Prediction of atrioventricular conduction disturbance after ablation of persistent atrial fibrillation

Chikata, Akio; Kato, Takeshi; Usuda, Kazuo; Fujita, Shuhei; Maruyama, Michiro; Otowa, Kanichi; Tsuda, Toshihide; Hayashi, Kenshi; Takamura, Masayuki

doi:10.1016/j.jelectrocard.2023.03.005

Cited by 1 publication

(1 citation statement)

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“…Regardless of the manifestation, both types of AF episode warrant consideration of pulmonary vein isolation (PVI). However, understanding of these variations is crucial, as they represent distinct stages of heart overload during physical exertion [ 29 , 30 ].…”

Section: Specific Aspects Of Af In Athletesmentioning

confidence: 99%

Wide Spectrum of Bradyarrhythmias and Supraventricular Tachyarrhythmias in Sportsmen: Run Forrest, Run?!

Kampka,

Drabczyk,

Piłka

et al. 2024

Rev. Cardiovasc. Med.

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The intricate relationship between sports participation and cardiac arrhythmias is a key focus of cardiovascular research. Physical activity, integral to preventing atherosclerotic cardiovascular disease, induces structural, functional, and electrical changes in the heart, potentially triggering arrhythmias, particularly atrial fibrillation (AF). Despite the cardiovascular benefits, the optimal exercise amount remains unclear, revealing a J-shaped association between AF and exercise. Endurance athletes, particularly males, face elevated AF risks, influenced by age. Risk factors vary among sports modalities, with unique physiological responses in swim training potentially elevating AF risk. Clinical management of AF in athletes necessitates a delicate balance between rhythm control, rate control, and anticoagulation therapy. Sport-induced bradyarrhythmias, including sinus bradycardia and conduction disturbances, are prevalent among athletes. Managing bradycardia in athletes proves challenging due to its complex and not fully understood pathophysiology. Careful consideration is required, particularly in symptomatic cases, where pacemaker implantation may be necessary for sinus node dysfunction. Although pacing is recommended for specific atrioventricular (AV) blocks, milder forms often prevail without restricting sports participation. This review explores the nuanced relationship between exercise and tachy- and bradyarrhythmia in athletes, addressing the challenges clinicians face when optimizing patient care in this distinctive population.

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Section: Specific Aspects Of Af In Athletesmentioning

confidence: 99%