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Diagnosis, pathophysiology, and management of exercise-induced arrhythmias

Nature reviews cardiology, 2017-02, Vol.14 (2), p.88-101 [Peer Reviewed Journal]

COPYRIGHT 2017 Nature Publishing Group ;COPYRIGHT 2017 Nature Publishing Group ;Copyright Nature Publishing Group Feb 2017 ;2017 info:eu-repo/semantics/openAccess ;ISSN: 1759-5002 ;EISSN: 1759-5010 ;DOI: 10.1038/nrcardio.2016.173 ;PMID: 27830772

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Title:
Diagnosis, pathophysiology, and management of exercise-induced arrhythmias
Author: Guasch, Eduard ; Mont, Lluís
Subjects: Arrhythmia ; Arrhythmias, Cardiac - diagnosis ; Arrhythmias, Cardiac - etiology ; Arrhythmias, Cardiac - physiopathology ; Arrhythmias, Cardiac - therapy ; Arrítmia ; Athletes ; Atletes ; Atrial Fibrillation - diagnosis ; Atrial Fibrillation - etiology ; Atrial Fibrillation - physiopathology ; Atrial Fibrillation - therapy ; Care and treatment ; Diagnosis ; Exercici ; Exercise ; Exercise - physiology ; Health aspects ; Humans ; Risk Factors ; Track and field athletes ; Ventricular Fibrillation - diagnosis ; Ventricular Fibrillation - etiology ; Ventricular Fibrillation - physiopathology ; Ventricular Fibrillation - therapy
Is Part Of: Nature reviews cardiology, 2017-02, Vol.14 (2), p.88-101
Description: The cardiovascular benefits of physical activity are indisputable. Nevertheless, growing evidence suggests that both atrial fibrillation and right ventricular arrhythmia can be caused by intense exercise in some individuals. Exercise-induced atrial fibrillation is most commonly diagnosed in middle-aged, otherwise healthy men who have been engaged in endurance training for >10 years, and is mediated by atrial dilatation, parasympathetic enhancement, and possibly atrial fibrosis. Cardiac ablation is evolving as a first-line tool for athletes with exercise-induced arrhythmia who are eager to remain active. The relationship between physical activity and right ventricular arrhythmia is complex and involves genetic and physical factors that, in a few athletes, eventually lead to right ventricular dilatation, followed by subsequent myocardial fibrosis and lethal ventricular arrhythmias. Sinus bradycardia and atrioventricular conduction blocks are common in athletes, most of whom remain asymptomatic, although incomplete reversibility has been shown after exercise cessation. In this Review, we summarize the evidence supporting the existence of exercise-induced arrhythmias and discuss the specific considerations for the clinical management of these patients.
Publisher: England: Nature Publishing Group
Language: English
Identifier: ISSN: 1759-5002
EISSN: 1759-5010
DOI: 10.1038/nrcardio.2016.173
PMID: 27830772
Source: Recercat
AUTh Library subscriptions: ProQuest Central
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Diagnosis, pathophysiology, and management of exercise-induced arrhythmias

COPYRIGHT 2017 Nature Publishing Group ;COPYRIGHT 2017 Nature Publishing Group ;Copyright Nature Publishing Group Feb 2017 ;2017 info:eu-repo/semantics/openAccess ;ISSN: 1759-5002 ;EISSN: 1759-5010 ;DOI: 10.1038/nrcardio.2016.173 ;PMID: 27830772

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