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Review
. 2023 May 16;10(5):218.
doi: 10.3390/jcdd10050218.

Long-Term Sports Practice and Atrial Fibrillation: An Updated Review of a Complex Relationship

Mattia Petrungaro  1   2 , Liuba Fusco  3 , Elena Cavarretta  4   5 , Antonio Scarà  6 , Alessio Borrelli  6 , Silvio Romano  7 , Renata Petroni  7   8 , Flavio D'Ascenzi  9 , Luigi Sciarra  7
Affiliations
Review

Long-Term Sports Practice and Atrial Fibrillation: An Updated Review of a Complex Relationship

Mattia Petrungaro et al. J Cardiovasc Dev Dis. .

Abstract

Atrial fibrillation (AF) is the most common sustained arrhythmia in clinical practice, and it is an enormous burden worldwide because of its high morbidity, disability and mortality. It is generally acknowledged that physical activity (PA) is strongly associated with a significant reduction in the risk of cardiovascular (CV) disease and all-cause mortality. Moreover, it has been observed that moderate and regular physical activity has the potential to reduce the risk of AF, in addition to improving overall well-being. Nevertheless, some studies have associated intense physical activity with an increased risk of AF. This paper aims to review the main related literature to investigate the association between PA and AF incidence and draw pathophysiological and epidemiological conclusions.

Keywords: arrhythmia; athletes; atrial fibrillation; physical activity; sport.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
To support an arrhythmia, the presence of a trigger, a substrate and modulating factors is essential.
Figure 2
Figure 2
The AF–PA relationship is controversial and can be influenced by numerous components.
See this image and copyright information in PMC

References

    1. Hindricks G., Potpara T., Dagres N., Arbelo E., Bax J.J., Blomström-Lundqvist C., Boriani G., Castella M., Dan G.A., Dilaveris P.E., et al. 2020 ESC Guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS): The Task Force for the diagnosis and management of atrial fibrillation of the European Society of Cardiology (ESC) Developed with the special contribution of the European Heart Rhythm Association (EHRA) of the ESC. Eur. Heart J. 2021;42:373–498. - PubMed
    1. Aggarwal A., Heslop J.J., Wigant R.R., Venkatapuram S., Hillis S.J., Parr A.R., Oral H., Baman T. Occult atrial fibrillation in endurance athletes. Open Access J. Sport. Med. 2017;8:227–229. doi: 10.2147/OAJSM.S149694. - DOI - PMC - PubMed
    1. Colilla S., Crow A., Petkun W., Singer D.E., Simon T., Liu X. Estimates of Current and Future Incidence and Prevalence of Atrial Fibrillation in the U.S. Adult Population. Am. J. Cardiol. 2013;112:1142–1147. doi: 10.1016/j.amjcard.2013.05.063. - DOI - PubMed
    1. Krijthe B.P., Kunst A., Benjamin E., Lip G.Y., Franco O., Hofman A., Witteman J.C., Stricker B.H., Heeringa J. Projections on the number of individuals with atrial fibrillation in the European Union, from 2000 to 2060. Eur. Heart J. 2013;34:2746–2751. doi: 10.1093/eurheartj/eht280. - DOI - PMC - PubMed
    1. Ferreira C., Providência R., Ferreira M.J., Gonçalves L.M. Atrial Fibrillation and Non-cardiovascular Diseases: A Systematic Review. Arq. Bras. Cardiol. 2015;105:519–526. doi: 10.5935/abc.20150142. - DOI - PMC - PubMed

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