Burden of ventricular arrhythmias at 12-lead 24-hour ambulatory ECG monitoring in middle-aged endurance athletes versus sedentary controls

European Journal of Preventive Cardiology
Alessandro ZorziDomenico Corrado

Abstract

Whether prolonged and intense exercise increases the incidence of ventricular arrhythmias in middle-aged athletes remains to be established. Prospective, case-control. We studied 134 healthy competitive athletes >30 years old (median age 45 (39-51) years, 83% males) who had been engaged in 9 ± 2 h per week of endurance sports activity (running, cycling, triathlon) for 13 ± 4 consecutive years. One hundred and thirty-four age- and gender-matched individuals served as controls. Both groups underwent 12-lead 24-h ambulatory electrocardiogram monitoring, which included a training session in athletes. Ventricular arrhythmias were evaluated in terms of number, complexity (i.e. couplet, triplet or non-sustained ventricular tachycardia), exercise-inducibility and morphology. Thirty-five (26%) athletes and 31 (23%) controls showed >10 isolated premature ventricular beats or ≥1 complex ventricular arrhythmia ( p = 0.53). Athletes with ventricular arrhythmias were older (median 48 versus 43 years old, p = 0.03) but did not differ with regard to hours of training and years of activity compared with athletes without ventricular arrhythmias. Ten (7%) athletes and six (5%) controls showed >500 premature ventricular beats/24 h ( p = 0.30): the...Continue Reading

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Citations

Mar 23, 2019·European Journal of Preventive Cardiology·Massimo F Piepoli
May 23, 2019·Arrhythmia & Electrophysiology Review·Jeffrey J HsuJason S Bradfield
Jun 3, 2020·European Journal of Preventive Cardiology·Antonio PellicciaDomenico Corrado
Jul 3, 2020·European Journal of Preventive Cardiology·Alexandros Kasiakogias, Michael Papadakis
Jul 1, 2020·Pacing and Clinical Electrophysiology : PACE·Alessandro ZorziDomenico Corrado
Aug 30, 2020·European Heart Journal·Antonio PellicciaUNKNOWN ESC Scientific Document Group
Sep 5, 2019·British Journal of Sports Medicine·Domenico CorradoAlessandro Zorzi
Mar 21, 2019·European Journal of Preventive Cardiology·Frédéric ChaguéMarianne Zeller
Jul 1, 2020·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Hein HeidbuchelDomenico Corrado
Oct 20, 2018·European Journal of Preventive Cardiology·Sanjay Sharma, Efstathios Papatheodorou
May 7, 2020·Sensors·Chi-Chun ChenChang-Wei Hsieh
Mar 11, 2020·Nature Reviews. Cardiology·Gemma Parry-Williams, Sanjay Sharma
Apr 2, 2020·European Journal of Preventive Cardiology·Federica MangoAntonio Pelliccia
Apr 18, 2020·Journal of Cardiovascular Translational Research·Alessandro ZorziDomenico Corrado
Mar 4, 2020·European Journal of Preventive Cardiology·Luis Serratosa
Jan 1, 2021·Journal of the American Heart Association·Cinzia CrescenziDomenico Corrado
Feb 6, 2021·European Heart Journal Cardiovascular Imaging·Luna CavigliFlavio D'Ascenzi
Feb 22, 2021·European Journal of Preventive Cardiology·Alexandros Kasiakogias, Michael Papadakis
Feb 22, 2021·European Journal of Preventive Cardiology·Antonio PellicciaDomenico Corrado
Mar 23, 2021·European Heart Journal·Gemma Parry-WilliamsSanjay Sharma
May 8, 2021·Current Cardiology Reports·Alessandro ZorziBarbara Bauce
Sep 21, 2021·Sports Medicine·Volker ScheerDaniel Rojas-Valverde

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