Incidence of Atrial Fibrillation in Elite Athletes
| Autor: | Florencia González-Amigo, Alejandro Lucia, Araceli Boraita, Alejandro Santos-Lozano, María Eugenia Heras, Susana López-Ortiz, Julián Villacastín |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Cross-sectional study Deportistas 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine Internal medicine Atleta Atrial Fibrillation medicine Humans 030212 general & internal medicine Heart Atria Sistema cardiovascular Retrospective Studies biology Athletes business.industry Incidence (epidemiology) Incidence Brief Report Atrial fibrillation Retrospective cohort study Odds ratio medicine.disease biology.organism_classification Efectos fisiológicos Cross-Sectional Studies Echocardiography Spain Cohort Physical Endurance Observational study Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | ABACUS. Repositorio de Producción Científica Universidad Europea (UEM) |
| Popis: | Importance Vigorous exercise (particularly endurance sports) might increase the risk of atrial fibrillation (AF), but there is variability in the reported frequency of this condition among elite athletes. The underlying pathophysiologic source remains unclear. Objective To determine AF incidence in a large cohort of elite athletes and its association with potential risk factors. Design, Setting, and Participants Retrospective observational cohort of all Spanish athletes (N = 6813) referred to a single center was used to determine AF incidence from January 1, 1997, to December 31, 2017, and cross-sectional analysis was conducted to compare athletes with and without reported AF. The cohort covered most sports disciplines, and the studied athletes were on national teams and competed in major international events. Cardiologists responsible for echocardiographic assessment were not blinded to the condition (AF or no AF) of the athletes. Exposures All participants underwent at least 1 cardiologic evaluation, including assessment at time of AF diagnosis in those with this condition. Main Outcomes and Measures Diagnosis of AF based on resting and/or exercise electrocardiogram, and/or 24-hour Holter monitoring and echocardiography-assessed atrial dimensions. Results A total of 6813 Spanish elite athletes (2385 [35.0%] women) were referred for cardiac evaluation during the study period. Mean (SD) age was 22 (7) years, and mean (SD) time of competition was 8 (5) years. Only 21 athletes (1 woman), participating in different types of sports, had AF (ie, paroxysmal [n = 18], persistent [n = 1], or long-standing persistent [n = 2]) during the 20-year study. In multivariate analysis, increasing values of age (odds ratio [OR], 1.07; 95% CI, 1.00-1.14), years of competition (OR, 1.14; 95% CI, 1.07-1.22), and left atrial anteroposterior diameter (OR, 1.21; 95% CI, 1.10-1.32) were associated with higher AF risk. Conclusions and Relevance The incidence of AF is low among young Spanish elite athletes, even when considering only endurance athletes. Yet, potential contributors (particularly atrial remodeling) need to be monitored. Sin financiación 11.866 JCR (2018) Q1, 7/136 Cardiac & Cardiovascular System 6.06 SJR (2018) Q1, 4/365 Cardiology and Cardiovascular Medicine No data IDR 2018 UEM |
| Databáze: | OpenAIRE |
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