Premature ventricular beats in the athlete: management considerations

Expert Review of Cardiovascular Therapy
Tamanna K Singh, Aaron L Baggish

Abstract

Premature ventricular beats (PVBs) in competitive athletes are incidentally found during pre-participation ECG screening. Their clinical significance remains debatable with several studies suggesting they are a benign reflection of athlete's heart, and others proposing they may indicate underlying structural heart disease and heightened risk for sudden cardiac death (SCD). Areas covered: Effective management of athletes with PVBs may best be accomplished using an algorithmic approach for risk stratification with a goal of differentiating benign PVBs from those reflective of underlying cardiomyopathies. Current AHA/ACC consensus recommendations provide a platform for determining optimal medical and invasive therapeutic strategies for symptom control and management of long-term complications without erroneously restricting an athlete's ability to play. Utilizing a shared decision-making model is an optimal method for managing expectations and guiding exercise recommendations. Expert commentary: Though pre-participation ECG screening as the standard of care for competitive athletes remains controversial in the United States, a 12-lead ECG is often the first indication of underlying structural heart disease in athletes with PVBs an...Continue Reading

References

Sep 1, 1985·American Heart Journal·P PalatiniC Dal Palù
Jan 24, 1985·The New England Journal of Medicine·H L KennedyR J Goldberg
Nov 1, 1969·The American Journal of Cardiology·L E HinkleM Stevens
Mar 1, 1982·British Heart Journal·M T ViitasaloA Eisalo
Aug 14, 2001·Journal of the American College of Cardiology·F GaitaG Trevi
Jul 27, 2002·Journal of the American College of Cardiology·Alessandro BiffiBarry J Maron
Jun 1, 1962·Circulation·R G HISS, L E LAMB
Sep 1, 2004·Journal of the American College of Cardiology·Alessandro BiffiAntonio Pelliccia
Apr 20, 2005·Journal of the American College of Cardiology·Barry J MaronJames E Udelson
Apr 29, 2006·Journal of Cardiovascular Medicine·Domenico CorradoGaetano Thiene
Sep 27, 2006·European Journal of Cardiovascular Prevention and Rehabilitation : Official Journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology·Hein HeidbüchelUNKNOWN Study Group on Sports Cardiology of the European Association for Cardiovascular Prevention and Rehabilitation
Oct 17, 2006·Heart·G André Ng
Jul 16, 2008·Sports Medicine·Christine E Lawless, William Briner
Nov 3, 2009·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Jean-Francois SarrazinFrank Bogun
Nov 26, 2009·European Heart Journal·Domenico CorradoUNKNOWN Section of Sports Cardiology, European Association of Cardiovascular Prevention and Rehabilitation
Mar 30, 2010·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Timir S BamanFrank Bogun
Jul 12, 2012·Herzschrittmachertherapie & Elektrophysiologie·F Bisbal, L Mont
Dec 12, 2012·The American Journal of Cardiology·Alexandros Klavdios SteriotisBarbara Bauce
Sep 14, 2013·JACC. Cardiovascular Imaging·Andre La GerchePaul D Thompson
Sep 23, 2014·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Luisa VerdileAlessandro Biffi
Jul 15, 2015·Journal of the American College of Cardiology·Jonathan W DukesGregory M Marcus
Apr 3, 2016·Scandinavian Journal of Medicine & Science in Sports·F D'AscenziS Mondillo
Aug 2, 2017·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Diego PenelaAntonio Berruezo

❮ Previous
Next ❯

Citations

May 23, 2019·Arrhythmia & Electrophysiology Review·Jeffrey J HsuJason S Bradfield

❮ Previous
Next ❯

Related Concepts

Related Feeds

Athletic Heart Syndrome

Athletic heart syndrome refers to the physiological and morphological changes that occur in a human heart after repetitive strenuous physical exercise. Here is the latest research.

Cardiomyopathy

Cardiomyopathy is a disease of the heart muscle, that can lead to muscular or electrical dysfunction of the heart. It is often an irreversible disease that is associated with a poor prognosis. There are different causes and classifications of cardiomyopathies. Here are the latest discoveries pertaining to this disease.

Related Papers

Scandinavian Journal of Medicine & Science in Sports
F D'AscenziS Mondillo
Giornale italiano di cardiologia : organo ufficiale della Federazione italiana di cardiologia : organo ufficiale della Società italiana di chirurgia cardiaca
Carla Giustetto, Fiorenzo Gaita
© 2022 Meta ULC. All rights reserved