Paroxysmal atrial fibrillation in male endurance athletes. A 9-year follow up
Open accessAbstract
AIMS: To study the course and circumstances of atrial fibrillation in endurance sports. BACKGROUND: Atrial fibrillation is the main cause of symptoms in athletes and frequently disturbs the performance during the practising of sport. The course of the arrhythmia is seldom reported in this population. METHODS: In 1993 and 2002 symptoms and clinical presentation of atrial fibrillation were evaluated in 30 well-trained athletes with a specially designed questionnaire. RESULTS: In 1993 paroxysmal atrial fibrillation was present in 30 male athletes at the mean age of 48.1 +/- 7.8, 3 (10%) of them also had paroxysmal atrial flutter. Three (10%) of the athletes died before 2002. In 2002 paroxysmal atrial fibrillation continued in 15 (50%) athletes, permanent atrial fibrillation emerged in 5 (17%) athletes and 7 (23%) of them showed no further atrial fibrillation. In 1993 paroxysms of atrial fibrillation started at a relatively low level of training intensity compared with the mean maximal training intensity of 11 +/- 7 versus 8 +/- 4 h/week (p < 0.05). The first attack of adrenergically induced paroxysmal atrial fibrillation was more often present in younger athletes (p < 0.005) and vagally induced paroxysmal atrial fibrillation was more apparent in older athletes (p < 0.05). In 10 (38%) of the athletes a familiar form of paroxysmal atrial fibrillation was present. CONCLUSION: A small proportion of the athletes (26%) was asymptomatic. Paroxysmal atrial fibrillation remained stable in half of the athletes whereas the arrhythmia changed into permanent atrial fibrillation in a minority of this population.
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Only vigorous exertion and endurance training have been evaluated for atrial fibrillation risk, and largely only in retrospective case-control studies and case series of younger athletes and middle-aged adults.
“However, only vigorous exertion and endurance training have been evaluated, and largely only in retrospective case-control studies and case series of younger athletes and middle-aged adults.5–11”
From Physical Activity and Incidence of Atrial Fibrillation in Older Adults: The Cardiovascular Health Study (2008) · cites this paper as [8]
Vigorous exertion and endurance training have been reported to increase atrial fibrillation risk.
“Vigorous exertion and endurance training have been reported to increase atrial fibrillation (AF).”
From Physical Activity and Incidence of Atrial Fibrillation in Older Adults: The Cardiovascular Health Study (2008) · cites this paper as [8]
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- Authors
- Hoogsteen, J.
- Affiliations
- Máxima Medisch Centrum (NL)
- Corresponding author
- Hoogsteen, J
- ORCID
- Hoogsteen, J
- Venue
- Europace
- Publisher
- Oxford University Press (OUP)
- Published
- 2004-05
- Volume
- 6
- Issue
- 3
- Pages
- 222-228
- ISSN
- 1099-5129 (ISSN-L)
- OpenAlex
- W2144718138
- Cited by
- 134
- References
- 30
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 2 · 2023: 3 · 2022: 5 · 2021: 2 · 2020: 11 · 2019: 7 · 2018: 8 · 2017: 12 · 2016: 4 · 2015: 11 · 2014: 13 · 2013: 8 · 2012: 6
- FWCI
- 1.30
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- EP Europace (publishedVersion)
- PubMed (publishedVersion)
- 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
- paroxysmal atrial fibrillation, endurance athletes, male athletes, long-term follow-up, permanent atrial fibrillation, atrial flutter, exercise intensity, asymptomatic atrial fibrillation
- MeSH terms
- Adult, Aged, Atrial Fibrillation, Autonomic Nervous System, Follow-Up Studies, Humans, Male, Middle Aged, Physical Endurance, Surveys and Questionnaires, Sports, Time Factors, Disease Progression
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