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Updated: Aug 6, 2026

Estimating Bilateral Atrial Function by Cardiovascular Magnetic Resonance Feature Tracking in Patients with Paroxysmal Atrial Fibrillation
Published on: July 20, 2022
Atrial fibrillation in athletes
Insights
This review examines atrial fibrillation (AF) in athletes. While some studies suggest a higher incidence in endurance athletes, recent data is debated, highlighting unique management challenges.
Area of Science:
- Cardiology
- Sports Medicine
- Exercise Physiology
Background:
- A physician presenting with paroxysmal atrial fibrillation (AF) and identifying other long-distance runner colleagues with lone AF prompted this review.
- Initial literature suggested a higher incidence of AF in endurance and elite athletes.
- Recent data has begun to question the established link between endurance sports and AF incidence.
Purpose of the Study:
- To review the incidence, causes, implications, and management of atrial fibrillation in athletes.
- To address the specific concerns and challenges in managing athletes diagnosed with AF.
Main Methods:
- Literature search focusing on atrial fibrillation in athletes.
- Analysis of existing studies and recent data regarding AF in endurance athletes.
- Review of clinical management strategies for athletes with AF.
Main Results:
- The incidence of AF in athletes is a complex and debated topic.
- Endurance athletes may face unique considerations regarding AF diagnosis and management.
- Management strategies for athletes with AF require careful, individualized approaches.
Conclusions:
- The relationship between athletic training and AF requires further investigation.
- Athletes with AF present distinct clinical challenges.
- Optimal management protocols for AF in athletes are still evolving.
Abstract:
A 60-year old male physician on staff at North Kansas City Hospital was admitted with paroxysmal atrial fibrillation. The physician is an avid long-distance runner. Ultimately, three other male physicians on staff, all long-distance runners, were identified as having lone atrial fibrillation. This prompted a literature search which initially indicated a higher than normal incidence of atrial fibrillation in endurance and elite athletes. However, recent data has questioned the validity of this observation. The management of the athlete with atrial fibrillation poses special concerns and can be problematic. The incidence, causes, implications, and management of atrial fibrillation in athletes is the subject of this review.
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