TY - JOUR
T1 - Catheter ablation of life-threatening ventricular arrhythmias in athletes
AU - Tarantino, Nicola
AU - Della Rocca, Domenico G.
AU - De Leon De La Cruz, Nicole S.
AU - Manheimer, Eric D.
AU - Magnocavallo, Michele
AU - Lavalle, Carlo
AU - Gianni, Carola
AU - Mohanty, Sanghamitra
AU - Trivedi, Chintan
AU - Al-Ahmad, Amin
AU - Horton, Rodney P.
AU - Bassiouny, Mohamed
AU - David Burkhardt, J.
AU - Joseph Gallinghouse, G.
AU - Forleo, Giovanni B.
AU - Di Biase, Luigi
AU - Natale, Andrea
N1 - Publisher Copyright:
© 2021 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2021/3
Y1 - 2021/3
N2 - A recent surveillance analysis indicates that cardiac arrest/death occurs in ≈1:50,000 professional or semi-professional athletes, and the most common cause is attributable to life-threaten-ing ventricular arrhythmias (VAs). It is critically important to diagnose any inherited/acquired cardiac disease, including coronary artery disease, since it frequently represents the arrhythmogenic substrate in a substantial part of the athletes presenting with major VAs. New insights indicate that athletes develop a specific electro-anatomical remodeling, with peculiar anatomic distribution and VAs patterns. However, because of the scarcity of clinical data concerning the natural history of VAs in sports performers, there are no dedicated recommendations for VA ablation. The treatment remains at the mercy of several individual factors, including the type of VA, the athlete’s age, and the operator’s expertise. With the present review, we aimed to illustrate the prevalence, electrocar-diographic (ECG) features, and imaging correlations of the most common VAs in athletes, focusing on etiology, outcomes, and sports eligibility after catheter ablation.
AB - A recent surveillance analysis indicates that cardiac arrest/death occurs in ≈1:50,000 professional or semi-professional athletes, and the most common cause is attributable to life-threaten-ing ventricular arrhythmias (VAs). It is critically important to diagnose any inherited/acquired cardiac disease, including coronary artery disease, since it frequently represents the arrhythmogenic substrate in a substantial part of the athletes presenting with major VAs. New insights indicate that athletes develop a specific electro-anatomical remodeling, with peculiar anatomic distribution and VAs patterns. However, because of the scarcity of clinical data concerning the natural history of VAs in sports performers, there are no dedicated recommendations for VA ablation. The treatment remains at the mercy of several individual factors, including the type of VA, the athlete’s age, and the operator’s expertise. With the present review, we aimed to illustrate the prevalence, electrocar-diographic (ECG) features, and imaging correlations of the most common VAs in athletes, focusing on etiology, outcomes, and sports eligibility after catheter ablation.
KW - Athletes
KW - Catheter ablation
KW - Sports cardiology
KW - Ventricular arrhythmia
KW - Ventricular tachy-cardia
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U2 - 10.3390/medicina57030205
DO - 10.3390/medicina57030205
M3 - Review article
C2 - 33652714
AN - SCOPUS:85102281214
SN - 1010-660X
VL - 57
SP - 1
EP - 10
JO - Medicina (Lithuania)
JF - Medicina (Lithuania)
IS - 3
M1 - 205
ER -