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Anti-arrhythmic therapy in athletes.

Alessandro Zorzi1, Alberto Cipriani1, Domenico Corrado1

  • 1Department of Cardiac, Thoracic, Vascular and Public Health Sciences, University of Padova, Italy.

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Summary

Treating arrhythmias in athletes is complex due to their health, performance goals, and anti-doping regulations. This review covers common arrhythmias and therapeutic options for athletes.

Keywords:
Anti-arrhythmic drugsCatheter ablationDopingElectrophysiologySports

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Area of Science:

  • Sports Cardiology
  • Clinical Electrophysiology
  • Exercise Physiology

Background:

  • Athletes experience a wide range of arrhythmias, from ectopic beats to ventricular tachycardia.
  • These arrhythmias often occur in hearts without structural abnormalities.
  • Managing arrhythmias in athletes presents unique challenges.

Purpose of the Study:

  • To review common arrhythmias encountered in athletes.
  • To discuss therapeutic strategies, including pharmacological and non-pharmacological interventions.
  • To address eligibility criteria for treatment according to current guidelines.

Main Methods:

  • Literature review of common arrhythmias in athletes.
  • Analysis of therapeutic options for athlete arrhythmias.
  • Examination of current guidelines for eligibility criteria.

Main Results:

  • Common arrhythmias in athletes include ectopic beats and ventricular tachycardia.
  • Therapeutic challenges involve patient age, hypervagotonic state, performance demands, and anti-doping rules.
  • Balancing drug side effects against the generally benign nature of arrhythmias in healthy athletes is crucial.

Conclusions:

  • Anti-arrhythmic therapy in athletes requires careful consideration of specific physiological and regulatory factors.
  • Non-pharmacological interventions and adherence to guidelines are important therapeutic components.
  • Individualized treatment plans are essential for managing arrhythmias in athletes effectively.