Diagnosis, pathophysiology, and management of exercise-induced arrhythmias

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-a...

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Detalles Bibliográficos
Autores: Guasch i Casany, Eduard, Mont Girbau, Lluís
Tipo de recurso: artículo
Fecha de publicación:2017
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/130678
Acceso en línea:https://hdl.handle.net/2445/130678
Access Level:acceso abierto
Palabra clave:Arrítmia
Exercici
Atletes
Arrhythmia
Exercise
Track and field athletes
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spelling Diagnosis, pathophysiology, and management of exercise-induced arrhythmiasGuasch i Casany, EduardMont Girbau, LluísArrítmiaExerciciAtletesArrhythmiaExerciseTrack and field athletesThe 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.2017info:eu-repo/semantics/articleapplication/pdfhttps://hdl.handle.net/2445/130678Articles publicats en revistes (Medicina)reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaIngléshttps://doi.org/10.1038/nrcardio.2016.173Nature Reviews Cardiology, 2017, vol. 14, num. 2, p. 88-101https://doi.org/10.1038/nrcardio.2016.173info:eu-repo/grantAgreement/EC/H2020/633196, 2017info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/1306782026-05-27T06:46:51Z
dc.title.none.fl_str_mv Diagnosis, pathophysiology, and management of exercise-induced arrhythmias
title Diagnosis, pathophysiology, and management of exercise-induced arrhythmias
spellingShingle Diagnosis, pathophysiology, and management of exercise-induced arrhythmias
Guasch i Casany, Eduard
Arrítmia
Exercici
Atletes
Arrhythmia
Exercise
Track and field athletes
title_short Diagnosis, pathophysiology, and management of exercise-induced arrhythmias
title_full Diagnosis, pathophysiology, and management of exercise-induced arrhythmias
title_fullStr Diagnosis, pathophysiology, and management of exercise-induced arrhythmias
title_full_unstemmed Diagnosis, pathophysiology, and management of exercise-induced arrhythmias
title_sort Diagnosis, pathophysiology, and management of exercise-induced arrhythmias
dc.creator.none.fl_str_mv Guasch i Casany, Eduard
Mont Girbau, Lluís
author Guasch i Casany, Eduard
author_facet Guasch i Casany, Eduard
Mont Girbau, Lluís
author_role author
author2 Mont Girbau, Lluís
author2_role author
dc.subject.none.fl_str_mv Arrítmia
Exercici
Atletes
Arrhythmia
Exercise
Track and field athletes
topic Arrítmia
Exercici
Atletes
Arrhythmia
Exercise
Track and field athletes
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.
publishDate 2017
dc.date.none.fl_str_mv 2017
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/130678
url https://hdl.handle.net/2445/130678
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv https://doi.org/10.1038/nrcardio.2016.173
Nature Reviews Cardiology, 2017, vol. 14, num. 2, p. 88-101
https://doi.org/10.1038/nrcardio.2016.173
info:eu-repo/grantAgreement/EC/H2020/633196
dc.rights.none.fl_str_mv , 2017
info:eu-repo/semantics/openAccess
rights_invalid_str_mv , 2017
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv Articles publicats en revistes (Medicina)
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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