Catheter ablation of life-threatening ventricular arrhythmias in athletes

Nicola Tarantino, Domenico G. Della Rocca, Nicole S. De Leon De La Cruz, Eric D. Manheimer, Michele Magnocavallo, Carlo Lavalle, Carola Gianni, Sanghamitra Mohanty, Chintan Trivedi, Amin Al-Ahmad, Rodney P. Horton, Mohamed Bassiouny, J. David Burkhardt, G. Joseph Gallinghouse, Giovanni B. Forleo, Luigi Di Biase, Andrea Natale

Research output: Contribution to journalReview articlepeer-review

Abstract

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-threaten-ing 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, electrocar-diographic (ECG) features, and imaging correlations of the most common VAs in athletes, focusing on etiology, outcomes, and sports eligibility after catheter ablation.

Original languageEnglish (US)
Article number205
Pages (from-to)1-10
Number of pages10
JournalMedicina (Lithuania)
Volume57
Issue number3
DOIs
StatePublished - Mar 2021
Externally publishedYes

Keywords

  • Athletes
  • Catheter ablation
  • Sports cardiology
  • Ventricular arrhythmia
  • Ventricular tachy-cardia

ASJC Scopus subject areas

  • Medicine(all)

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