Ostojic Marina, Ostojic Mladen, Petrovic Olga, Nedeljkovic-Arsenovic Olga, Perone Francesco, Banovic Marko, Stojmenovic Tamara, Stojmenovic Dragutin, Giga Vojislav, Beleslin Branko, Nedeljkovic Ivana
Cardiology Clinic, University Clinical Center of Serbia, 11000 Belgrade, Serbia.
School of Medicine, University of Belgrade, 11000 Belgrade, Serbia.
J Clin Med. 2024 Dec 17;13(24):7691. doi: 10.3390/jcm13247691.
The confirmed benefits of regular moderate exercise on cardiovascular health have positioned athletes as an illustration of well-being. However, concerns have arisen regarding the potential predisposition to arrhythmias in individuals engaged in prolonged strenuous exercise. Atrial fibrillation (AF), the most common heart arrhythmia, is typically associated with age-related risks but has been documented in otherwise healthy young and middle-aged endurance athletes. The mechanism responsible for AF involves atrial remodeling, fibrosis, inflammation, and alterations in autonomic tone, all of which intersect with the demands of endurance sports, cumulative training hours, and competitive participation. This unique lifestyle requires a tailored therapeutic approach, often favoring radiofrequency ablation as the preferred treatment. As the number of professional and non-professional athletes engaging in high-level daily sports activities rises, awareness of AF within this demographic becomes imperative. This review delivers the etiology, pathophysiology, and therapeutic considerations surrounding AF in endurance sports.
定期适度运动对心血管健康的已证实益处使运动员成为健康的典范。然而，对于长期进行剧烈运动的个体易患心律失常的潜在倾向，人们产生了担忧。心房颤动（AF）是最常见的心律失常，通常与年龄相关风险有关，但在其他方面健康的年轻和中年耐力运动员中也有记录。导致房颤的机制涉及心房重塑、纤维化、炎症以及自主神经张力的改变，所有这些都与耐力运动的需求、累计训练时长和竞技参与相互关联。这种独特的生活方式需要一种量身定制的治疗方法，通常倾向于将射频消融作为首选治疗方式。随着从事高水平日常体育活动的职业和非职业运动员数量的增加，在这一人群中提高对房颤的认识变得至关重要。本综述阐述了耐力运动中房颤的病因、病理生理学及治疗考量。
