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Atrial Fibrillation in Athletes: Mechanisms, Management, and Future Directions
Ibrahim Alameh1, Ghina Al Fout2, Michael D Ezekowitz3
1Department of Internal Medicine, Lankenau Medical Center, Wynnewood, Pennsylvania, USA.
Excessive endurance training can increase the risk of atrial fibrillation (AF) in athletes. Early rhythm control and structured return-to-play strategies are crucial for optimizing outcomes in athletes with AF.
Area of Science:
- Cardiology
- Sports Medicine
- Exercise Physiology
Background:
- High-volume endurance training may paradoxically shift from cardioprotective to arrhythmogenic effects.
- This shift increases the risk of developing atrial fibrillation (AF) in healthy athletes.
- Athletes exhibit a 2- to 5-fold increased prevalence of AF, linked to atrial remodeling, autonomic imbalance, and inflammation.
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