Please use this identifier to cite or link to this item: https://hdl.handle.net/2440/110143
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Type: Journal article
Title: State of the art review: atrial fibrillation in athletes
Author: Flannery, M.
Kalman, J.
Sanders, P.
La Gerche, A.
Citation: Heart Lung and Circulation, 2017; 26(9):983-989
Publisher: Elsevier
Issue Date: 2017
ISSN: 1443-9506
1444-2892
Statement of
Responsibility: 
M. Darragh Flannery, Jonathan M. Kalman, Prashanthan Sanders, André La Gerche
Abstract: Exercise has substantial health benefits with pleomorphic vascular, metabolic, psychological and anti-neoplastic actions resulting in improved quality of life and longevity. Despite these many benefits, numerous studies have shown that endurance athletes are more likely to develop atrial fibrillation (AF) than non-athletes. The type, intensity and amount of sport appears to influence the risk of developing AF. Several endurance sport activities have been shown to increase the risk of developing AF but an excess in AF has not been shown in non-endurance sports. Furthermore, lifetime hours of participation appear to increase the risk of developing AF. Intriguingly, women appear relatively protected and an association between endurance sport and AF has not been clearly demonstrated amongst female endurance athletes. The mechanisms by which endurance sport promotes the development of AF are unclear. There are, however, a number of pathophysiological mechanisms which are known to increase the risk of AF in non-athletes which have correlates in athletes. These include structural remodelling of the left atrium, elevated left atrial pressure, inflammation, myocardial fibrosis, vagal tone, sinus bradycardia and genetic predisposition. In this article, we explore how some of these mechanisms may contribute to the development of AF in endurance athletes.
Keywords: Atrial fibrillation; athlete; endurance sport
Rights: © 2017 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier B.V. All rights reserved.
DOI: 10.1016/j.hlc.2017.05.132
Grant ID: http://purl.org/au-research/grants/nhmrc/1130353
http://purl.org/au-research/grants/nhmrc/1089039
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