High prevalence of right ventricular involvement in endurance athletes with ventricular arrhythmias: Role of an electrophysiologic study in risk stratification

European Heart Journal

Volumn 24, Issue 16, 2003, Pages 1473-1480

  Heidbüchel, Hein ^a   Hoogsteen, Jan ^b   Fagard, Robert ^a   Vanhees, L ^a   Ector, Hugo ^a   Willems, Rik ^a   Van Lierde, Johan ^c  

^a UNIVERSITY HOSPITALS LEUVEN   (Belgium)

^b MÁXIMA MEDICAL CENTER   (Netherlands)

^c DEPARTMENT OF CARDIOLOGY   (Belgium)

Author keywords

Arrhythmia; Athlete; Sports; Sudden death

Indexed keywords

AMIODARONE; ANTIARRHYTHMIC AGENT; BETA ADRENERGIC RECEPTOR BLOCKING AGENT;

ADOLESCENT; ADULT; AGE; ARRHYTHMOGENESIS; ARTICLE; ATHLETE; CATHETER ABLATION; CLINICAL ARTICLE; CONTROLLED STUDY; CORONARY ARTERY DISEASE; CYCLING; DEFIBRILLATOR; ELECTROCARDIOGRAM; ELECTROPHYSIOLOGY; ENDURANCE; EXERCISE TEST; FEMALE; FOLLOW UP; HEART RIGHT VENTRICLE; HEART VENTRICLE ARRHYTHMIA; HEART VENTRICLE FIBRILLATION; HEART VENTRICLE TACHYCARDIA; HEART VENTRICLE VOLUME; HOLTER MONITORING; HUMAN; HYPERTROPHIC CARDIOMYOPATHY; MALE; PRIORITY JOURNAL; PROGNOSIS; REENTRY ARRHYTHMIA; RUNNING; SUDDEN DEATH; SYNCOPE;

ADOLESCENT; ADULT; ARRHYTHMIA; BICYCLING; ELECTROCARDIOGRAPHY, AMBULATORY; ELECTROPHYSIOLOGY; EXERCISE TEST; FEMALE; FOLLOW-UP STUDIES; HUMANS; MALE; MIDDLE AGED; PROGNOSIS; RISK ASSESSMENT; SPORTS; SURVIVAL ANALYSIS; TACHYCARDIA, VENTRICULAR; VENTRICULAR DYSFUNCTION, RIGHT;

EID: 0041629662     PISSN: 0195668X     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0195-668X(03)00282-3     Document Type: Article

References (28)

1. Maron BJ, Shirani J, Poliac LC et al. Sudden death in young competitive athletes. Clinical, demographic, and pathological profiles. JAMA 1996;276:199-204.
2. Furlanello F, Bertoldi A, Dallago M et al. Cardiac arrest and sudden death in competitive athletes with arrhythmogenic right ventricular dysplasia. Pacing Clin Electrophysiol 1998;21:331-5.
3. Corrado D, Thiene G, Nava A et al. Sudden death in young competitive athletes: clinicopathologic correlations in 22 cases. Am J Med 1990;89:588-96.
4. Pelliccia A, Maron BJ, Culasso F et al. Clinical significance of abnormal electrocardiographic patterns in trained athletes. Circulation 2000;102:278-84.
5. Viitasalo MT, Kala R, Eisalo A. Ambulatory electrocardiographic recording in endurance athletes. Br Heart J 1982;47:213-20.
6. Biffi A, Pelliccia A, Verdile L et al. Long-term clinical significance of frequent and complex ventricular tachyarrhythmias in trained athletes. J Am Coll Cardiol 2002;40:446-52.
7. Zipes DP, Garson A Jr. 26th Bethesda conference: recommendations for determining eligibility for competition in athletes with cardiovascular abnormalities. Task Force 6: arrhythmias. J Am Coll Cardiol 1994;24:892-9.
8. Spirito P, Bellone P, Harris KM et al. Magnitude of left ventricular hypertrophy and risk of sudden death in hypertrophic cardiomyopathy. N Engl J Med 2000;342:1778-85.
9. McKenna WJ, Thiene G, Nava A et al. Diagnosis of arrhythmogenic right ventricular dysplasia/cardiomyopathy. Task Force of the Working Group Myocardial and Pericardial Disease of the European Society of Cardiology and of the Scientific Council on Cardiomyopathies of the International Society and Federation of Cardiology. Br Heart J 1994;71:215-8.
10. Fagard RH. Impact of different sports and training on cardiac structure and function. Cardiol Clin 1997;15:397-412.
11. Serra-Grima R, Estorch M, Carrio I et al. Marked ventricular repolarization abnormalities in highly trained athletes' electrocardiograms: clinical and prognostic implications [In Process Citation]. J Am Coll Cardiol 2000;36:1310-6.
12. Talan DA, Bauernfeind RA, Ashley WW et al. Twenty-four hour continuous ECG recordings in long-distance runners. Chest 1982;82:19-24.
13. Estes 3rd NA, Link MS, Cannom D et al. Report of the NASPE policy conference on arrhythmias and the athlete. J Cordiovasc Electrophysiol 2001;12:1208-19.
14. Peters S, Reil GH. Risk factors of cardiac arrest in arrhythmogenic right ventricular dysplasia. Eur Heart J 1995;16:77-80.
15. Link MS, Wang PJ, Estes 3rd NA. Ventricular arrhythmias in the athlete. Curr Opin Cardiol 2001;16:30-9.
16. Globits S, Kreiner G, Frank H et al. Significance of morphological abnormalities detected by MRI in patients undergoing successful ablation of right ventricular outflow tract tachycardia. Circulation 1997;96:2633-40.
17. Thiene G, Nava A, Corrado D et al. Right ventricular cardiomyopathy and sudden death in young people. N Engl J Med 1988;318:129-33.
18. Nava A, Thiene G, Canciani B et al. Familial occurrence of right ventricular dysplasia: a study involving nine families. J Am Coll Cardiol 1988;12:1222-8.
19. Rampazzo A, Nava A, Danieli GA et al. The gene for arrhythmogenic right ventricular cardiomyopathy maps to chromosome 14q23-q24. Hum Mol Genet 1994;3:959-62.
20. Douglas PS, O'Toole ML, Hiller WD et al. Different effects of prolonged exercise on the right and left ventricles. J Am Coll Cardiol 1990;15:64-9.
21. Jordaens L, Missault L, Pelleman G et al. Comparison of athletes with life-threatening ventricular arrhythmias with two groups of healthy athletes and a group of normal control subjects. Am J Cardiol 1994;74:1124-8.
22. Mont L, Sambola A, Brugada J et al. Long-lasting sport practice and lone atrial fibrillation. Eur Heart J 2002;23:477-82.
23. Karjalainen J, Kujala UM, Kaprio J et al. Lone atrial fibrillation in vigorously exercising middle aged men: case-control study. BMJ 1998;316:1784-5.
24. Hausmann R, Hammer S, Betz P. Performance enhancing drugs (doping agents) and sudden death - a case report and review of the literature. Int J Legal Med 1998;111:261-4.
25. Levine BD, Lane LD, Buckey JC et al. Left ventricular pressure-volume and Frank-Starting relations in endurance athletes. Implications for orthostatic tolerance and exercise performance. Circulation 1991;84:1016-23.
26. Hoogsteen J, Huige MC, Schaffers H et al. Echocardiografisch onderzoek naar ver- verschillen in adaptatie bij wielrenners, triatleten en marathonlopers schillen. Cardiologie 1995;2:195-201.
27. Colan SD, Sanders SP, Borow KM. Physiologic hypertrophy: effects on left ventricular systolic mechanics in athletes. J Am Coll Cardiol 1987;9:776-83.
28. Fagard R, Aubert A, Staessen J et al. Cardiac structure and function in cyclists and runners. Comparative echocardiographic study. Br Heart J 1984;52:124-9.