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Electrophysiological Studies in Athletes

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Sports Cardiology

Abstract

Electrophysiological studies are instrumental methods enabling the registration of electric endocavitary cardiac signals relative to the various phases of the cardiac cycle. Registration is carried out through unipolar or bipolar electrocatheters, which also allow electrical stimulation of the heart. Stimulation of the cardiac chambers is an extremely useful method for accurately measuring intervals and/or pauses and for reproducing in the laboratory arrhythmias that patients may experience clinically (arrhythmic inducibility test). Electrophysiological evaluations can be performed via the transesophageal or endocavitary pathways. All the material used both for endocavitary and transesophageal electrophysiological studies is sterile and for single use.

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References

  1. Vergara G, Furlanello F, Disertori M et al (1988) Induction of supraventricular tachyarrhythmia at rest and during exercise with transesophageal atrial pacing in the electrophysiological evaluation of asymptomatic athletes with Wolff-Parkinson-White syndrome. Eur Heart J 9:1119–1125

    PubMed  CAS  Google Scholar 

  2. Comitato Organizzativo Cardiologico per l’Idoneità allo Sport ANCE-ANMCO-FMSI-SIC-SIC SPORT (2009) Protocolli cardiologici per il giudizio di idoneità allo sport agonistico 2009. Cesi Casa Editrice Scientifica Internazionale, Roma

    Google Scholar 

  3. Lawless CE, Briner W et al (2008) Palpitations in athletes. Sports Med 38:687–702

    Article  PubMed  Google Scholar 

  4. Zeppilli P, Fenici R, Sassara M et al (1980) Wenckebach second-degree A-V block in top-ranking athletes: an old problem revisited. Am Heart J 100:281–294

    Article  PubMed  CAS  Google Scholar 

  5. Alboni P, Pirani R, Paparella N et al (1985) Electrophysiology of normal anterograde atrio-ventricular conduction with and without autonomic blockade. Eur Heart J 6:602–698

    PubMed  CAS  Google Scholar 

  6. Delise P, Sciarra L. et al (2007) Asymptomatic Wolff-Parkinson-White: what to do. Extensive ablation or not? J Cardiovasc Med 8:668

    Article  Google Scholar 

  7. Brembilla-Perrot B, Ghawi R et al (1993) Electrophysiological characteristics of asymptomatic Wolff-Parkinson-White syndrome. Eur Heart J 14:511–515

    Article  PubMed  CAS  Google Scholar 

  8. Heidbüchel H, Hoogsteen J, Fagard R et al (2003) High prevalence of right ventricular involvement in endurance athletes with ventricular arrhythmias. Role of an electrophysiologic study in risk stratification. Eur Heart J 24:1473–1480

    Article  PubMed  Google Scholar 

  9. Biffi A, Ansalone G, Verdile L et al (1996) Ventricular arrhythmias and athletes heart Role of signal-averaged electrocardiography. Eur Heart J 17:557–563

    Article  PubMed  CAS  Google Scholar 

  10. Furlanello F, Bettini R, Bertoldi A et al (1989) Arrhythmia patterns in athletes with arrhythmogenic right ventricular dysplasia. Eur Heart J 10 Suppl D:16–19

    Article  PubMed  Google Scholar 

  11. L. Sciarra, E. Marras, E. De Ruvo et al (2008) Right ventricular voltage mapping. In Brugada Syndrome: always an electrical disease in structurally normal hearts? Heart Rhythm:S74

    Google Scholar 

  12. Corrado D, Basso C, Leoni L et al (2005) Three-dimensional electroanatomic voltage mapping increases accuracy of diagnosing arrhythmogenic right ventricular cardiomyopathy/displasia. Circulation 111:3042–3050

    Article  PubMed  Google Scholar 

  13. Corrado D, Basso C, Leoni L et al (2008) Three-dimensional electroanatomical voltage mapping and histologic evaluation of myocardial substrate in right ventricular outflow tract tachycardia. J Am Coll Cardiol 51:731–739

    Article  PubMed  Google Scholar 

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© 2012 Springer-Verlag Italia

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Sciarra, L. et al. (2012). Electrophysiological Studies in Athletes. In: Fioranelli, M., Frajese, G. (eds) Sports Cardiology. Springer, Milano. https://doi.org/10.1007/978-88-470-2775-6_16

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  • DOI: https://doi.org/10.1007/978-88-470-2775-6_16

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-2774-9

  • Online ISBN: 978-88-470-2775-6

  • eBook Packages: MedicineMedicine (R0)

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