Abstract
Introduction
Sports seem to as old as mankind. Athletic performances, though are of proven long term benefits, tests the capacity of human mind and body. Arrhythmias that occur during or shortly after exercise are labelled as Exercise-induced arrhythmias. As early as 1927, Bourne, commented on the development of frequent ventricular premature beats (VPBs) during exercise in patients with suspected coronary artery disease (CAD)1. Later, in 1932, Wilson et al reported the first case of ventricular tachycardia (VT) initiated during exercise2. The American College of Cardiology (ACC) has sponsored 3 prior documents which addressed eligibility and disqualification criteria for competitive athletes with cardiovascular diseases: Bethesda Conferences 16 (1985), 26 (1994), and 36 (2005), used over a 30-year period. The arrhythmias in sportsmen can vary from benign and mild ones related to physiological adaptation at one end and unexpected, arrhythmia leading to fatal events during adolescence and young adulthood at other extreme end. Specially, right ventricle exposed to high strain during intense endurance activities, over a period, may lead to a pro arrhythmic state same as left ventricular cardiomyopathy. Athletes with documented rhythm disturbances should have individualized risk stratification and, usually, consultation with a cardiologist or electro physiologist. Ridiculously, patients with heart rhythm abnormalities many a times are told about contraindications in participation in sports, which may not be required. In this review we shall be discuss the relevance of various electrophysiological abnormalities to athletic participation.
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Corresponding Author
Kavita Tyagi
MS, DNB Anatomy, DNB Medicine, DNB Cardiology. MNAMS.
Fellow National Board Interventional Cardiology, Department of Cardiology,
Max Superspeciality Hospital Saket, Delhi 110017, India
Ph No. 08373987601, Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
DOI: https://dx.doi.org/10.18535/jmscr/v6i7.12
