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Cited by 134Cardiovascular Effects of ExerciseAtrial Fibrillation Management and OutcomesCardiac electrophysiology and arrhythmias

The DOI matches its Crossref record; 30 of the 30 references it cites were found in a registry or an index.

Paroxysmal atrial fibrillation in male endurance athletes. A 9-year follow up

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Hoogsteen, J·2004·Europace
DOI 10.1016/j.eupc.2004.01.004
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Abstract

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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  1. Douglas C, Montgomery G. Applied statistics probability for engineers. New York, USA: John Wiley; 1999.
  2. Hoogsteen J, Schep G, Huige MC, Hoogeveen A, Mosterd WL, Panhuyzen-Goedkoop NM. Atriumfibrilleren bij duur- sport. Cardiologie 1997;12:506e9.
  3. Schep G. Eerste hulpproblemen bij triathlon en andere duursporten. Aard en omvang, risico inschatting, preventie en behandeling. Vlaams tijdschrift sportgeneeskunde. Sportwet 1993;54:101e26.
  4. Lehman M. Trainingeovertraining. A prospective, experi- mental study with experienced middle-and long-distance runners. Int J Sports Med 1991;12:444e52.

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Metadata

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)
DOI
10.1016/j.eupc.2004.01.004
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
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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