Atrial fibrillation in endurance athletes

@article{Wilhelm2014AtrialFI,
  title={Atrial fibrillation in endurance athletes},
  author={Matthias Wilhelm},
  journal={European Journal of Preventive Cardiology},
  year={2014},
  volume={21},
  pages={1040 - 1048}
}
  • M. Wilhelm
  • Published 1 August 2014
  • Medicine
  • European Journal of Preventive Cardiology
There is a growing population of veteran endurance athletes, regularly participating in training and competition. Although the graded benefit of exercise on cardiovascular health and mortality is well established, recent studies have raised concern that prolonged and strenuous endurance exercise may predispose to atrial and ventricular arrhythmias. Atrial fibrillation (AF) and atrial flutter are facilitated by atrial remodelling, atrial ectopy, and an imbalance of the autonomic nervous system… 

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References

SHOWING 1-10 OF 68 REFERENCES

Atrial fibrillation ablation in athletes: an Olympic challenge?

  • L. Boersma
  • Education
    Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology
  • 2010
TLDR
The Barcelona group extends their research by examining the results of ablation in athletes with AF, and suggests changes may affect the electrophysiological properties of the atria and promote reentry and focal activity, which are established mechanisms for AF.

Efficacy of circumferential pulmonary vein ablation of atrial fibrillation in endurance athletes

  • N. CalvoL. Mont J. Brugada
  • Medicine
    Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology
  • 2010
TLDR
Circumferential pulmonary vein ablation was as effective in AF secondary to endurance sport practice as in other aetiologies of AF.

Gender differences of atrial and ventricular remodeling and autonomic tone in nonelite athletes.

Atrial remodeling, autonomic tone, and lifetime training hours in nonelite athletes.

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

  • J. HoogsteenG. SchepN. V. van HemelE. E. van der Wall
  • Medicine
    Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology
  • 2004

Long-lasting sport practice and lone atrial fibrillation.

TLDR
Long-term vigorous exercise may predispose to atrial fibrillation and the proportion of sportsmen among patients with lone atrialfibrillation is much higher than that reported in the general population of Catalonia.

Long-term endurance sport practice increases the incidence of lone atrial fibrillation in men: a follow-up study.

  • L. MolinaL. Mont R. Elosúa
  • Medicine
    Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology
  • 2008
TLDR
Long-term endurance sport practice is associated with a higher risk of symptomatic LAF in men, and this risk is related with a larger left atrial inferosuperior diameter and volume in physically active subjects.

Inflammation and atrial remodeling after a mountain marathon

TLDR
Marathon running was associated with a transient conduction delay in the atria, acute inflammation and increased atrial wall tension, which may reflect exercise‐induced atrial myocardial edema and may contribute to atrial remodeling over time, generating a substrate for atrial arrhythmias.

Atrial fibrillation in elite athletes.

TLDR
AF, occurring in young elite athletes and affecting only males, is one of the most frequent causes of prolonged palpitations and is reproduced easily by transesophageal atrial pacing or electrophysiologic testing.

Early repolarization, left ventricular diastolic function, and left atrial size in professional soccer players.

...