Efficacy of radiofrequency catheter ablation in athletes with atrial fibrillation

Koopman, Pieter; Nuyens, Dieter; Garweg, Christophe; Gerche, André La; Buck, Stijn De; Casteren, Lieve Van; Alzand, Becker S. N.; Willems, Rik; Heidbüchel, Hein

doi:10.1093/europace/eur142

Cited by 93 publications

(49 citation statements)

References 30 publications

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“…Beta-adrenolityki nie są dobrze tolerowane, a czasami są zabronione, natomiast digoksyna, werapamil i diltiazem często nie działają wystarczająco silnie, aby zwolnić częstość rytmu komór w obrębie AF podczas wysiłku. Wyniki ablacji przezcewnikowej AF u sportowców są prawdopodobnie podobne jak u niesportowców [908,909], ale potrzeba więcej danych. Stosowano również strategię "leku w kieszeni" (pill in the pocket) [620].…”

Section: Uprawianie Sportu a Migotanieunclassified

2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS

Kirchhof

Benussi

Kotecha³

et al. 2016

Kardiol Pol

2,399

4,206

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Section: Uprawianie Sportu a Migotanieunclassified

2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS

Kirchhof

Benussi

Kotecha³

et al. 2016

Kardiol Pol

2,399

4,206

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“…Finally, Koopman et al 52 showed in a series of 59 endurance athletes suffering from paroxysmal focally induced AF, that PV isolation was as effective in athletes as in other patients after three years follow-up. The aforementioned studies, although not allowing for clear conclusions to be made (due to the small number of subjects and the relatively limited follow-up period), suggest that exercise continuation does not appear to act as a trigger for AF evolution after PV isolation.…”

Section: Pulmonary Vein Ablationmentioning

confidence: 98%

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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“…Finally, despite pauses well in excess of 3 s being reported, few subjects were deemed to need intervention, the vast majority had no subsequent squealae that could be attributed to athletic participation13. There are increased risk of AF in athletes 14,15,16 .…”

Section: Arrythmias Caused or Precipitated By Exercisementioning

confidence: 99%

Arrythmiasin Athletes: What Is New?

Tyagi¹

2018

jmscr

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Efficacy of radiofrequency catheter ablation in athletes with atrial fibrillation

Abstract: In patients with documented focal induction of non-permanent AF and absence of structural heart disease, PVI is as effective in endurance athletes as in other patients.

Cited by 93 publications

References 30 publications

2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS

2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS

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

Arrythmiasin Athletes: What Is New?

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