Arrhythmias and sport practice
Open accessAbstract
Regular exercise has proven to be a healthy habit that decreases risk factors and atherosclerosis; however, it increases the risk of ventricular arrhythmias and sudden death in individuals with pre-existing cardiac diseases.Generalised pre-participation screening programmes are being increasingly implemented; however, their cost effectiveness has not yet been clearly established.More recently, data suggest that athlete's heart, secondary to long term endurance sport practice, may increase the incidence of arrhythmias, particularly atrial fibrillation (AF), atrial flutter, sinus node dysfunction, and eventually right ventricular tachycardia.Given the fact that an increasing number of individuals engage in regular endurance sport practice, it is certainly of great interest to define which recommendations for sport practice should be implemented in an individual patient and determine how best to manage arrhythmias in sport practitioners.
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Intense endurance exercise may be associated with an excess in arrhythmic disorders.
“However, there is also emerging evidence that intense endurance exercise may be associated with an excess in arrhythmic disorders, the mechanisms for which remain unexplained.38 -41”
From Exercise-induced right ventricular dysfunction and structural remodelling in endurance athletes (2012) · cites this paper as [41]
High-intensity endurance sport practice has been related to an increased risk of atrial fibrillation.
“On the other hand, high-intensity endurance sport practice has been related to an increased risk of atrial fibrillation.96”
From Management of patients with palpitations: a position paper from the European Heart Rhythm Association (2011) · cites this paper as [96]
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Cites
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ResultSinus node disease and arrhythmias in the long-term follow-up of former professional cyclists
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Long-lasting sport practice and lone atrial fibrillation
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Endurance sport practice as a risk factor for atrial fibrillation and atrial flutter
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Self-citationSport practice and the risk of lone atrial fibrillation: a case-control study
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2021 ESC Guidelines on cardiovascular disease prevention in clinical practice
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Exercise-induced right ventricular dysfunction and structural remodelling in endurance athletes
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Raviele, A., Giada, F., Bergfeldt, L., Blanc, J. J., Blomstrom-Lundqvist, C., Mont, L., Morgan, J. M., Raatikainen, M. J. P., Steinbeck, G., Viskin, S., et al. (2011) · Europace · doi:10.1093/europace/eur130 · Cited by 149 · see citing works
Self-citationLa Gerche, A., Inder, W. J., Roberts, T. J., Brosnan, M. J., Heidbuchel, H., & Prior, D. L. (2015) · PLOS ONE · doi:10.1371/journal.pone.0130031 · Cited by 80 · see citing works
- Authors
- Mont, L.
- Venue
- Heart
- Publisher
- BMJ
- Published
- 2010-03
- Volume
- 96
- Issue
- 5
- Pages
- 398-405
- ISSN
- 1355-6037 (ISSN-L)
- 1468-201X
- OpenAlex
- W2125119734
- Cited by
- 38
- References
- 23
- Citations by year
- 2026: 1 · 2024: 1 · 2023: 3 · 2022: 2 · 2021: 6 · 2020: 2 · 2019: 2 · 2018: 1 · 2017: 3 · 2016: 4 · 2015: 4 · 2014: 4 · 2012: 2
- FWCI
- 1.10
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Heart (publishedVersion)
- PubMed (publishedVersion)
- RECERCAT (Consorci de Serveis Universitaris de Catalunya) (publishedVersion)
- Dipòsit Digital de la Universitat de Barcelona (Universitat de Barcelona) (submittedVersion, public-domain)
- Hispana (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
- exercise-induced arrhythmia, athlete's heart, endurance training, sudden cardiac death, pre-participation screening, atrial fibrillation, atrial flutter, sick sinus syndrome, right ventricular tachycardia, exercise recommendations
- MeSH terms
- Arrhythmias, Cardiac, Female, Humans, Male, Risk Factors, Sports, Syncope, Exercise, Death, Sudden, Cardiac
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