Catheter Ablation of Life-Threatening Ventricular Arrhythmias in Athletes

Medicina

Nicola Tarantino¹  EricD. Manheimer¹  LuigiDi Biase¹  NicoleS. De Leon De La Cruz²  GiovanniB. Forleo³  Carlo Lavalle⁴  Michele Magnocavallo⁴  Sanghamitra Mohanty⁵  Andrea Natale⁵  Carola Gianni⁵  RodneyP. Horton⁵  Mohamed Bassiouny⁵  DomenicoG. Della Rocca⁵  J.David Burkhardt⁵  G.Joseph Gallinghouse⁵  Chintan Trivedi⁵  Amin Al-Ahmad⁵ 

[1] Arrhythmia Service, Department of Medicine, Division of Cardiology, Montefiore Medical Center, 10467 Bronx, NY, USA;Brookdale University Hospital Medical Center, 11212 Brooklyn, NY, USA;Department of Cardiology, Azienda Ospedaliera-Universitaria “Luigi Sacco”, 20057 Milano, Italy;Department of Cardiovascular/Respiratory Diseases, Nephrology, Anesthesiology, and Geriatric Sciences, Policlinico Umberto I, Sapienza University of Rome, 00185 Rome, Italy;St. David’s Medical Center, Texas Cardiac Arrhythmia Institute, 3000 N. IH-35, Suite 720, Austin, TX 78705, USA;

关键词: athletes;    catheter ablation;    sports cardiology;    ventricular arrhythmia;    ventricular tachycardia;   

DOI  :  10.3390/medicina57030205

来源: DOAJ

【 摘 要 】

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.

【 授权许可】

Unknown