Ventricular arrhythmias in the athlete

Mark S. Link, Paul J. Wang, N. A. Mark Estes

Research output: Contribution to journalReview article

14 Scopus citations

Abstract

Life-threatening ventricular arrhythmias in the athlete nearly always occur in the presence of structural heart disease. In the last few years, 2 new causes of life-threatening arrhythmias have been described in patients with normal hearts-that of the Brugada syndrome and that of commotio cordis. Non-life-threatening premature ventricular beats and even nonsustained ventricular tachycardia are not rare, and although usually benign, can be secondary to cardiomyopathies. Athletes with symptoms of syncope, especially if exertional, warrant a complete evaluation. The treatment of athletes and other individuals with life-threatening ventricular arrhythmias has been revolutionized by the implantable cardioverter defibrillator, a device that affords excellent protection from sudden death. Defining those athletes who would benefit from the implantable defibrillator is not always clear. Furthermore, participation in competitive athletics for athletes with life-threatening arrhythmias or structural heart disease known to put the athlete at risk for life-threatening arrhythmias is usually prohibited.

Original languageEnglish (US)
Pages (from-to)30-39
Number of pages10
JournalCurrent Opinion in Cardiology
Volume16
Issue number1
DOIs
StatePublished - Jan 30 2001

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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