Exercise and Atrial Fibrillation: The Dose Makes the Poison? A Narrative Review.

Autor: Zacher, Jonas, Filipovic, Karlo, Predel, Georg, Schmidt, Thomas
Předmět:
Zdroj: International Journal of Sports Medicine; Jan2024, Vol. 45 Issue 1, p17-22, 6p
Abstrakt: "All things are poison, and nothing is without poison; the dosage alone makes it so a thing is not a poison" (Paracelsus, ~ 1538 AD). This well-known quote seems to aptly summarize the current understanding of the interaction between exercise and atrial fibrillation (AF). A host of data strongly suggests that regular exercise has a protective effect against developing AF. A small but well-conducted group of trials also demonstrates beneficial effects of exercise in the treatment of AF. Recently, however, potentially detrimental effects of large volumes of high-intensity exercise on the probability of developing AF have moved into the sports-cardiological focus. This effect is well documented for elite athletes; data regarding the general population is less clear. This review presents the current data regarding the protective, therapeutic and potentially risk-enhancing effects of exercise regarding AF. The authors demonstrate that the benefits are clear and strongly outweigh the potential disadvantages. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index