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Recommendations for participation in leisure-time physical activity and competitive sports in patients with arrhythmias and potentially arrhythmogenic conditions Part I: Supraventricular arrhythmias and pacemakers
Open accessAbstract
This document by the Study Group on Sports Cardiology of the European Society of Cardiology extends on previous recommendations for sports participation for competitive athletes by also incorporating guidelines for those who want to perform recreational physical activity. For different supraventricular arrhythmias and arrhythmogenic conditions, a description of the relationship between the condition and physical activity is given, stressing how arrhythmias can be influenced by exertion or can be a reflection of the (patho)physiological cardiac adaptation to sports participation itself. The following topics are covered in this text: sinus bradycardia; atrioventricular nodal conduction disturbances; pacemakers; atrial premature beats; paroxysmal supraventricular tachycardia without pre-excitation; pre-excitation, asymptomatic or with associated arrhythmias (i.e. Wolff-Parkinson-White syndrome); atrial fibrillation; and atrial flutter. A related document discusses ventricular arrhythmias, channelopathies and implantable cardioverter defibrillators.
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“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 [11]
In the citing paper
“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 [11]
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Metadata
- Authors
- Hein, H., Panhuyzen-Goedkoop, N., Corrado, D., Hoffmann, E., Biffi, A., Delise, P., Blomstrom-Lundqvist, C., Vanhees, L., IvarHoff, P., Dorwarth, U., Pelliccia, A., & on behalf of the Study Group on Sports Cardiology of the European Association for Cardiovascular Prevention and Rehabilitation
- Affiliations
- Universitair Ziekenhuis Leuven (BE)
- Radboud University Medical Center (NL)
- University of Padua (IT)
- München Klinik Bogenhausen (DE)
- National Institute of Sports Medicine, Italian National Olympic Committee, Rome
- Department of Cardiology, Civil Hospital, Conegliano, Italy
- Department of Cardiology, University Hospital Uppsala, Uppsala, Sweden
- KU Leuven (BE)
- Haukeland University Hospital (NO)
- Corresponding author
- Hein, Heidbüchel
- Venue
- European Journal of Cardiovascular Prevention & Rehabilitation
- Publisher
- Oxford University Press (OUP)
- Published
- 2006-08
- Volume
- 13
- Issue
- 4
- Pages
- 475-484
- ISSN
- 1741-8267 (ISSN-L)
- OpenAlex
- W2126660170
- Cited by
- 134
- References
- 64
- Citations by year
- 2025: 2 · 2024: 5 · 2023: 5 · 2022: 2 · 2021: 9 · 2020: 10 · 2019: 5 · 2018: 7 · 2017: 9 · 2016: 9 · 2015: 10 · 2014: 5 · 2013: 6 · 2012: 13
- FWCI
- 5.45
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- European Journal of Cardiovascular Prevention & Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Effects of Exercise
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac pacing and defibrillation studies
- Keywords
- supraventricular arrhythmias, leisure-time physical activity, competitive sports participation, cardiac pacemaker, sinus bradycardia, premature atrial contractions, paroxysmal supraventricular tachycardia, Wolff-Parkinson-White syndrome, atrial fibrillation, atrial flutter, cardiac adaptation to exercise, sports cardiology
- MeSH terms
- Cardiac Pacing, Artificial, Humans, Leisure Activities, Motor Activity, Pacemaker, Artificial, Sports, Tachycardia, Supraventricular
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