Document Detail


Catheter ablation in competitive athletes: indication.
MedLine Citation:
PMID:  10159775     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Some supraventricular tachyarrhythmias (SVT), particularly if paroxysmal and/or related to Wolff-Parkinson-White syndrome (WPW), may in some cases endanger an athlete's professional career due to hemodynamic consequences during athletic activity, which in some instances may be life-threatening. One must also take into account that in Italy the law makes antiarrhythmic drug treatment (AAD) incompatible with sport eligibility. For these reasons, the utilization of radiofrequency ablation (RFA) in athletes has different indications as opposed to the normal population, since the primary goal is "the eligibility of the athlete." In our study, we discuss the criteria for indication of RFA in athletes with SVT on the basis of the data obtained from our population of athletes, studied over a 20-year period, from 1974 to the 31st of December 1993. These athletes were evaluated for arrhythmic events, utilizing a standardized cardioarrhythmological protocol: 1,325 athletes (1,125 men, 200 women, mean age 20.7 years). One subgroup included 380 athletes with WPW (28.7%), 22 athletes with aborted sudden death (1.6%), 6 of whom had WPW, 13 athletes with sudden death (0.98%), and 2 of whom had WPW. Another subgroup was formed by 116 top level elite professional athletes (TLA) (mean age 22.9 years), of which 10 of 116 (8.6%) had WPW and 12 of 116 (10.3%) had paroxysmal SVT. The most important indications for RFA in athletes are represented by: WPW asymptomatic at risk, symptomatic during athletic activity, and/or requiring AAD treatment: paroxysmal junctional reentrant tachycardia: when this condition is disabling and related to exercise and therefore compromising an athlete's performance and sports career. Paroxysmal junctional reentrant tachycardia is easily reproduced via transesophageal atrial pacing (TAP) during exercise (bicycle ergometer), common in athletes but normally the recurrences are concentrated only during the period in which the athlete is engaged in sport. Rare indications for RFA are focal or reentry, permanent SVT, and particularly junctional reentrant tachycardia. For each individual athlete, we have to consider the possible side-effects of RFA, the possible recurrences with psychobiological traumatic consequences, the effective recovery period, and the natural history of the tachyarrhythmias, which frequently disappear after interruption of the sports career.
Authors:
F Furlanello; A Bertoldi; G Inama; F Fernando
Related Documents :
15689345 - Cardiovascular pre-participation screening of young competitive athletes for prevention...
10848645 - Relationship between decreased oxyhaemoglobin saturation and exhaled nitric oxide durin...
23100285 - Iron deficiency and heart failure: diagnostic dilemmas and therapeutic perspectives.
15049715 - Recommendations for treatment of hyponatraemia at endurance events.
17041865 - The coupled evolution of breathing and locomotion as a game of leapfrog.
20033205 - Use of continuous glucose monitoring in normoglycemic, insulin-resistant women.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of interventional cardiology     Volume:  8     ISSN:  0896-4327     ISO Abbreviation:  J Interv Cardiol     Publication Date:  1995 Dec 
Date Detail:
Created Date:  1996-09-24     Completed Date:  1996-09-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8907826     Medline TA:  J Interv Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  837-40     Citation Subset:  T    
Affiliation:
Divisione di Cardiologia e Centro Aritmologico O.C.S. Chiara, Trento, Italy.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Catheter Ablation*
Female
Humans
Male
Sports*
Tachycardia, Ventricular / physiopathology,  surgery*
Wolff-Parkinson-White Syndrome / physiopathology,  surgery*

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


Previous Document:  Magnetocardiographically-guided catheter ablation.
Next Document:  New horizons in catheter ablation.