Sportkardiologie

Sportkardiologie

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Atrial fibrillation (AF) is the most common supraventricular arrhythmia in man and the number of patients withindication for oral anticoagulation (OAC) is steadily increasing.According to the European Guidelines,athletes with AF and OAC are excluded from competitive sports with a risk of bodily coll...

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Autores principales: Laszlo R, Lesevic H, Enders K, Steinacker JM
Formato: article
Lenguaje:DE
EN
Publicado: Dynamic Media Sales Verlag 2017
Materias:
Sports medicine
RC1200-1245
Acceso en línea:https://doaj.org/article/45fb02282bb7434088ac36a27fc837d9
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spelling oai:doaj.org-article:45fb02282bb7434088ac36a27fc837d92021-11-16T19:01:42ZSportkardiologie0344-59252510-526410.5960/dzsm.2017.286https://doaj.org/article/45fb02282bb7434088ac36a27fc837d92017-06-01T00:00:00Zhttps://www.germanjournalsportsmedicine.com/archive/archive-2017/issue-6/sport-unter-oraler-antikoagulation-bei-vorhofflimmern/https://doaj.org/toc/0344-5925https://doaj.org/toc/2510-5264Atrial fibrillation (AF) is the most common supraventricular arrhythmia in man and the number of patients withindication for oral anticoagulation (OAC) is steadily increasing.According to the European Guidelines,athletes with AF and OAC are excluded from competitive sports with a risk of bodily collision or trauma, according to the American Guidelines from high-impact contact sports. Due to better clinical traceability, the authors recommend the use of the European Guidelines in everyday clinical practice.There is evidence that patients treated with OAC avoid physical activity, including recreational sports, for fear of bleeding complications. However, a good stateof physical health decreases the risk of falling, the general bleeding risk and risk of fall-related bleeding. Thus, eligibility for recreational sports participation has to be evaluated individually taking into accountthe whole clinical situationand also type of sports. From a practical or numerical point of view, evaluation of patients with OAC whowant to perform alpine skiing isof special importance. The approach of interruptingOAC during ski holidays is not evidence based and thus cannot be recommended.In light of the high relevance of the topic in everyday clinical practice, further clinical data on sports and OAC areurgentlyrequired. Afirst step could be the scientific evaluation of the approach often performed in alpine skiing sports, for example in terms of a clinical registry.KEY WORDS: Atrial Fibrillation, Physical Activity, Sports, Oral Anticoagulation, TrainingLaszlo RLesevic HEnders KSteinacker JMDynamic Media Sales VerlagarticleSports medicineRC1200-1245DEENDeutsche Zeitschrift für Sportmedizin, Vol 68, Iss 6 (2017)
institution DOAJ
collection DOAJ
language DE
EN
topic Sports medicine
RC1200-1245
spellingShingle Sports medicine
RC1200-1245
Laszlo R
Lesevic H
Enders K
Steinacker JM
Sportkardiologie
description Atrial fibrillation (AF) is the most common supraventricular arrhythmia in man and the number of patients withindication for oral anticoagulation (OAC) is steadily increasing.According to the European Guidelines,athletes with AF and OAC are excluded from competitive sports with a risk of bodily collision or trauma, according to the American Guidelines from high-impact contact sports. Due to better clinical traceability, the authors recommend the use of the European Guidelines in everyday clinical practice.There is evidence that patients treated with OAC avoid physical activity, including recreational sports, for fear of bleeding complications. However, a good stateof physical health decreases the risk of falling, the general bleeding risk and risk of fall-related bleeding. Thus, eligibility for recreational sports participation has to be evaluated individually taking into accountthe whole clinical situationand also type of sports. From a practical or numerical point of view, evaluation of patients with OAC whowant to perform alpine skiing isof special importance. The approach of interruptingOAC during ski holidays is not evidence based and thus cannot be recommended.In light of the high relevance of the topic in everyday clinical practice, further clinical data on sports and OAC areurgentlyrequired. Afirst step could be the scientific evaluation of the approach often performed in alpine skiing sports, for example in terms of a clinical registry.KEY WORDS: Atrial Fibrillation, Physical Activity, Sports, Oral Anticoagulation, Training
format article
author Laszlo R
Lesevic H
Enders K
Steinacker JM
author_facet Laszlo R
Lesevic H
Enders K
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 2017
url https://doaj.org/article/45fb02282bb7434088ac36a27fc837d9
work_keys_str_mv AT laszlor sportkardiologie
AT lesevich sportkardiologie
AT endersk sportkardiologie
AT steinackerjm sportkardiologie
_version_ 1718426171260010496

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