Atrial Fibrillation in Endurance Athletes
Abstract
Exercise training has considerable health benefits. However, recent research has demonstrated a greater risk of atrial arrhythmias in endurance athletes. The mechanisms promoting atrial fibrillation in athletes are unclear but there seems to be a central role for atrial remodeling, accompanied by autonomic alterations and inflammation. Animal studies have provided unique insights, yet prospective human data are lacking. Treatment options seem to yield similar efficacy to that seen in a nonathletic population and may be justified as an early rhythm control strategy. Further studies are required to enhance understanding of the cardiac adaptations to intensive exercise training.
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Theories suggest that complex mechanisms may contribute to AF, including alterations in autonomic tone, systemic inflammation, electrical remodeling, and LA enlargement and fibrosis.
“Theories suggest that complex mechanisms may contribute to AF, including alterations in autonomic tone, systemic inflammation, electrical remodeling, and LA enlargement and fibrosis [12,44,45,46,47,48,49,50].”
From Atrial Fibrillation in Elite Athletes: A Comprehensive Review of the Literature (2024) · cites this paper as [44]
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References 71 · Cited by 30
- Authors
- Elliott, A. D., Mahajan, R., Lau, D. H., & Sanders, P.
- Affiliations
- Royal Adelaide Hospital (AU)
- Corresponding author
- Elliott, Adrian D.
- Venue
- Cardiology Clinics
- Publisher
- Elsevier BV
- Published
- 2016-11
- Volume
- 34
- Issue
- 4
- Pages
- 567-578
- ISSN
- 0733-8651 (ISSN-L)
- OpenAlex
- W2523610033
- Cited by
- 30
- References
- 71
- Citations by year
- 2026: 4 · 2025: 2 · 2024: 1 · 2023: 3 · 2022: 1 · 2021: 4 · 2020: 4 · 2019: 1 · 2018: 5 · 2017: 5
- FWCI
- 0.65
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Cardiology Clinics (publishedVersion)
- PubMed (publishedVersion)
- Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion)
- Funders
- University of Adelaide
- National Health and Medical Research Council
- National Heart Foundation of Australia
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Effects of Exercise
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Keywords
- atrial fibrillation, endurance athletes, atrial remodeling, autonomic dysfunction, inflammation, exercise training, atrial arrhythmias, rhythm control, cardiac adaptation to exercise
- MeSH terms
- Atrial Fibrillation, Electrocardiography, Humans, Physical Endurance, Disease Management, Athletes, Cardiac Resynchronization Therapy, Atrial Remodeling
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