Atrial fibrillation in highly trained endurance athletes — Description of a syndrome
- •Atrial fibrillation (AF) is the most common heart arrhythmia, increasing the risk with age.
- •Increasing evidence indicates that paroxysmal AF can also onset in young or middle-aged athletes.
- •We review the topic of AF associated with exercise, especially at a competitive level.
- •We propose the definition of a new syndrome based on the accumulating data in the literature.
Atrial fibrillation (AF) is the most common heart arrhythmia, the risk of which typically increases with age. This condition is commonly associated with major cardiovascular diseases and structural heart damage, while it is rarely observed in healthy young people. However, increasing evidence indicates that paroxysmal AF can also onset in young or middle-aged and otherwise healthy endurance athletes (e.g., cyclists, runners and cross-country skiers). Here we review the topic of AF associated with strenuous endurance exercise (SEE), for example cycling, running and cross-country skiing, especially at a competitive level, and we propose the definition of a new syndrome based on the accumulating data in the literature: SEE-related AF under the acronym of ‘PAFIYAMA’ (‘paroxysmal AF in young and middle-aged athletes’). Special emphasis is given to the proper differentiation of PAFIYAMA from ‘classical AF’ regarding pathophysiology, diagnosis and medical management.
Autor / Fonte:Fabian Sanchis-Gomar, Carme Perez-Quilis, more. Int J Cardiol. 2017 Jan 1;226:11-20. doi: 10.1016/j.ijcard.2016.10.047. Epub 2016 Oct 19.