessive engagement in sports training. In these cases, a period of detraining for three months to achieve and maintain sinus rhythm is advocated, while the degree of improvement during this resting period will determine whether athletes are allowed to resume their training.…”

Section: Management Of Atrial Fibrillation In Athletesmentioning

confidence: 99%

“…A study by Hoogsteen et al showed that lone AF did not demonstrate a severe evolution and is well-tolerated in most athletes. 42 It is also essential, before proceeding to specific therapies for AF, to exclude and treat appropriately other possible causes of the arrhythmia, such as hyperthyroidism, myocarditis, pericarditis, WPW syndrome, channelopathies and hypertrophic cardiomyopathy, as well as alcohol consumption and use of illicit sympathomimetic substances.…”

Section: Management Of Atrial Fibrillation In Athletesmentioning

confidence: 99%

Endurance Sport Activity and Risk of Atrial Fibrillation – Epidemiology, Proposed Mechanisms and Management

Fragakis

Vicedomini

Pappone

2011

Arrhythmia &Amp; Electrophysiology Review

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Although atrial fibrillation (AF) is considered the most common arrhythmia in clinical practice, its prevalence is relatively low in the young and middle-aged, ranging from 0.5 % in men below 40 years to 1 % by 60 years.1,2 Regular exercise is proposed as a powerful tool for the primary and secondary prevention of cardiovascular disease, reducing most of the risk factors that predispose to AF, such as hypertension, diabetes mellitus, coronary artery disease and obesity.3,4 However, there is growing evidence that long-term endurance exercise may increase the risk of developing AF, with a reported 2-10 times greater prevalence in athletes and those who are involved in long-term sport participation. 5Why athletes should be susceptible to AF is an issue of ongoing debate. Several mechanisms underlying the association between exercise and AF have been proposed but they remain speculative.It is of interest that adaptations such as sinus bradycardia and atrioventricular node disturbances, which are generally considered benign and reversible after a short period of detraining, have been considered by some investigators as a reason for AF development in elderly athletes. 6 It is clear that AF in athletes has some differences in cause, clinical presentation and treatment strategies compared with the general population. The aim of this short review is to present the existing data about the epidemiology of AF in athletes and those engaged in long-term endurance sport practice, to analyse the pathophysiological mechanisms that connect AF with exercise, and finally to discuss the existing treatment options. Prevalence and Incidence of Atrial Fibrillation in Endurance Sport Practice and in Vigorous Physical ActivityThe prevalence of AF in the athletic community varies considerably dependent on the age and the number of years of training of the subjects. It is essential to make a distinction between studies including young athletes with only a few years of training and those with middle-aged or older individuals practising sports for many years.Whereas the incidence of AF in young athletes appears similar to that observed in the general population, in older athletes an increased incidence of AF is reported. 6,[8][9][10][11][12][13][14][15] Furlanello et al. 16 and Pelliccia et al. 17 reported a low rate of AF (0.2 % and 0.3 %, respectively), no different from that observed in the general population. However, both studies included exclusively young athletes with relatively fewer years of training. In contrast, several other studies of middle-aged athletes, who were engaged in sport training for many years, demonstrated an increased prevalence of AF compared with the rest of the population (see Table 1). A common characteristic among all these studies was that the participating athletes were predominately male and they were involved in endurance sports. The prevailing pattern of AF was the so-called vagal lone AF, as it was usually encountered in relatively young individuals (<60 years old) without clinical or echocardiographic e...

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“…[14][15][16] First, they are typically young or middle-aged adults and have practiced endurance sports for several years. Several studies [9][10][11][12][13] indicate that young or middle-aged athletes who had undergone longterm high intensity training have the highest incidence of AF. Second, it is more prevalent in male than female athletes.…”

Section: Characteristics Of Af In Athletesmentioning

confidence: 99%

Atrial Fibrillation in Athletes - The Story Behind The Running Hearts

Po¹,

Li²,

Zhang³

et al. 2010

J.A.F.I.B

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Paroxysmal atrial fibrillation in male endurance athletes. A 9-year follow up

Abstract: A small proportion of the athletes (26%) was asymptomatic. Paroxysmal atrial fibrillation remained stable in half of the athletes whereas the arrhythmia changed into permanent atrial fibrillation in a minority of this population.

Cited by 110 publications

References 23 publications

2012 HRS/EHRA/ECAS Expert Consensus Statement on Catheter and Surgical Ablation of Atrial Fibrillation: Recommendations for Patient Selection, Procedural Techniques, Patient Management and Follow-up, Definitions, Endpoints, and Research Trial Design

2012 HRS/EHRA/ECAS Expert Consensus Statement on Catheter and Surgical Ablation of Atrial Fibrillation: Recommendations for Patient Selection, Procedural Techniques, Patient Management and Follow-up, Definitions, Endpoints, and Research Trial Design

Endurance Sport Activity and Risk of Atrial Fibrillation – Epidemiology, Proposed Mechanisms and Management

Atrial Fibrillation in Athletes - The Story Behind The Running Hearts

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