Letter to the EditorDoes endurance exercise cause atrial fibrillation in women?
Section snippets
Conflict of interest
Marius Myrstad has received a speaker fee from MSD. The other authors report no relationships that could be construed as a conflict of interest.
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Cited by (33)
Exercise-Induced Cardiac Remodeling and Atrial Fibrillation in Female Endurance Athletes
2023, Journal of the American Society of EchocardiographyRight Heart Resilience and Atrial Fibrillation Risk in Long-Term Endurance Athletes
2022, Journal of the American Society of EchocardiographyRunning away from cardiovascular disease at the right speed: The impact of aerobic physical activity and cardiorespiratory fitness on cardiovascular disease risk and associated subclinical phenotypes
2020, Progress in Cardiovascular DiseasesCitation Excerpt :For example, in a cohort of skiers, Myrstad et al. showed that the risk of AF was heightened among skiers who completed a greater number of races and/or those who had faster finishing times. Furthermore, cumulative years of endurance exercise also have prognostic significance, with a 4-fold increased risk of incident AF observed above the threshold of 2000 h of lifetime endurance training.114,125–129 There are multiple mechanisms by which PA may modify risk of AF.
Atrial fibrillation in athletes: From epidemiology to treatment in the novel oral anticoagulants era
2018, Journal of CardiologyCitation Excerpt :However, several studies described an increased risk and prevalence of AF in athletes [9–11]. The results of the main studies investigating the risk of AF in athletes are reported in Table 1 [12–27]. These conflicting results derive mostly from the design of the included studies.
Management of Atrial Fibrillation in the Athlete
2018, Heart Lung and CirculationCitation Excerpt :Young athletes have a low prevalence (0.2%) of AF, despite echocardiographic evidence of atrial enlargement [11]; surveillance to the age of 40 years in another series also showed no excess AF [12]. Lifelong male endurance cyclists have both demonstrably higher prevalence of sinus pauses and atrial arrhythmias than non-endurance golfers (6% versus 0%) [10]; the epidemiology of AF burden remains undefined in female athletes although emerging evidence suggests a greater lifetime endurance training requirement of around 40 years may portend increased risk [13]. Pacemaker implantation was performed in 3 of 30 (10%) affected athletes over 9 years of an observational study [14], in excess of the 3% requirement in endurance athletes without premature onset atrial arrhythmias [10].
State of the Art Review: Atrial Fibrillation in Athletes
2017, Heart Lung and CirculationCitation Excerpt :Studies explicitly investigating female athletes’ risk of AF are rare. Several studies in women have not shown an increased risk of AF but, rather, a decreased risk [26–28]. The level of exercise reported in these studies is variable.