Radiofrequency catheter ablation of atrial fibrillation in athletes referred for disabling symptoms preventing usual training schedule and sport competition

Francesco Furlanello, Pierpaolo Lupo, Mario Pittalis, Sara Foresti, Laura Vitali-Serdoz, Pietro Francia, Guido De Ambroggi, Paolo Ferrero, Stefano Nardi, Giuseppe Inama, Luigi De Ambroggi, Riccardo Cappato

Research output: Contribution to journalArticle

64 Citations (Scopus)

Abstract

Catheter Ablation of Atrial Fibrillation in Athletes. Introduction: Atrial fibrillation (AF) may occasionally affect athletes by impairing their ability to compete, and leading to noneligibility at prequalification screening. The impact of catheter ablation (CA) in restoring full competitive activity of athletes affected by AF is not known. The aim of our study was to investigate the effectiveness of CA of idiopathic AF in athletes with palpitations impairing physical performance and compromising eligibility for competitive activities. Methods and Results: Twenty consecutive competitive athletes (all males; 44.4 ± 13.0 years) with disabling palpitations on the basis of idiopathic drug-refractory AF underwent 46 procedures (2.3 ± 0.4 per patient) according to a prospectively designed multiprocedural CA approach that consolidates pulmonary veins (PV) isolation through subsequent steps. Preablation, effort-induced AF could be documented in 13 patients (65%) during stress ECG and significantly reduced maximal effort capacity (176 ± 21 W), as compared with patients with no AF during effort (207 ± 43 W, P <0.05). At the end of CA protocol, which also included ablation of atrial flutter (AFL) in 7 patients, 18 (90.0%) patients were free of AF and two (10.0%) reported short-lasting (minutes) episodes of palpitations during 36.1 ± 12.7 months follow-up. Compared with preablation, postablation maximal exercise capacity significantly improved (from 183 ± 32 to 218 ± 20 W, P <0.02). All baseline quality of life (QoL) parameters pertinent to physical activity significantly improved (P <0.05) at the end of CA protocol. All athletes obtained reeligibility and could effectively reinitiate sport activity. Conclusions: AF, alone or in combination with AFL, may significantly impair maximal effort capacity thereby limiting competitive performance. Multiple PV isolation proved very effective in these patients to restore full competitive activity and allow reeligibility.

Original languageEnglish
Pages (from-to)457-462
Number of pages6
JournalJournal of Cardiovascular Electrophysiology
Volume19
Issue number5
DOIs
Publication statusPublished - May 2008

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Catheter Ablation
Athletes
Atrial Fibrillation
Sports
Appointments and Schedules
Atrial Flutter
Pulmonary Veins
Exercise
Electrocardiography
Quality of Life

Keywords

  • Athletes
  • Atrial fibrillation
  • Catheter ablation
  • Sport eligibility

ASJC Scopus subject areas

  • Physiology
  • Cardiology and Cardiovascular Medicine

Cite this

Radiofrequency catheter ablation of atrial fibrillation in athletes referred for disabling symptoms preventing usual training schedule and sport competition. / Furlanello, Francesco; Lupo, Pierpaolo; Pittalis, Mario; Foresti, Sara; Vitali-Serdoz, Laura; Francia, Pietro; De Ambroggi, Guido; Ferrero, Paolo; Nardi, Stefano; Inama, Giuseppe; De Ambroggi, Luigi; Cappato, Riccardo.

In: Journal of Cardiovascular Electrophysiology, Vol. 19, No. 5, 05.2008, p. 457-462.

Research output: Contribution to journalArticle

Furlanello, F, Lupo, P, Pittalis, M, Foresti, S, Vitali-Serdoz, L, Francia, P, De Ambroggi, G, Ferrero, P, Nardi, S, Inama, G, De Ambroggi, L & Cappato, R 2008, 'Radiofrequency catheter ablation of atrial fibrillation in athletes referred for disabling symptoms preventing usual training schedule and sport competition', Journal of Cardiovascular Electrophysiology, vol. 19, no. 5, pp. 457-462. https://doi.org/10.1111/j.1540-8167.2007.01077.x
Furlanello, Francesco ; Lupo, Pierpaolo ; Pittalis, Mario ; Foresti, Sara ; Vitali-Serdoz, Laura ; Francia, Pietro ; De Ambroggi, Guido ; Ferrero, Paolo ; Nardi, Stefano ; Inama, Giuseppe ; De Ambroggi, Luigi ; Cappato, Riccardo. / Radiofrequency catheter ablation of atrial fibrillation in athletes referred for disabling symptoms preventing usual training schedule and sport competition. In: Journal of Cardiovascular Electrophysiology. 2008 ; Vol. 19, No. 5. pp. 457-462.
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abstract = "Catheter Ablation of Atrial Fibrillation in Athletes. Introduction: Atrial fibrillation (AF) may occasionally affect athletes by impairing their ability to compete, and leading to noneligibility at prequalification screening. The impact of catheter ablation (CA) in restoring full competitive activity of athletes affected by AF is not known. The aim of our study was to investigate the effectiveness of CA of idiopathic AF in athletes with palpitations impairing physical performance and compromising eligibility for competitive activities. Methods and Results: Twenty consecutive competitive athletes (all males; 44.4 ± 13.0 years) with disabling palpitations on the basis of idiopathic drug-refractory AF underwent 46 procedures (2.3 ± 0.4 per patient) according to a prospectively designed multiprocedural CA approach that consolidates pulmonary veins (PV) isolation through subsequent steps. Preablation, effort-induced AF could be documented in 13 patients (65{\%}) during stress ECG and significantly reduced maximal effort capacity (176 ± 21 W), as compared with patients with no AF during effort (207 ± 43 W, P <0.05). At the end of CA protocol, which also included ablation of atrial flutter (AFL) in 7 patients, 18 (90.0{\%}) patients were free of AF and two (10.0{\%}) reported short-lasting (minutes) episodes of palpitations during 36.1 ± 12.7 months follow-up. Compared with preablation, postablation maximal exercise capacity significantly improved (from 183 ± 32 to 218 ± 20 W, P <0.02). All baseline quality of life (QoL) parameters pertinent to physical activity significantly improved (P <0.05) at the end of CA protocol. All athletes obtained reeligibility and could effectively reinitiate sport activity. Conclusions: AF, alone or in combination with AFL, may significantly impair maximal effort capacity thereby limiting competitive performance. Multiple PV isolation proved very effective in these patients to restore full competitive activity and allow reeligibility.",
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AU - Francia, Pietro

AU - De Ambroggi, Guido

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