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[Ventricular arrhythmia in the athlete: practical management].
R Brion1, J P Van de Walle, J R Caignault
1Service de pathologie cardiovasculaire HIA Desgenettes 69003 Lyon.
La Revue Du Praticien
|August 17, 2001
Summary
Athletes with ventricular arrhythmias require careful evaluation for underlying cardiac disorders. Benign arrhythmias allow unrestricted competition, while significant findings necessitate activity limitations.
Area of Science:
- Sports Cardiology
- Electrophysiology
- Preventive Cardiology
Context:
- Athletic competition pushes physiological limits, increasing risks for athletes with cardiac disorders.
- Ventricular arrhythmias in athletes warrant thorough investigation due to potential sudden death risk during exertion.
Purpose:
- To outline the diagnostic approach for ventricular arrhythmias in athletes.
- To differentiate physiological from pathological arrhythmias.
- To guide decisions on athletic eligibility based on cardiac status.
Summary:
- Resting ventricular extrasystoles that are monomorphic, ungrouped, and resolve with exercise are generally physiological.
- Significant ventricular arrhythmias may indicate underlying cardiac pathology requiring investigation.
- A comprehensive evaluation including history, clinical exam, and non-invasive/invasive testing is crucial.
Impact:
- Enables safe participation in sports by identifying athletes at risk.
- Provides a framework for managing exercise-induced arrhythmias.
- Supports informed clinical decisions regarding athletic competition eligibility.