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Cited by 15Cardiovascular Effects of ExerciseCardiac Arrhythmias and TreatmentsCardiac electrophysiology and arrhythmias

Managing athletes with palpitations of unknown origin with an external loop recorder: A cohort study

SCIARRA, Luigi, CAVARRETTA, Elena, SICILIANI, Stefania, SETTE, Antonella, SCARÀ, Antonio, GRIECO, Domenico, DE RUVO, Ermenegildo, PALAMÀ, Zefferino +5 more·2022·The Journal of Sports Medicine and Physical Fitness
DOI 10.23736/s0022-4707.21.12831-2
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Abstract

Background Palpitations in athletes are usually benign, but the presence of major cardiac arrhythmias should be ruled out despite the infrequent appraisal of symptoms. External loop recorders (ELR) are promising to identify arrhythmias in these circumstances, but experiences in athletes are lacking. We aimed to investigate the feasibility and diagnostic yield of an ELR in athletes with unexplained palpitations in a cohort study. Methods One hundred twenty-two consecutive subjects (61 athletes and 61 sedentary controls) with sporadic palpitations and inconclusive diagnosis were enrolled and equipped with an ELR. Findings were categorized as major and minor arrhythmic findings, non-arrhythmic findings or negative monitoring. Results Long-term ELR monitoring was feasible in all subjects, with median duration of 12 (11; 15) days. Major arrhythmic events during palpitations were found in 9 (14.8%) athletes: 7 experienced sustained paroxysmal supraventricular tachycardia, and 2 had non sustained ventricular tachycardia. Minor arrhythmic events (premature supraventricular or ventricular beats) were observed in 13 athletes (21.3%). Non-arrhythmic findings (i.e., sinus rhythm or sinus tachycardia) were recorded in 28 athletes (45.9%), whereas 11 (18%) had negative monitoring. In the sedentary group, arrhythmic events were similar for types and frequency to athletes. The diagnostic yield of loop monitoring was 82.8% in the overall population and 82.0% in the athlete's group. Conclusion…

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Crossref · 10.23736/s0022-4707.21.12831-2

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  • A U-shaped relationship exists between male elite athletes and AF, suggesting both type (endurance) and dose (hours of training) of physical activity relate to AF development.

    “A U-shaped relationship between male elite athletes and AF is demonstrated through this finding, suggesting that both the type (endurance) and the dose (hours of training) of physical activity seem to relate to AF development [14,18,19,20,21].”

    From Atrial Fibrillation in Elite Athletes: A Comprehensive Review of the Literature (2024) · cites this paper as [20]

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Authors
SCIARRA, L., CAVARRETTA, E., SICILIANI, S., SETTE, A., SCARÀ, A., GRIECO, D., DE RUVO, E., PALAMÀ, Z., NESTI, M., ROMANO, S., PENCO, M., PELLICCIA, A., & CALÒ, L.
Affiliations
  • Policlinico Casilino (IT)
  • Clinica Mediterranea (IT)
  • Ospedale San Donato (IT)
  • University of L'Aquila (IT)
  • Federazione Medico Sportiva Italiana (IT)
Corresponding author
CAVARRETTA, Elena
ORCID
Venue
The Journal of Sports Medicine and Physical Fitness
Publisher
Edizioni Minerva Medica
Published
2022-03
Volume
62
Issue
4
Pages
554-559
ISSN
  • 0022-4707 (ISSN-L)
  • 1827-1928
DOI
10.23736/s0022-4707.21.12831-2
OpenAlex
W3196448191
Cited by
15
References
27
Citations by year
2026: 1 · 2025: 3 · 2024: 6 · 2023: 5
FWCI
1.86
Type
journal article
Language
en
Open access
closed
Locations
  • The Journal of Sports Medicine and Physical Fitness (publishedVersion)
  • PubMed (publishedVersion)
  • IRIS Research product catalog (Sapienza University of Rome) (submittedVersion)
  • Archivio Istituzionale della Ricerca - Università degli Studi dell Aquila (submittedVersion)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Effects of Exercise
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
Keywords
palpitations, athletes, external loop recorder, cardiac arrhythmias, paroxysmal supraventricular tachycardia, ventricular tachycardia, arrhythmic events, diagnostic yield, sedentary controls
MeSH terms
Arrhythmias, Cardiac, Humans, Cohort Studies, Electrocardiography, Ambulatory, Athletes

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