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Catheter Ablation of Life-Threatening Ventricular Arrhythmias in Athletes

A recent surveillance analysis indicates that cardiac arrest/death occurs in ≈1:50,000 professional or semi-professional athletes, and the most common cause is attributable to life-threatening ventricular arrhythmias (VAs). It is critically important to diagnose any inherited/acquired cardiac diseas...

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Autores principales: Tarantino, Nicola, Della Rocca, Domenico G., De Leon De La Cruz, Nicole S., Manheimer, Eric D., Magnocavallo, Michele, Lavalle, Carlo, Gianni, Carola, Mohanty, Sanghamitra, Trivedi, Chintan, Al-Ahmad, Amin, Horton, Rodney P., Bassiouny, Mohamed, Burkhardt, J. David, Gallinghouse, G. Joseph, Forleo, Giovanni B., Di Biase, Luigi, Natale, Andrea
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7996951/
https://www.ncbi.nlm.nih.gov/pubmed/33652714
http://dx.doi.org/10.3390/medicina57030205
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author Tarantino, Nicola
Della Rocca, Domenico G.
De Leon De La Cruz, Nicole S.
Manheimer, Eric D.
Magnocavallo, Michele
Lavalle, Carlo
Gianni, Carola
Mohanty, Sanghamitra
Trivedi, Chintan
Al-Ahmad, Amin
Horton, Rodney P.
Bassiouny, Mohamed
Burkhardt, J. David
Gallinghouse, G. Joseph
Forleo, Giovanni B.
Di Biase, Luigi
Natale, Andrea
author_facet Tarantino, Nicola
Della Rocca, Domenico G.
De Leon De La Cruz, Nicole S.
Manheimer, Eric D.
Magnocavallo, Michele
Lavalle, Carlo
Gianni, Carola
Mohanty, Sanghamitra
Trivedi, Chintan
Al-Ahmad, Amin
Horton, Rodney P.
Bassiouny, Mohamed
Burkhardt, J. David
Gallinghouse, G. Joseph
Forleo, Giovanni B.
Di Biase, Luigi
Natale, Andrea
author_sort Tarantino, Nicola
collection PubMed
description A recent surveillance analysis indicates that cardiac arrest/death occurs in ≈1:50,000 professional or semi-professional athletes, and the most common cause is attributable to life-threatening ventricular arrhythmias (VAs). It is critically important to diagnose any inherited/acquired cardiac disease, including coronary artery disease, since it frequently represents the arrhythmogenic substrate in a substantial part of the athletes presenting with major VAs. New insights indicate that athletes develop a specific electro-anatomical remodeling, with peculiar anatomic distribution and VAs patterns. However, because of the scarcity of clinical data concerning the natural history of VAs in sports performers, there are no dedicated recommendations for VA ablation. The treatment remains at the mercy of several individual factors, including the type of VA, the athlete’s age, and the operator’s expertise. With the present review, we aimed to illustrate the prevalence, electrocardiographic (ECG) features, and imaging correlations of the most common VAs in athletes, focusing on etiology, outcomes, and sports eligibility after catheter ablation.
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spelling pubmed-79969512021-03-27 Catheter Ablation of Life-Threatening Ventricular Arrhythmias in Athletes Tarantino, Nicola Della Rocca, Domenico G. De Leon De La Cruz, Nicole S. Manheimer, Eric D. Magnocavallo, Michele Lavalle, Carlo Gianni, Carola Mohanty, Sanghamitra Trivedi, Chintan Al-Ahmad, Amin Horton, Rodney P. Bassiouny, Mohamed Burkhardt, J. David Gallinghouse, G. Joseph Forleo, Giovanni B. Di Biase, Luigi Natale, Andrea Medicina (Kaunas) Review A recent surveillance analysis indicates that cardiac arrest/death occurs in ≈1:50,000 professional or semi-professional athletes, and the most common cause is attributable to life-threatening ventricular arrhythmias (VAs). It is critically important to diagnose any inherited/acquired cardiac disease, including coronary artery disease, since it frequently represents the arrhythmogenic substrate in a substantial part of the athletes presenting with major VAs. New insights indicate that athletes develop a specific electro-anatomical remodeling, with peculiar anatomic distribution and VAs patterns. However, because of the scarcity of clinical data concerning the natural history of VAs in sports performers, there are no dedicated recommendations for VA ablation. The treatment remains at the mercy of several individual factors, including the type of VA, the athlete’s age, and the operator’s expertise. With the present review, we aimed to illustrate the prevalence, electrocardiographic (ECG) features, and imaging correlations of the most common VAs in athletes, focusing on etiology, outcomes, and sports eligibility after catheter ablation. MDPI 2021-02-26 /pmc/articles/PMC7996951/ /pubmed/33652714 http://dx.doi.org/10.3390/medicina57030205 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ).
spellingShingle Review
Tarantino, Nicola
Della Rocca, Domenico G.
De Leon De La Cruz, Nicole S.
Manheimer, Eric D.
Magnocavallo, Michele
Lavalle, Carlo
Gianni, Carola
Mohanty, Sanghamitra
Trivedi, Chintan
Al-Ahmad, Amin
Horton, Rodney P.
Bassiouny, Mohamed
Burkhardt, J. David
Gallinghouse, G. Joseph
Forleo, Giovanni B.
Di Biase, Luigi
Natale, Andrea
Catheter Ablation of Life-Threatening Ventricular Arrhythmias in Athletes
title Catheter Ablation of Life-Threatening Ventricular Arrhythmias in Athletes
title_full Catheter Ablation of Life-Threatening Ventricular Arrhythmias in Athletes
title_fullStr Catheter Ablation of Life-Threatening Ventricular Arrhythmias in Athletes
title_full_unstemmed Catheter Ablation of Life-Threatening Ventricular Arrhythmias in Athletes
title_short Catheter Ablation of Life-Threatening Ventricular Arrhythmias in Athletes
title_sort catheter ablation of life-threatening ventricular arrhythmias in athletes
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7996951/
https://www.ncbi.nlm.nih.gov/pubmed/33652714
http://dx.doi.org/10.3390/medicina57030205
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