Cardiology, Hartford Hospital, 81 Seymour Street, Hartford, CT 06102, USA.
Br J Sports Med. 2011 Mar;45(3):185-8. doi: 10.1136/bjsm.2009.057885. Epub 2009 Jul 13.
Endurance exercise training produces multiple cardiac adaptations including changes in electrophysiological function that may make endurance-trained athletes more vulnerable to atrial fibrillation (AF). This possible association is not recognised by many practising cardiologists and sports physicians. Consequently, we performed a literature review to examine the relationship between atrial fibrillation and endurance exercise training among athletes. PubMed was searched from January 1960 through December 2008 to identify articles examining the relationship between endurance exercise training and AF.
Evidence suggests that athletes are at increased risk for development of AF. Possible factors increasing AF in this population include increased parasympathetic tone, reduced sympathetic tone, increased atrial size and increased inflammation.
Suggested management of AF in athletes should follow similar principles to those used to manage AF in the general population.
耐力运动训练会产生多种心脏适应性变化，包括电生理功能的变化，这可能使耐力训练的运动员更容易发生心房颤动（AF）。许多临床医生和运动医学医生并未认识到这种可能的关联。因此，我们进行了文献复习，以检查运动员中心房颤动与耐力运动训练之间的关系。从 1960 年 1 月至 2008 年 12 月，我们在 PubMed 上搜索了探讨耐力运动训练与 AF 之间关系的文章。
有证据表明运动员发生 AF 的风险增加。该人群中 AF 增加的可能因素包括迷走神经张力增加、交感神经张力降低、心房增大和炎症增加。
运动员中 AF 的治疗建议应遵循与普通人群中治疗 AF 相同的原则。
