Arrhythmogenesis of Sports: Myth or Reality?
Regular exercise confers health benefits with cardiovascular mortality risk reduction through a variety of mechanisms. At a population level, evidence suggests that undertaking more exercise has greater benefits. In the modern era of sport, there has been an exponential rise in professional and amat...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Radcliffe Medical Media
2022-05-01
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| Series: | Arrhythmia & Electrophysiology Review |
| Online Access: | https://www.aerjournal.com/articleindex/aer.2021.68 |
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| _version_ | 1850256312126930944 |
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| author | Saad Fyyaz Michael Papadakis |
| author_facet | Saad Fyyaz Michael Papadakis |
| author_sort | Saad Fyyaz |
| collection | DOAJ |
| description | Regular exercise confers health benefits with cardiovascular mortality risk reduction through a variety of mechanisms. At a population level, evidence suggests that undertaking more exercise has greater benefits. In the modern era of sport, there has been an exponential rise in professional and amateur athletes participating in endurance events, with a progressively better understanding of the associated cardiac adaptations, collectively termed ‘athletes heart’. However, emerging data raise questions regarding the risk of potential harm from endurance exercise, with an increased risk of arrhythmia from adverse cardiac remodelling. Cross-sectional studies have demonstrated that athletes may exhibit a higher burden of AF, conduction tissue disease, ventricular arrhythmias, a cardiomyopathy-like phenotype and coronary artery disease. In an attempt to separate myth from reality, this review reports on the evidence supporting the notion of ‘too much exercise’, the purported mechanisms of exercise-induced cardiac arrhythmia and complex interplay with sporting discipline, demographics, genetics and acquired factors. |
| format | Article |
| id | doaj-art-711fbccd0ee0463f89e6055c9bf67df4 |
| institution | OA Journals |
| issn | 2050-3369 2050-3377 |
| language | English |
| publishDate | 2022-05-01 |
| publisher | Radcliffe Medical Media |
| record_format | Article |
| series | Arrhythmia & Electrophysiology Review |
| spelling | doaj-art-711fbccd0ee0463f89e6055c9bf67df42025-08-20T01:56:41ZengRadcliffe Medical MediaArrhythmia & Electrophysiology Review2050-33692050-33772022-05-011110.15420/aer.2021.68Arrhythmogenesis of Sports: Myth or Reality?Saad Fyyaz0Michael Papadakis1Cardiovascular Clinical Academic Group, St George’s, University of London, St George’s University Hospitals NHS Foundation Trust, London, UKCardiovascular Clinical Academic Group, St George’s, University of London, St George’s University Hospitals NHS Foundation Trust, London, UKRegular exercise confers health benefits with cardiovascular mortality risk reduction through a variety of mechanisms. At a population level, evidence suggests that undertaking more exercise has greater benefits. In the modern era of sport, there has been an exponential rise in professional and amateur athletes participating in endurance events, with a progressively better understanding of the associated cardiac adaptations, collectively termed ‘athletes heart’. However, emerging data raise questions regarding the risk of potential harm from endurance exercise, with an increased risk of arrhythmia from adverse cardiac remodelling. Cross-sectional studies have demonstrated that athletes may exhibit a higher burden of AF, conduction tissue disease, ventricular arrhythmias, a cardiomyopathy-like phenotype and coronary artery disease. In an attempt to separate myth from reality, this review reports on the evidence supporting the notion of ‘too much exercise’, the purported mechanisms of exercise-induced cardiac arrhythmia and complex interplay with sporting discipline, demographics, genetics and acquired factors.https://www.aerjournal.com/articleindex/aer.2021.68 |
| spellingShingle | Saad Fyyaz Michael Papadakis Arrhythmogenesis of Sports: Myth or Reality? Arrhythmia & Electrophysiology Review |
| title | Arrhythmogenesis of Sports: Myth or Reality? |
| title_full | Arrhythmogenesis of Sports: Myth or Reality? |
| title_fullStr | Arrhythmogenesis of Sports: Myth or Reality? |
| title_full_unstemmed | Arrhythmogenesis of Sports: Myth or Reality? |
| title_short | Arrhythmogenesis of Sports: Myth or Reality? |
| title_sort | arrhythmogenesis of sports myth or reality |
| url | https://www.aerjournal.com/articleindex/aer.2021.68 |
| work_keys_str_mv | AT saadfyyaz arrhythmogenesisofsportsmythorreality AT michaelpapadakis arrhythmogenesisofsportsmythorreality |