Abstract
The current management of athletes with cardiac arrhythmias has become complicated by the widespread use of illicit drugs, which can be arrhythmogenic.The World Anti-Doping Agency annually updates a list of prohibited substances and methods banned by the International Olympic Committee that includes different classes of substances namely, anabolic androgenic steroids, hormones and related substances, β2-agonists, diuretics, stimulants, narcotics, cannabinoids, glucocorticosteroids, alcohol, β-blockers and others. Almost all illicit drugs may cause, through a direct or indirect arrhythmogenic effect, a wide range of cardiac arrhythmias (focal or reentry type, supraventricular and/or ventricular) that can even be lethal and which are frequently sport activity related.A large use of illicit drugs has been documented in competitive athletes, but the arrhythmogenic effect of specific substances is not precisely known. Precipitation of cardiac arrhythmias, particularly in the presence of a latent electrophysiologic substrate including some inherited cardiomyopathies, at risk of sudden death or due to long-term consumption of the substances, should raise the suspicion that illicit drugs may be a possible cause and lead cardiologists to investigate carefully this relationship and appropriately prevent the clinical consequences.
| Original language | English |
|---|---|
| Pages (from-to) | 487-494 |
| Number of pages | 8 |
| Journal | European Journal of Cardiovascular Prevention and Rehabilitation |
| Volume | 14 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - Aug 2007 |
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Keywords
- Arrhythmias
- Athletes
- Doping
- Illicit drugs
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
- Public Health, Environmental and Occupational Health
- Rehabilitation
Cite this
Illicit drugs and cardiac arrhythmias in athletes. / Furlanello, Francesco; Serdoz, Laura Vitali; Cappato, Riccardo; De Ambroggi, Luigi.
In: European Journal of Cardiovascular Prevention and Rehabilitation, Vol. 14, No. 4, 08.2007, p. 487-494.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Illicit drugs and cardiac arrhythmias in athletes
AU - Furlanello, Francesco
AU - Serdoz, Laura Vitali
AU - Cappato, Riccardo
AU - De Ambroggi, Luigi
PY - 2007/8
Y1 - 2007/8
N2 - The current management of athletes with cardiac arrhythmias has become complicated by the widespread use of illicit drugs, which can be arrhythmogenic.The World Anti-Doping Agency annually updates a list of prohibited substances and methods banned by the International Olympic Committee that includes different classes of substances namely, anabolic androgenic steroids, hormones and related substances, β2-agonists, diuretics, stimulants, narcotics, cannabinoids, glucocorticosteroids, alcohol, β-blockers and others. Almost all illicit drugs may cause, through a direct or indirect arrhythmogenic effect, a wide range of cardiac arrhythmias (focal or reentry type, supraventricular and/or ventricular) that can even be lethal and which are frequently sport activity related.A large use of illicit drugs has been documented in competitive athletes, but the arrhythmogenic effect of specific substances is not precisely known. Precipitation of cardiac arrhythmias, particularly in the presence of a latent electrophysiologic substrate including some inherited cardiomyopathies, at risk of sudden death or due to long-term consumption of the substances, should raise the suspicion that illicit drugs may be a possible cause and lead cardiologists to investigate carefully this relationship and appropriately prevent the clinical consequences.
AB - The current management of athletes with cardiac arrhythmias has become complicated by the widespread use of illicit drugs, which can be arrhythmogenic.The World Anti-Doping Agency annually updates a list of prohibited substances and methods banned by the International Olympic Committee that includes different classes of substances namely, anabolic androgenic steroids, hormones and related substances, β2-agonists, diuretics, stimulants, narcotics, cannabinoids, glucocorticosteroids, alcohol, β-blockers and others. Almost all illicit drugs may cause, through a direct or indirect arrhythmogenic effect, a wide range of cardiac arrhythmias (focal or reentry type, supraventricular and/or ventricular) that can even be lethal and which are frequently sport activity related.A large use of illicit drugs has been documented in competitive athletes, but the arrhythmogenic effect of specific substances is not precisely known. Precipitation of cardiac arrhythmias, particularly in the presence of a latent electrophysiologic substrate including some inherited cardiomyopathies, at risk of sudden death or due to long-term consumption of the substances, should raise the suspicion that illicit drugs may be a possible cause and lead cardiologists to investigate carefully this relationship and appropriately prevent the clinical consequences.
KW - Arrhythmias
KW - Athletes
KW - Doping
KW - Illicit drugs
UR - http://www.scopus.com/inward/record.url?scp=34547822380&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=34547822380&partnerID=8YFLogxK
U2 - 10.1097/HJR.0b013e3280ecfe3e
DO - 10.1097/HJR.0b013e3280ecfe3e
M3 - Article
C2 - 17667636
AN - SCOPUS:34547822380
VL - 14
SP - 487
EP - 494
JO - European Journal of Cardiovascular Prevention and Rehabilitation
JF - European Journal of Cardiovascular Prevention and Rehabilitation
SN - 1741-8267
IS - 4
ER -