Title |
Mechanisms of atrial fibrillation in athletes: what we know and what we do not know
|
---|---|
Published in |
Netherlands Heart Journal, February 2018
|
DOI | 10.1007/s12471-018-1080-x |
Pubmed ID | |
Authors |
E. Guasch, L. Mont, M. Sitges |
Abstract |
Exercise is an emerging cause of atrial fibrillation (AF) in young individuals without coexisting cardiovascular risk factors. The causes of exercise-induced atrial fibrillation remain largely unknown, and conclusions are jeopardised by apparently conflicting data. Some components of the athlete's heart are known to be arrhythmogenic in other settings. Bradycardia, atrial dilatation and, possibly, atrial premature beats are therefore biologically plausible contributors to exercise-induced AF. Challenging findings in an animal model suggest that exercise might also prompt the development of atrial fibrosis, possibly due to cumulative minor structural damage after each exercise bout. However, there is very limited, indirect data supporting this hypothesis in athletes. Age, sex, the presence of comorbidities and cardiovascular risk factors, and genetic individual variability might serve to flag those athletes who are at the higher risk of exercise-induced AF. In this review, we will critically address current knowledge on the mechanisms of exercise-induced AF. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Japan | 17 | 20% |
United States | 8 | 10% |
Spain | 3 | 4% |
Singapore | 2 | 2% |
Austria | 1 | 1% |
Australia | 1 | 1% |
France | 1 | 1% |
Unknown | 50 | 60% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 71 | 86% |
Practitioners (doctors, other healthcare professionals) | 6 | 7% |
Science communicators (journalists, bloggers, editors) | 3 | 4% |
Scientists | 3 | 4% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 92 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 17 | 18% |
Student > Master | 13 | 14% |
Student > Ph. D. Student | 8 | 9% |
Other | 5 | 5% |
Student > Postgraduate | 5 | 5% |
Other | 15 | 16% |
Unknown | 29 | 32% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 31 | 34% |
Veterinary Science and Veterinary Medicine | 5 | 5% |
Nursing and Health Professions | 4 | 4% |
Agricultural and Biological Sciences | 4 | 4% |
Sports and Recreations | 4 | 4% |
Other | 12 | 13% |
Unknown | 32 | 35% |