Wernhart S, Halle M
Klinikum Rechts der Isar, Centre for Prevention and Sports Medicine, Technische Universität München, Georg-Brauchle-Ring 56 (Campus C), 80992, Munich, Germany,
Clin Res Cardiol. 2015 May;104(5):369-79. doi: 10.1007/s00392-014-0805-0. Epub 2014 Dec 25.
Lone atrial fibrillation (AF) is the most common arrhythmia of the heart and is considered to have a higher prevalence in athletes, especially in endurance sports.
We conducted an extensive literature research in pubmed using the key words s ports and atrial fibrillation.
The majority of studies have methodological limitations due to different inclusion criteria, such as age, type of sport, training level as well as statistical bias. The inconsistency of data is reflected by the considerable range of AF occurrence, spanning from 0.3 to 12.8 %.
We consider it reasonable to separate a study population into sedentary individuals, leisure time sportsmen/women and elite athletes. A distinction between the categories may be achieved through a combination of exercise history, capacity (e.g. MET hours/week, e.g. VO2max) and competitive results. Since there is a large span in the analyzed age groups (24-84 years), we claim that the focus should be laid upon the 45- to 65-year-olds due to a sound detection rate of true positives. Finally, we discuss ways to increase the detection rate of paroxysmal AF and comment on new therapeutic options.
孤立性房颤是最常见的心脏心律失常，被认为在运动员中患病率较高，尤其是在耐力运动项目中。
我们在PubMed上使用关键词“运动与房颤”进行了广泛的文献研究。
由于纳入标准不同，如年龄、运动类型、训练水平以及统计偏差等，大多数研究存在方法学局限性。房颤发生率范围相当大，从0.3%到12.8%，这反映了数据的不一致性。
我们认为将研究人群分为久坐不动者、业余运动员和精英运动员是合理的。可以通过运动史、能力（如每周代谢当量小时数、如最大摄氧量）和比赛成绩相结合来区分这些类别。由于分析的年龄组跨度较大（24至84岁），我们认为应将重点放在45至65岁人群上，因为该年龄段真阳性的检出率较高。最后，我们讨论了提高阵发性房颤检出率的方法，并对新的治疗选择进行了评论。
