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“Lone” Atrial Fibrillation in Athletes: A Consequence 0f Long- Term Intensive Sport Practice

  • F. Naccarella
  • F. Furlanello
  • A. Bertoldi
  • S. Sdringola Maranga
  • G. Lepera
  • R. Cappato
Conference paper

Abstract

Atrial fibrillation (AF) in both the paroxysmal and persistent atrial forms has been documented both in normal hearts without signs of demonstrable cardiac disease [1–67] and, since 1990, also in some professional and competitive athletes, by Furlanello et al. [4–17, 68–73], Maron and Mitchell [11], Fenici et al. [41] Zeppilli [42], and Naccarella and Brachetti [20, 67]. A useful classification from the diagnostic and therapeutic points of view is the following:
  1. 1.

    Lone vagal AF associated with severe sinus bradycardia and cardiac pauses [19,20,29,30,33–38]

     
  2. 2.

    Lone sympathetic AF induced only by strenuous physical activity or exercise test or psychological stress. [24,36–38]

     
  3. 3.

    A mixture of 1 and 2 [19,20,24]

     
  4. 4.

    AF associated with supraventricular tachycardia (RSVT) [20–27]

     
  5. 5.

    AF associated with Wolff-Parkinson-Write (WPW) syndrome or cardiac pre-excitation syndromes [21–27,32]

     
  6. 6.

    “Familial ”lone AF [29–31,43–49]

     

Keywords

Atrial Fibrillation Pulmonary Vein Catheter Ablation Elite Athlete Supraventricular Tachycardia 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Italia 2004

Authors and Affiliations

  • F. Naccarella
    • 1
  • F. Furlanello
    • 2
    • 3
  • A. Bertoldi
    • 4
  • S. Sdringola Maranga
    • 5
  • G. Lepera
    • 1
  • R. Cappato
    • 6
  1. 1.Cardiology DepartmentAzienda USL Citta’ di Bologna, Cardiology DH DSBolognaItaly
  2. 2.Cardiology and Arrhythmology DepartmentPoliclinico San DonatoMilanItaly
  3. 3.Cardiology DepartmentVilla Bianca HospitalTrentoItaly
  4. 4.Cardiology DepartmentSanta Chiara HospitalTrentoItaly
  5. 5.Cardiology DepartmentHermann Memorial HospitalHoustonUSA
  6. 6.Cardiology-Centro Aritmologia Clinica ed ElettrofisiologiaPoliclinico San DonatoMilanItaly

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