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Cited by 327Cardiovascular Effects of ExerciseAtrial Fibrillation Management and OutcomesCardiac electrophysiology and arrhythmias

The DOI matches its Crossref record; 33 of the 33 references it cites were found in a registry or an index.

Long-term endurance sport practice increases the incidence of lone atrial fibrillation in men: a follow-up study

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Molina, Lluis, Mont, Lluis, Marrugat, Jaume, Berruezo, Antonio, Brugada, Josep, Bruguera, Jordi, Rebato, Carolina, Elosua, Roberto·2008·EP Europace
DOI 10.1093/europace/eun071
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Abstract

AIMS: The aim of this study is to determine the incidence of lone atrial fibrillation (LAF) in males according to sport practice and to identify possible clinical markers related to LAF among marathon runners. METHODS AND RESULTS: A retrospective cohort study was designed. A group of marathon runners (n = 252) and a population-based sample of sedentary men (n = 305) recruited in 1990-92 and 1994-96, respectively, were contacted in 2002-03 and invited to attend an outpatient clinic to identify suggestive symptoms of having experienced an arrhythmia requiring medical attention. In those with suggestive symptoms of atrial fibrillation, medical records were reviewed. Finally, LAF was diagnosed on the basis of the presence of atrial fibrillation in an electrocardiographic recording. In the group of marathon runners, an echocardiogram was performed at inclusion and at the end of the study. The annual incidence rate of LAF among marathon runners and sedentary men was 0.43/100 and 0.11/100, respectively. Endurance sport practice was associated with a higher risk of incident LAF in the multivariate age- and blood pressure-adjusted Cox regression models (hazard ratio = 8.80; 95% confidence interval: 1.26-61.29). In the group of marathon runners, left atrial inferosuperior diameter and left atrial volume were both associated with a higher risk of incident LAF. CONCLUSION: Long-term endurance sport practice is associated with a higher risk of symptomatic LAF in men. This risk is associated with a larger left atrial inferosuperior diameter and volume in physically active subjects.

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  1. American College of Sports Medicine, 1991, Guidelines for Graded Exercise Testing and Exercise Prescriptions, 55
  2. Feigenbaum, 2005, Left atrium, right atrium, and right ventricle, 181

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Metadata

Authors
Molina, L., Mont, L., Marrugat, J., Berruezo, A., Brugada, J., Bruguera, J., Rebato, C., & Elosua, R.
Affiliations
  • Consorci Institut D'Investigacions Biomediques August Pi I Sunyer (ES)
  • Hospital Del Mar (ES)
ORCID
Venue
EP Europace
Publisher
Oxford University Press (OUP)
Published
2008-04-04
Volume
10
Issue
5
Pages
618-623
ISSN
  • 1099-5129 (ISSN-L)
  • 1532-2092
DOI
10.1093/europace/eun071
OpenAlex
W2115776782
Cited by
327
References
33
Citations by year
2026: 9 · 2025: 11 · 2024: 16 · 2023: 16 · 2022: 17 · 2021: 23 · 2020: 19 · 2019: 17 · 2018: 25 · 2017: 20 · 2016: 24 · 2015: 27 · 2014: 15 · 2013: 26 · 2012: 21
FWCI
9.50
Type
journal article
Language
en
Open access
Locations
  • EP Europace (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • Sociedad Española de Cardiología
  • Societat Catalana de Cardiologia
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
lone atrial fibrillation, endurance exercise, marathon runners, atrial fibrillation incidence, left atrial volume, sedentary men, men
MeSH terms
Adult, Atrial Fibrillation, Follow-Up Studies, Humans, Male, Middle Aged, Physical Endurance, Physical Fitness, Retrospective Studies, Risk Factors, Running, Spain, Exercise, Incidence, Risk Assessment

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