Exercise Testing for Risk Stratification of Ventricular Arrhythmias in the Athlete

Schmied, Christian; Brunckhorst, Corinna; Duru, Fırat; Haegeli, Laurent

doi:10.1016/j.ccep.2012.11.003

Cited by 5 publications

(2 citation statements)

References 110 publications

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“…Triggering or worsening of ventricular arrhythmia during exercise may point to underlying inherited cardiomyopathies or ion channel diseases and may predict malignant arrhythmic events at risk of SD during sports. 10,[30][31][32] In those athletes who are suspected of having an underlying cardiogenic cause of syncope, a careful echocardiographic evaluation of even subtle morphofunctional ventricular abnormalities is required. 33 Echocardiography is typically normal in CPVT, anomalous coronary arteries, Brugada syndrome, and LQTS.…”

Section: Second-and Third-level Examinationsmentioning

confidence: 99%

Syncope as a Warning Symptom of Sudden Cardiac Death in Athletes

et al. 2015

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Section: Second-and Third-level Examinationsmentioning

confidence: 99%

Syncope as a Warning Symptom of Sudden Cardiac Death in Athletes

et al. 2015

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“…Good advice for people older than 40 years, or those with existing risk factors, is to consult with a physician for risk stratification prior to beginning an endurance training program. As standard exercise stress testing has not been found to be helpful in screening extreme endurance athletes, it is unclear what the best method of risk stratification is in this population (30). If exercise testing is to be used, it should be as specific to the endurance activity as possible.…”

Section: Exercise Advicementioning

confidence: 99%

Effects of Excessive Endurance Activity on the Heart

Seidl

Asplund

2014

Current Sports Medicine Reports

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Regular moderate exercise confers many cardiovascular and health benefits. Because of this, endurance sports events have become very popular with participation increasing tremendously over the past few years. In conjunction with this increase in popularity and participation, people also have increased the amount that they exercise with many training for and competing in ultraendurance events such as ultradistance running events, iron distance triathlons, or multiday races. This excess endurance activity may appear to increase the risk of cardiac abnormalities, which may increase the risk for long-term morbidity or mortality. While it is known that moderate exercise has benefits to cardiovascular health, ultimately, the long-term cardiac effects of excessive endurance activity are unclear. What is clear, however, is that moderate exercise is beneficial, and to date, the evidence does not support recommending against physical activity.

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