Efficacy of circumferential pulmonary vein ablation of atrial fibrillation in endurance athletes
Open accessAbstract
AIMS: Long-term endurance sport practice has been increasingly recognized as a risk factor for lone atrial fibrillation (AF). However, data on the outcome of circumferential pulmonary vein ablation (CPVA) in endurance athletes are scarce. The aim of the study was to evaluate the efficacy of CPVA in AF secondary to endurance sport practice. METHODS AND RESULTS: Patients submitted to CPVA answered a questionnaire about lifetime history of endurance sport practice. Endurance athletes were defined as those who engaged in >3 h per week of high-intensity exercise for at least the 10 years immediately preceding their AF diagnosis. A series of 182 consecutive patients was included (51 +/- 11 years, 65% with paroxysmal AF, 81% men, 42 +/- 6 mm mean left atrial diameter); 107 (59%) patients had lone AF, and 42 of them (23% of the study population) were classified as endurance athletes (lone AF sport group). Freedom from arrhythmia after a single CPVA was similar in the lone AF sport group compared with the remaining patients (P = 0.446). Left atrial size and long-standing AF were the only independent predictors for arrhythmia recurrence after ablation. CONCLUSION: Circumferential pulmonary vein ablation was as effective in AF secondary to endurance sport practice as in other aetiologies of AF.
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Catheter ablation for AF probably has similar outcomes in athletes as in non-athletes.
“Catheter ablation for AF probably has similar outcomes in athletes as in non-athletes, 908, 909”
From 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS (2016) · cites this paper as [908]
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- Authors
- Calvo, N., Mont, L., Tamborero, D., Berruezo, A., Viola, G., Guasch, E., Nadal, M., Andreu, D., Vidal, B., Sitges, M., & Brugada, J.
- Affiliations
- Hospital Clínic de Barcelona (ES)
- Corresponding author
- Mont, L.
- ORCID
- Venue
- Europace
- Publisher
- Oxford University Press (OUP)
- Published
- 2009-11-18
- Volume
- 12
- Issue
- 1
- Pages
- 30-36
- ISSN
- 1099-5129 (ISSN-L)
- 1532-2092
- PMC
- PMC2793023
- OpenAlex
- W2072828510
- Cited by
- 121
- References
- 41
- Citations by year
- 2026: 5 · 2025: 2 · 2024: 8 · 2023: 2 · 2022: 3 · 2021: 11 · 2020: 11 · 2019: 6 · 2018: 8 · 2017: 13 · 2016: 7 · 2015: 2 · 2014: 12 · 2013: 7 · 2012: 8
- FWCI
- 5.13
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- other-oa
- Locations
- EP Europace (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Funders
- Agència de Gestió d'Ajuts Universitaris i de Recerca
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Effects of Exercise
- Keywords
- atrial fibrillation, endurance athletes, circumferential pulmonary vein ablation, lone atrial fibrillation, arrhythmia recurrence, left atrial size, long-standing atrial fibrillation, catheter ablation outcomes
- MeSH terms
- Atrial Fibrillation, Female, Humans, Male, Middle Aged, Physical Endurance, Pulmonary Veins, Risk Factors, Spain, Incidence, Catheter Ablation, Risk Assessment, Secondary Prevention, Athletes
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