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Arrhythmia & electrophysiology review
05, 2019;8 (2): 83-89.

Monomorphic Ventricular Arrhythmias in Athletes.

Jeffrey J Hsu, Ali Nsair, Jamil A Aboulhosn, Tamara B Horwich, Ravi H Dave, Kevin M Shannon, Noel G Boyle, Kalyanam Shivkumar, Jason S Bradfield
Author Information
  1. Jeffrey J Hsu: UCLA Sports Cardiology Center Los Angeles CA, US.
  2. Ali Nsair: UCLA Sports Cardiology Center Los Angeles CA, US.
  3. Jamil A Aboulhosn: UCLA Sports Cardiology Center Los Angeles CA, US.
  4. Tamara B Horwich: UCLA Sports Cardiology Center Los Angeles CA, US.
  5. Ravi H Dave: UCLA Sports Cardiology Center Los Angeles CA, US.
  6. Kevin M Shannon: UCLA Sports Cardiology Center Los Angeles CA, US.
  7. Noel G Boyle: UCLA Cardiac Arrhythmia Center Los Angeles CA, US.
  8. Kalyanam Shivkumar: UCLA Cardiac Arrhythmia Center Los Angeles CA, US.
  9. Jason S Bradfield: UCLA Sports Cardiology Center Los Angeles CA, US.
PMID: 31114681 DOI: 10.15420/aer.2019.19.3

Abstract

Ventricular arrhythmias are challenging to manage in athletes with concern for an elevated risk of sudden cardiac death (SCD) during sports competition. Monomorphic ventricular arrhythmias (MMVA), while often benign in athletes with a structurally normal heart, are also associated with a unique subset of idiopathic and malignant substrates that must be clearly defined. A comprehensive evaluation for structural and/or electrical heart disease is required in order to exclude cardiac conditions that increase risk of SCD with exercise, such as hypertrophic cardiomyopathy and arrhythmogenic right ventricular cardiomyopathy. Unique issues for physicians who manage this population include navigating athletes through the decision of whether they can safely continue their chosen sport. In the absence of structural heart disease, therapies such as radiofrequency catheter ablation are very effective for certain arrhythmias and may allow for return to competitive sports participation. In this comprehensive review, we summarise the recommendations for evaluating and managing athletes with MMVA.

Keywords

Ablation arrhythmogenic right ventricular cardiomyopathy athlete hypertrophic cardiomyopathy premature ventricular contraction sports cardiology sudden cardiac death ventricular tachycardia

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Journal Article Review

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