2020
DOI: 10.1177/2047487320925635
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Recommendations for participation in leisure-time physical activity and competitive sports in patients with arrhythmias and potentially arrhythmogenic conditions: Part 1: Supraventricular arrhythmias. A position statement of the Section of Sports Cardiology and Exercise from the European Association of Preventive Cardiology (EAPC) and the European Heart Rhythm Association (EHRA), both associations of the European Society of Cardiology

Abstract: Symptoms attributable to arrhythmias are frequently encountered in clinical practice. Cardiologists and sport physicians are required to identify high-risk individuals harbouring such conditions and provide appropriate advice regarding participation in regular exercise programmes and competitive sport. The three aspects that need to be considered are: (a) the risk of life-threatening arrhythmias by participating in sports; (b) control of symptoms due to arrhythmias that are not life-threatening but may hamper … Show more

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Cited by 32 publications
(30 citation statements)
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References 122 publications
(148 reference statements)
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“…Current guidelines also encourage referral for invasive EPS when diagnostic uncertainty persists despite non-invasive evaluation. 12 This may help differentiate intranodal from infranodal AVB.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Current guidelines also encourage referral for invasive EPS when diagnostic uncertainty persists despite non-invasive evaluation. 12 This may help differentiate intranodal from infranodal AVB.…”
Section: Discussionmentioning
confidence: 99%
“…PR interval in the case presented was within normal ranges for an athletic individual. 1 The presence of syncope prompted further evaluation as per current guidelines, 12 using a systematic stepwise approach. 13 2:1 AVB raised the suspicion for significant conduction disease.…”
Section: Discussionmentioning
confidence: 99%
“…Shortest pre-excited RR interval (SPERRI) was suggested as marker of high-risk pathway; in later studies other parameters like APERP were proposed as useful [ 24 ]. Other recognised risk factors for SCD are younger age, multiple pathways, inducibility of the AVRT during EPS, and septal location of the accessory pathways [ 25 , 26 , 27 ].…”
Section: Discussionmentioning
confidence: 99%
“…Similarly, to competitive sports recommendations, RF ablation is mandatory if high-risk criteria are present. In the update of those guidelines published in 2020, the same approach is presented, initial non-invasive assessment is suggested for recreational athletes, and EPS should be offered for persistent preexcitation and competitive sports above the age of 12 years [ 4 , 26 ].…”
Section: Discussionmentioning
confidence: 99%
“…Several international societies, including the European Association of Preventive Cardiology, the European Heart Rhythm Association (EHRA), the European Society of Cardiology, and the AHA/ACC have published updated recommendation statements on the management of athletes with cardiovascular disease, and it is useful to refer to those consensus papers alongside this APSC consensus paper. [ 8 , 9 , 11 , 43 ]…”
Section: Consensus Statementsmentioning
confidence: 99%