Document Detail


Cardiac arrhythmias in the athlete: the evolving role of electrophysiology.
MedLine Citation:
PMID:  12831715     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Arrhythmia management has undergone a revolution in the past decade. The diagnosis and treatment of arrhythmias in the athlete can be complicated by the need to compete and exercise. Some arrhythmias may be benign and asymptomatic, but others may be life threatening. Sinus bradyarrhythmias are common and even expected in athletes; these are rarely a cause for concern. Heart block is unusual and merits a thorough work-up. Atrial fibrillation may be more common in the athlete, and supraventricular tachycardias other than atrial fibrillation warrant consideration of radiofrequency ablation for cure. Ventricular arrhythmias in the athlete generally occur in the setting of structural heart disease that is genetically determined (hypertrophic cardiomyopathy, arrhythmogenic right ventricular dysplasia, anomalous coronary arteries), or acquired (coronary artery disease, myocarditis, idiopathic dilated cardiomyopathies). In these conditions the arrhythmia is life threatening. Ventricular arrhythmias that occur in the athlete without structural heart disease are not thought to be life threatening. Athletes with structural heart disease and those with exertional syncope merit a complete evaluation.
Authors:
Mark S Link; Munther K Homoud; Paul J Wang; N A Mark Estes
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current sports medicine reports     Volume:  1     ISSN:  1537-890X     ISO Abbreviation:  Curr Sports Med Rep     Publication Date:  2002 Apr 
Date Detail:
Created Date:  2003-06-30     Completed Date:  2003-08-20     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  101134380     Medline TA:  Curr Sports Med Rep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  75-85     Citation Subset:  IM    
Affiliation:
New England Medical Center, Box #197, 750 Washington Street, Boston, MA 02111, USA. MLink@Lifespan.org
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MeSH Terms
Descriptor/Qualifier:
Arrhythmia, Sinus / diagnosis,  therapy
Arrhythmias, Cardiac / diagnosis*,  therapy*
Atrial Fibrillation / diagnosis,  therapy
Atrial Flutter / diagnosis,  therapy
Bradycardia / diagnosis,  therapy
Electrophysiology / methods*
Heart Block / diagnosis,  therapy
Humans
Sports Medicine / methods*
Tachycardia, Supraventricular / diagnosis,  therapy
Ventricular Premature Complexes / diagnosis,  therapy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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