The DOI matches its Crossref record; 64 of the 64 references it cites were found in a registry or an index.
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.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“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]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins.
Haïssaguerre, M., Jaïs, P., Shah, D. C., Takahashi, A., Hocini, M., Quiniou, G., Garrigue, S., Mouroux, A. L., Métayer, P. L., & Clémenty, J. (1998) · New England Journal of Medicine · doi:10.1056/nejm199809033391003 · Cited by 8,040
Right Ventricular Cardiomyopathy and Sudden Death in Young People
Thiene, G., Nava, A. K., Corrado, D., Rossi, L., & PENNELLI, N. (1988) · New England Journal of Medicine · doi:10.1056/nejm198801213180301 · Cited by 1,614
Self-citationSudden Death in Young Athletes
Maron, B. J. (2003) · New England Journal of Medicine · doi:10.1056/nejmra022783 · Cited by 1,394
Does sports activity enhance the risk of sudden death in adolescents and young adults?
Corrado, D., Basso, C., Rizzoli, G., Schiavon, M., & Thiene, G. (2003) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2003.03.002 · Cited by 1,311
Self-citationCorrado, D., Pelliccia, A., Björnstad, H. H., Vanhees, L., Biffi, A., Börjesson, M., Panhuyzen-Goedkoop, N. M., Deligiannis, A. P., Solberg, E. E., Dugmore, D., et al. (2005) · European Heart Journal · doi:10.1093/eurheartj/ehi108 · Cited by 1,118
Self-citationScreening for Hypertrophic Cardiomyopathy in Young Athletes
Corrado, D., Basso, C., Schiavon, M., & Thiene, G. (1998) · New England Journal of Medicine · doi:10.1056/nejm199808063390602 · Cited by 997
Self-citationPelliccia, A. (2005) · European Heart Journal · doi:10.1093/eurheartj/ehi325 · Cited by 983
Self-citationBlomstrom-Lundqvist (2003) · doi:10.1161/01.cir.0000091380.04100.84 · Cited by 955
Prescott, E., & On behalf of the Danish task force (2006) · European Heart Journal · doi:10.1093/eurheartj/ehl342 · Cited by 875
Atrial Electroanatomic Remodeling After Circumferential Radiofrequency Pulmonary Vein Ablation
Pappone, C., Oreto, G., Rosanio, S., Vicedomini, G., Tocchi, M., Gugliotta, F., Salvati, A., DICANDIA, C. D., Calabrò, M. P., Mazzone, P., et al. (2001) · Circulation · doi:10.1161/hc4601.098517 · Cited by 855
Task Force 8: Classification of sports
Mitchell, J. H., Haskell, W. L., Snell, P. G., & Camp, S. P. V. (2005) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2005.02.015 · Cited by 774
Blomström‐Lundqvist, C., Scheinman, M. M., Aliot, E., Alpert, J. S., Calkins, H. G., Camm, A. J., Campbell, W. B., Haines, D. E., Kück, K., Lerman, B. B., et al. (2003) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2003.08.013 · Cited by 684
Maron, B. J., & Zipes, D. P. (2005) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2005.02.006 · Cited by 616
Maron, B. J., Chaitman, B. R., Ackerman, M. J., Bayés de Luna, A., Corrado, D., Crosson, J. E., Deal, B. J., Driscoll, D. J., Estes, N. A. M., Araújo, C. G. S., et al. (2004) · Circulation · doi:10.1161/01.cir.0000128363.85581.e1 · Cited by 591
Self-citationOutpatient treatment of recent-onset atrial fibrillation with the “Pill-in-the-Pocket” approach
Alboni, P., Botto, G. L., Baldi, N., Luzi, M., Russo, V., Gianfranchi, L., Marchi, P., Calzolari, M., Solano, A., Baroffio, R., et al. (2004) · New England Journal of Medicine · doi:10.1056/nejmoa041233 · Cited by 479
Prevalence and Clinical Significance of Left Atrial Remodeling in Competitive Athletes
Pelliccia, A., Maron, B. J., Di Paolo, F. M., Biffi, A., Quattrini, F. M., Pisicchio, C., Roselli, A., Caselli, S., & Culasso, F. (2005) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2005.04.052 · Cited by 443
Self-citationHeidbüchel, H. (2003) · European Heart Journal · doi:10.1016/s0195-668x(03)00282-3 · Cited by 395
Wu, D., Denes, P., AMAT-Y-LEON, F., Dhingra, R. C., Wyndham, C. R. C., Bauernfeind, R. A., Latif, P., & Rosen, K. M. (1978) · The American Journal of Cardiology · doi:10.1016/0002-9149(78)90856-1 · Cited by 389
Wren, C. (2005) · European Heart Journal · doi:10.1093/eurheartj/ehi379 · Cited by 377
Long-lasting sport practice and lone atrial fibrillation
Mont, L. (2002) · European Heart Journal · doi:10.1053/euhj.2001.2802 · Cited by 331
Lone atrial fibrillation in vigorously exercising middle aged men: case-control study
Karjalainen, J., Kujala, U. M., Kaprio, J., Sarna, S., & Viitasalo, M. (1998) · BMJ · doi:10.1136/bmj.316.7147.1784 · Cited by 326
Electrocardiographic changes in 1000 highly trained junior elite athletes.
Sharma, S., Whyte, G. P., Elliot, P. M., Padula, M., Kaushal, R., Mahon, N., & McKenna, W. J. (1999) · British Journal of Sports Medicine · doi:10.1136/bjsm.33.5.319 · Cited by 282
Pappone, C., Santinelli, V., Rosanio, S., Vicedomini, G., Nardi, S., Pappone, A., Tortoriello, V., Manguso, F., Mazzone, P., Gulletta, S., et al. (2003) · Journal of the American College of Cardiology · doi:10.1016/s0735-1097(02)02706-7 · Cited by 276
Aborted sudden death in the Wolff-Parkinson-White syndrome
Timmermans, C., Smeets, J. L. R. M., Rodriguez, L.-M., Vrouchos, G., van den Dool, A., & Wellens, H. J. J. (1995) · The American Journal of Cardiology · doi:10.1016/s0002-9149(99)80136-2 · Cited by 274
Warfarin Anticoagulation and Outcomes in Patients With Atrial Fibrillation
Reynolds, M. W., Fahrbach, K. R., Hauch, O., Wygant, G. D., Estok, R. P., Cella, C., & Nalysnyk, L. (2004) · CHEST Journal · doi:10.1378/chest.126.6.1938 · Cited by 262
Intrinsic sinus and atrioventricular node electrophysiologic adaptations in endurance athletes
Stein, R., Medeiros, C. M., Rosito, G. A., Zimerman, L. I., & Ribeiro, J. P. (2002) · Journal of the American College of Cardiology · doi:10.1016/s0735-1097(02)01722-9 · Cited by 236
Radiofrequency ablation in children with asymptomatic Wolff-Parkinson-White syndrome
Pappone, C., Manguso, F., Santinelli, R., Vicedomini, G., Sala, S., Paglino, G., Mazzone, P., Lang, C. C., Gulletta, S., Augello, G., et al. (2004) · New England Journal of Medicine · doi:10.1056/nejmoa040625 · Cited by 214
ECG variants and cardiac arrhythmias in athletes: Clinical relevance and prognostic importance
Zehender, M., Meinertz, T., Keul, J., & Just, H. (1990) · American Heart Journal · doi:10.1016/s0002-8703(05)80189-9 · Cited by 195
Ambulatory electrocardiographic recording in endurance athletes.
Viitasalo, M. T., Kala, R., & Eisalo, A. (1982) · Heart · doi:10.1136/hrt.47.3.213 · Cited by 194
Task Force 1: Preparticipation screening and diagnosis of cardiovascular disease in athletes
Maron, B. J., Douglas, P. S., Graham, T. P., Nishimura, R. A., & Thompson, P. D. (2005) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2005.02.007 · Cited by 181
Endurance sports is a risk factor for atrial fibrillation after ablation for atrial flutter
Heidbüchel, H., Anné, W., Willems, R., Adriaenssens, B., Van de Werf, F., & Ector, H. (2006) · International Journal of Cardiology · doi:10.1016/j.ijcard.2005.02.043 · Cited by 180
Twenty-Four Hour Continuous ECG Recordings in Long-Distance Runners
Talan, D. A., Bauernfeind, R. A., Ashley, W. W., Kanakis, C., & Rosen, K. M. (1982) · CHEST Journal · doi:10.1378/chest.82.1.19 · Cited by 169
(1998) · PubMed · Cited by 152
Self-citationLévy, S. (2003) · EP Europace · doi:10.1053/eupc.2002.0300 · Cited by 147
Effect of Right Atrial Isthmus Ablation on the Occurrence of Atrial Fibrillation
Nabar, A., Rodriguez, L., Timmermans, C. C., van den Dool, A., Smeets, J. L. R. M., & Wellens, H. J. J. (1999) · Circulation · doi:10.1161/01.cir.99.11.1441 · Cited by 127
Ambulatory Electrocardiographic Findings in Top Athletes, Athletic Students and Control Subjects
Bjørnstad, H., Storstein, L., Meen, H. D., & Hals, O. (2008) · Cardiology · doi:10.1159/000176327 · Cited by 110
Schmieder, S. (2003) · European Heart Journal · doi:10.1016/s0195-668x(02)00846-1 · Cited by 101
Atrial fibrillation and anabolic steroids
Sullivan, M. L., Martinez, C., & Gallagher, E. J. (1999) · Journal of Emergency Medicine · doi:10.1016/s0736-4679(99)00095-5 · Cited by 97
Electrocardiographic findings in male veteran endurance athletes.
Northcote, R. J., Canning, G., & Ballantyne, D. (1989) · Heart · doi:10.1136/hrt.61.2.155 · Cited by 91
Calkins, H. G., Seifert, M., & Morady, F. (1995) · American Heart Journal · doi:10.1016/0002-8703(95)90398-4 · Cited by 82
Wenckebach second-degree A-V block in top-ranking athletes: an old problem revisited
Zeppilli, P., Fenici, R., Sassara, M., Pirrami, M. M., & Caselli, G. (1980) · American Heart Journal · doi:10.1016/0002-8703(80)90140-4 · Cited by 82
Gaïta, F., Giustetto, C., Riccardi, R., Mangiardi, L., & Brusca, A. (1989) · The American Journal of Cardiology · doi:10.1016/0002-9149(89)90426-8 · Cited by 78
Anné, W., Willems, R., der Merwe, N. V., de Werf, F. V., Ector, H., & Heidbüchel, H. (2004) · Heart · doi:10.1136/hrt.2003.023069 · Cited by 76
Ar, A. N., Rodriguez, L., Timmermans, C. C., van den Dool, A., Smeets, J. L. R. M., & Wellens, H. J. J. (2000) · Springer eBooks · doi:10.1007/978-94-011-4110-9_62 · Cited by 75
BRADYCARDIA, VENTRICULAR PAUSES, SYNCOPE, AND SPORTS
Ector, H., Verlinden, M. H., Eynde, E. V., Bourgois, J., Hermans, L., Fagard, R. H., & Geest, H. D. (1984) · The Lancet · doi:10.1016/s0140-6736(84)90593-2 · Cited by 66
Prevalence of ventricular preexcitation in Japanese schoolchildren
Sano, S., Komori, S., Amano, T., Kohno, I., Ishihara, T., Sawanobori, T., Ijiri, H., & Tamura, K. (1998) · Heart · doi:10.1136/hrt.79.4.374 · Cited by 65
Brembilla-Perrot, B., Houriez, P., Beurrier, D., Claudon, O., Chaise, A. T. D. L., & Louis, P. (2001) · International Journal of Cardiology · doi:10.1016/s0167-5273(01)00459-4 · Cited by 56
Jensen‐Urstad, K., Bouvier, F., Saltin, B., & Jensen‐Urstad, M. (1998) · Heart · doi:10.1136/hrt.79.2.161 · Cited by 53
Reithmann, C. (2003) · European Heart Journal · doi:10.1016/s0195-668x(03)00233-1 · Cited by 44
The Asymptomatic Patient with the Wolff‐Parkinson‐White Electrocardiogram
Wellens, H. J. J., RODRIGUEZ, L. M., Timmermans, C. C., & Smeets, J. L. R. M. (1997) · Pacing and Clinical Electrophysiology · doi:10.1111/j.1540-8159.1997.tb03633.x · Cited by 42
[The prevalence of the Wolff-Parkinson-White syndrome in a population of 116,542 young males].
Sorbo, M. D., Buja, G., Miorelli, M., Nistri, S., Perrone, C., Manca, S., Grasso, F., Giordano, G. M., & Nava, A. K. (1995) · PubMed · Cited by 32
Syncope in patients with atrial flutter during treatment with class Ic antiarrhythmic drugs
Kawabata, M., Hirao, K., Horikawa, T., Suzuki, K., Motokawa, K., Suzuki, F., Azegami, K., & Hiejima, K. (2001) · Journal of Electrocardiology · doi:10.1054/jelc.2001.22034 · Cited by 29
Schuger, C. D., Mittleman, R. S., Habbal, B., Wagshal, A. B., & Huang, S. K. S. (1992) · Pacing and Clinical Electrophysiology · doi:10.1111/j.1540-8159.1992.tb03132.x · Cited by 28
Jain, P., Kaul, U., & Wasir, H. S. (1992) · International Journal of Cardiology · doi:10.1016/0167-5273(92)90079-i · Cited by 19
Pulse generator failure due to blunt trauma
Gould, L., Betzu, R., Taddeo, M., Judge, J. D., & Lee, J. (1988) · Clinical Cardiology · doi:10.1002/clc.4960110814 · Cited by 19
Pacing lead fracture after a deceleration injury
GRIECO, J. G., Scanlon, P. J., & Pifarré, R. (1989) · The Annals of Thoracic Surgery · doi:10.1016/0003-4975(89)90393-7 · Cited by 18
Pacemaker Lead Fracture Associated with Weightlifting: A Report of Tow Cases
Deering, J. A., & Pederson, D. N. (1993) · Military Medicine · doi:10.1093/milmed/158.12.833 · Cited by 17
Pacemaker Lead Failure Suggestive of Crush Injury
Altun, A., & Erdoğan, O. (2003) · Cardiology in Review · doi:10.1097/01.crd.0000085179.87781.a3 · Cited by 14
Exner, D. V., Rothschild, J., Heal, S., & Gillis, A. M. (1997) · Journal of Interventional Cardiac Electrophysiology · doi:10.1023/a:1009708606035 · Cited by 13
The Effects of Equitation (Horseback Riding) on a Motion Responsive DDDR Pacemaker
Lamas, G. A., & KEEFE, J. M. (1990) · Pacing and Clinical Electrophysiology · doi:10.1111/j.1540-8159.1990.tb04010.x · Cited by 13
Delayed Pinpoint Exposure of a Pacemaker Following Seat Belt Trauma
Sakakibara, Y. (1997) · Pacing and Clinical Electrophysiology · doi:10.1111/j.1540-8159.1997.tb06187.x · Cited by 12
Complete section of pacemaker lead due to subclavian crush
Noble, S., Burri, H., & Sunthorn, H. (2005) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.2005.tb06854.x · Cited by 10
Deering, J. A., & Pederson, D. N. (1992) · Pacing and Clinical Electrophysiology · doi:10.1111/j.1540-8159.1992.tb03146.x · Cited by 10
[Cardiac rhythm in athletes: a Holter study of top level and ex-professional football players].
Bettini, R., Furlanello, F., Vecchiet, L., Resina, A., Visonà, L., Musilli, O., & Dallago, M. (1990) · PubMed · Cited by 3
Research works printed but not linked: 3
- Bettini R, 1990, G Ital Cardiol, 20, 810
- Sorbo MD, 1995, G Ital Cardiol, 25, 681
- Furlanello F, 1998, J Cardiovasc Electrophysiol, 9, S63
Cited by
Sorted by citations
2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS
Kirchhof, P. F., Benussi, S., Kotecha, D., Ahlsson, A., Atar, D., Casadei, B., Castellà, M., Diener, H., Heidbüchel, H., Hendriks, J., et al. (2016) · EP Europace · doi:10.1093/europace/euw295 · Cited by 6,438
2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS
Kirchhof, P., Benussi, S., Kotecha, D., Ahlsson, A., Atar, D., Casadei, B., Castella, M., Diener, H.-C., Heidbuchel, H., Hendriks, J., et al. (2016) · European Heart Journal · doi:10.1093/eurheartj/ehw210 · Cited by 6,418
Guidelines for the management of atrial fibrillation
Authors/Task Force Members, Camm, A. J., Kirchhof, P. F., Lip, G. Y. H., Schotten, U., Savelieva, I., Ernst, S., Gelder, I. C. V., Al‐Attar, N., Hindricks, G., et al. (2010) · European Heart Journal · doi:10.1093/eurheartj/ehq278 · Cited by 5,954
2021 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy
Glikson, M., Nielsen, J. C., Kronborg, M. B., Michowitz, Y., Auricchio, A., Barbash, I. M., Barrabés, J. A., Boriani, G., Braunschweig, F., Brignole, M., et al. (2021) · European Heart Journal · doi:10.1093/eurheartj/ehab364 · Cited by 2,019
Guidelines for the management of atrial fibrillation
Authors/Task Force Members, Camm, A. J., Kirchhof, P. F., Lip, G. Y. H., Schotten, U., Savelieva, I., Ernst, S., Gelder, I. C. V., Al‐Attar, N., Hindricks, G., et al. (2010) · EP Europace · doi:10.1093/europace/euq350 · Cited by 1,764
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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review