Catheter Ablation of Life-Threatening Ventricular Arrhythmias in Athletes.
Nicola TarantinoDomenico Giovanni Della RoccaNicole S De Leon De La CruzEric D ManheimerMichele MagnocavalloCarlo LavalleCarola GianniSanghamitra MohantyChintan TrivediAmin Al-AhmadRodney P HortonMohamed BassiounyJ David BurkhardtG Joseph GallinghouseGiovanni Battista ForleoLuigi Di BiaseAndrea NatalePublished in: Medicina (Kaunas, Lithuania) (2021)
A recent surveillance analysis indicates that cardiac arrest/death occurs in ≈1:50,000 professional or semi-professional athletes, and the most common cause is attributable to life-threatening ventricular arrhythmias (VAs). It is critically important to diagnose any inherited/acquired cardiac disease, including coronary artery disease, since it frequently represents the arrhythmogenic substrate in a substantial part of the athletes presenting with major VAs. New insights indicate that athletes develop a specific electro-anatomical remodeling, with peculiar anatomic distribution and VAs patterns. However, because of the scarcity of clinical data concerning the natural history of VAs in sports performers, there are no dedicated recommendations for VA ablation. The treatment remains at the mercy of several individual factors, including the type of VA, the athlete's age, and the operator's expertise. With the present review, we aimed to illustrate the prevalence, electrocardiographic (ECG) features, and imaging correlations of the most common VAs in athletes, focusing on etiology, outcomes, and sports eligibility after catheter ablation.
Keyphrases
- catheter ablation
- left atrial
- atrial fibrillation
- high school
- left atrial appendage
- cardiac arrest
- coronary artery disease
- left ventricular
- high resolution
- risk factors
- public health
- heart failure
- cardiopulmonary resuscitation
- percutaneous coronary intervention
- skeletal muscle
- coronary artery bypass grafting
- cardiovascular events
- clinical practice
- cardiovascular disease
- mass spectrometry
- adipose tissue
- heart rate
- insulin resistance
- photodynamic therapy
- aortic valve
- combination therapy
- radiofrequency ablation
- amino acid