Authors: Šarčević, Zoran
Tepavčević, Andreja 
Title: Competitive Endurance Activities of Middle-aged Athletes as a Risk Factor for Atrial Fibrillation
Journal: Current Sports Medicine Reports
Volume: 17
Issue: 11
First page: 391
Last page: 395
Issue Date: 1-Nov-2018
Rank: M23
ISSN: 1537-890X
DOI: 10.1249/JSR.0000000000000535
Atrial fibrillation (AF) is the most common cardiac arrhythmia in athletes. Epidemiological studies have documented a greater prevalence of AF in athletes engaged in long-term endurance sports. Several mechanisms were proposed to underlie the association between exercise and AF, but the exact pathophysiology remains unclear. The studies up to now have been concentrated on the competitive middle-aged endurance athletes, but there is no evidence of AF prevalence among highly active noncompetitive athletes of the same age. Endurance athletes who do not compete might be at a lower risk for AF than their competitive peers. This hypothesis is theoretically examined, and the current evidence summarized in this article.
Publisher: Lippincott Williams and Wilkins

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