Paroxysmal atrial fibrillation in young and middle-aged athletes (PAFIYAMA) syndrome in the real world: a paradigmatic case report

Cardiovascular Diagnosis and Therapy
Gianfranco CervellinGiuseppe Lippi

Abstract

An enhanced risk of atrial fibrillation (AF) has been clearly documented in endurance athletes over the past decades. In this regard, we have recently described the 'PAFIYAMA' ('paroxysmal AF in young and middle-aged athletes') syndrome, provided that other risk factors for AF and underlying conditions have been ruled out. We report here a paradigmatic case of PAFIYAMA syndrome. A 32 years old man was admitted to the Emergency Department (ED) complaining for palpitations, lasting for 3 hours. He had never smoked and other risk factors for AF could be ruled out. The electrocardiogram (ECG) was consistent with AF at high ventricular response (130-150 bpm). All laboratory parameters were within the respective reference ranges, and laboratory screening for cocaine, amphetamine, and MDMA was negative. After 12 hours of persistent AF, the patient underwent effective electrical cardioversion. The patient reported an episode of paroxysmal AF (PAF), occurred during practicing strenuously training for a martial arts competition 2 years before the current episode. In the last two weeks, in addition to usual training, the patient was engaged in carrying heavy furniture. He underwent echocardiography within a week from ED discharge, showing...Continue Reading

Citations

Sep 21, 2021·Sports Medicine·Volker ScheerDaniel Rojas-Valverde

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