Sarcevic Zoran, Tepavcevic Andreja
Novi Sad Health Care Centre, Sports Medicine Centre, Novi Sad, Serbia.
Faculty of Medicine, University of Novi Sad, Serbia.
Curr Sports Med Rep. 2018 Nov;17(11):391-395. doi: 10.1249/JSR.0000000000000535.
Atrial fibrillation (AF) is the most common cardiac arrhythmia in athletes. Epidemiological studies have documented a greater prevalence of AF in athletes engaged in long-term endurance sports. Several mechanisms were proposed to underlie the association between exercise and AF, but the exact pathophysiology remains unclear. The studies up to now have been concentrated on the competitive middle-aged endurance athletes, but there is no evidence of AF prevalence among highly active noncompetitive athletes of the same age. Endurance athletes who do not compete might be at a lower risk for AF than their competitive peers. This hypothesis is theoretically examined, and the current evidence summarized in this article.
心房颤动（AF）是运动员中最常见的心律失常。流行病学研究表明，从事长期耐力运动的运动员中AF的患病率更高。有人提出了几种机制来解释运动与AF之间的关联，但其确切的病理生理学仍不清楚。到目前为止，研究主要集中在有竞争力的中年耐力运动员身上，但没有证据表明同年龄段高度活跃的非竞技运动员中AF的患病率情况。不参加比赛的耐力运动员发生AF的风险可能低于他们有竞争力的同龄人。本文对这一假设进行了理论探讨，并总结了当前的证据。
