Radiofrequency Catheter Ablation of Atrial Fibrillation in Athletes Referred for Disabling Symptoms Preventing Usual Training Schedule and Sport Competition

Furlanello, F; Lupo, Pierpaolo; Pittalis, Mario; Foresti, Sara; Vitali-Serdoz, Laura; Francia, Pietro; Ambroggi, Guido De; Ferrero, Paolo; Nardi, Stefano; Inama, Giuseppe; Ambroggi, L. De; Cappato, Riccardo

doi:10.1111/j.1540-8167.2007.01077.x

Cited by 100 publications

(62 citation statements)

References 27 publications

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“…Therefore, among younger patients with lone AF and normal or minimally remodelled LA, not only higher efficiency but also more stable long term effects of catheter ablation can be expected. Thus, after RF catheter ablation procedures with PV isolation performed in middle-aged athletes with idiopathic AF (mean age 44 years), 90% of the patients were free of AF at 3-year follow-up [61]. Similarly, after the PV isolation using cryoballoon technique, symptomatic AF was eliminated in 89% of younger patients (mean age 44 years, 83% males) with lone AF and normal size of the LA during the period of 14 months after the procedure [60].…”

Section: Figure 3 Catheter Ablation Of Persistent Af: Pv Isolation Amentioning

confidence: 99%

Catheter Ablation of Lone Atrial Fibrillation

Mujović

Marinković²,

Potpara³

et al. 2014

CPD

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Atrial fibrillation is the most common sustained arrhythmia in clinical practice, associated with increased mortality, risk of stroke and heart failure, as well as the reduction of the quality of life. Atrial fibrillation may be encountered in young otherwise healthy individuals, due to the isolated electrophysiological disorder limited mostly to the pulmonary veins and posterior left atrial wall, or associated with the presence of advanced underlying heart disease and numerous cardiac and non-cardiac comorbidities with significant structural remodeling of the atrial myocardium. Due to limited efficacy and serious side effects of antiarrhythmic drugs, catheter ablation of atrial fibrillation, based on the pulmonary vein isolation for paroxysmal atrial fibrillation and adjunctive substrate modification for persistent atrial fibrillation, has emerged as an attractive and promissing alternative therapeutic option for selected patients with atrial fibrillation. In this review article, we discuss the electrophysiological left atrial abnormalities underlying lone atrial fibrillation and the role of pulmonary veins in pathophysiology of arrhythmia, and we summarize results of the studies on the long term outcome of catheter ablation of atrial fibrillation, as well as the studies on comparison of antiarrhythmic drugs with catheter ablation for treatment of atrial fibrillation. In addition, we present available data that provide better understanding of mechanisms, diagnosis, prevention and treatment of specific procedure-related complications and discuss current periprocedural anticoagulation strategies and their impact on the thromboembolic risk reduction.

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Section: Figure 3 Catheter Ablation Of Persistent Af: Pv Isolation Amentioning

confidence: 99%

Catheter Ablation of Lone Atrial Fibrillation

Mujović

Marinković²,

Potpara³

et al. 2014

CPD

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“…Both flecainide and propafenone can be used with the pill in the pocket approach to atrial fibrillation, 105 which may be attractive in some athletes. Although data documenting the success of catheter-based ablation for atrial fibrillation in athletes are sparse, 106,107 this is an appropriate strategy for certain individuals.…”

Section: Baggish and Woodmentioning

confidence: 99%

Athlete's Heart and Cardiovascular Care of the Athlete

2011

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“…In athletes, a study by Furlanello et al [47] described a 90%-success after a mean of two ablation procedures in 20 athletes without major complications.…”

Section: Management Of Af In Athletesmentioning

confidence: 99%

Prevalence, mechanism and management of atrial fibrillation in athletes

Calvo¹,

Mont²

2011

Cardiovasc Med

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SummaryAtrial fibrillation (AF) is the most commonly encountered arrhythmia in clinical practice with an estimated prevalence of 0.4% to 1% in the general population [1], increasing with age to 8% in those older than 80 years [2]. The recognised risk factors for developing AF include age, structural heart disease, hypertension, diabetes mellitus and hyperthyroidism [3]. However, the mechanisms underlying the onset and maintenance of AF in patients younger than 60 years in whom no cardiovascular disease or any other known causal factor is present are yet to be clarified. This condition is termed lone AF [4], and may be responsible for as many as 30% of patients with paroxysmal AF seeking medical attention [5,6].It is well known that regular exercise is beneficial to health and reduces the risks of cardiovascular diseases [7,8]. However, recent studies suggest that longterm endurance exercise may increase the incidence of AF [9][10][11][12][13][14][15][16].This review article is intended to analyse the possible links between AF and endurance sport practice, the pathophysiological mechanisms responsible for this association and the recommended therapeutic options.

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Radiofrequency Catheter Ablation of Atrial Fibrillation in Athletes Referred for Disabling Symptoms Preventing Usual Training Schedule and Sport Competition

Abstract: AF, alone or in combination with AFL, may significantly impair maximal effort capacity thereby limiting competitive performance. Multiple PV isolation proved very effective in these patients to restore full competitive activity and allow reeligibility.

Cited by 100 publications

References 27 publications

Catheter Ablation of Lone Atrial Fibrillation

Catheter Ablation of Lone Atrial Fibrillation

Athlete's Heart and Cardiovascular Care of the Athlete

Prevalence, mechanism and management of atrial fibrillation in athletes

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