Sportkardiologie

Sportkardiologie

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Recently, there is evidence that atrial fibrillation (AF) is associated with endurance sports. Training-induced left atrial enlargement, vagotonic increase and left atrial volume strain during exercise may act proarrhythmogenic in terms of a facilitated induction and maintenance of AF in endurance a...

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Autores principales: Laszlo R, Steinacker JM
Formato: article
Lenguaje:DE
EN
Publicado: Dynamic Media Sales Verlag 2016
Materias:
Sports medicine
RC1200-1245
Acceso en línea:https://doaj.org/article/2395f6414ee74e3f9e534655ee3f4bd1
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spelling oai:doaj.org-article:2395f6414ee74e3f9e534655ee3f4bd12021-11-16T19:01:42ZSportkardiologie0344-59252510-526410.5960/dzsm.2016.243https://doaj.org/article/2395f6414ee74e3f9e534655ee3f4bd12016-10-01T00:00:00Zhttps://www.germanjournalsportsmedicine.com/archive/archive-2016/issue-10/competitive-sports-and-atrial-fibrillation/https://doaj.org/toc/0344-5925https://doaj.org/toc/2510-5264Recently, there is evidence that atrial fibrillation (AF) is associated with endurance sports. Training-induced left atrial enlargement, vagotonic increase and left atrial volume strain during exercise may act proarrhythmogenic in terms of a facilitated induction and maintenance of AF in endurance athletes. Nevertheless, there is currently no evidence of an increased AF prevalence in young endurance athletes. However, longstanding endurance exercise increases AF risk. An exercise-induced atrial remodeling as a potential pathophysiological mechanism is being discussed. However, respective definitive evidence of the latter in human beings is still missing. Two equivalent recommendationsconcerning sports participation (European Society of Cardiology/ American Heart Association and American College of Cardiology) are available for evaluation of competitive athletes with AF. Both exhibit blurs and points of criticism which lower practicability in clinical practice. However, they can act as a decision support for evaluation and guidance of most of the competitive athletes with AF. In competitive athletes, a rather individualized or sports-specific approach is necessary also under consideration of pathophysiological aspects and current knowledge concerning the association of AF and endurance sports. The rather brief American recommendations are moving in this direction. At least in cases concerning professional athletes, interdisciplinary collaboration between experts in cardiology, rhythmology and sports medicine if needed should be considered, not only as public pressure (including social environment of the athlete) on decision-making physicians may sometimes be high.KEY WORDS: Atrial Fibrillation, Competitive Sports, Sports Participation, Endurance ExerciseLaszlo RSteinacker JMDynamic Media Sales VerlagarticleSports medicineRC1200-1245DEENDeutsche Zeitschrift für Sportmedizin, Vol 67, Iss 10 (2016)
institution DOAJ
collection DOAJ
language DE
EN
topic Sports medicine
RC1200-1245
spellingShingle Sports medicine
RC1200-1245
Laszlo R
Steinacker JM
Sportkardiologie
description Recently, there is evidence that atrial fibrillation (AF) is associated with endurance sports. Training-induced left atrial enlargement, vagotonic increase and left atrial volume strain during exercise may act proarrhythmogenic in terms of a facilitated induction and maintenance of AF in endurance athletes. Nevertheless, there is currently no evidence of an increased AF prevalence in young endurance athletes. However, longstanding endurance exercise increases AF risk. An exercise-induced atrial remodeling as a potential pathophysiological mechanism is being discussed. However, respective definitive evidence of the latter in human beings is still missing. Two equivalent recommendationsconcerning sports participation (European Society of Cardiology/ American Heart Association and American College of Cardiology) are available for evaluation of competitive athletes with AF. Both exhibit blurs and points of criticism which lower practicability in clinical practice. However, they can act as a decision support for evaluation and guidance of most of the competitive athletes with AF. In competitive athletes, a rather individualized or sports-specific approach is necessary also under consideration of pathophysiological aspects and current knowledge concerning the association of AF and endurance sports. The rather brief American recommendations are moving in this direction. At least in cases concerning professional athletes, interdisciplinary collaboration between experts in cardiology, rhythmology and sports medicine if needed should be considered, not only as public pressure (including social environment of the athlete) on decision-making physicians may sometimes be high.KEY WORDS: Atrial Fibrillation, Competitive Sports, Sports Participation, Endurance Exercise
format article
author Laszlo R
Steinacker JM
author_facet Laszlo R
Steinacker JM
author_sort Laszlo R
title Sportkardiologie
title_short Sportkardiologie
title_full Sportkardiologie
title_fullStr Sportkardiologie
title_full_unstemmed Sportkardiologie
title_sort sportkardiologie
publisher Dynamic Media Sales Verlag
publishDate 2016
url https://doaj.org/article/2395f6414ee74e3f9e534655ee3f4bd1
work_keys_str_mv AT laszlor sportkardiologie
AT steinackerjm sportkardiologie
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