Burden of premature atrial beats in middle-aged endurance athletes with and without lone atrial fibrillation versus sedentary controls
Background The burden of premature atrial beats (PABs) at 24-h electrocardiographic (ECG) monitoring correlates with the risk of atrial fibrillation. It is unknown whether prolonged and intense exercise increases the burden of PABs, thus contributing to the higher prevalence of atrial fibrillation o...
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| Veröffentlicht in: | European journal of preventive cardiology 2020-09, Vol.27 (14), p.1555-1563 |
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| creator | Cipriani, Alberto Vio, Riccardo Mastella, Giulio Ciarmatori, Nicolò Del Monte, Alvise Trovato, Domenico Iliceto, Sabino Schiavon, Maurizio Bertaglia, Emanuele Corrado, Domenico Zorzi, Alessandro |
| description | Background
The burden of premature atrial beats (PABs) at 24-h electrocardiographic (ECG) monitoring correlates with the risk of atrial fibrillation. It is unknown whether prolonged and intense exercise increases the burden of PABs, thus contributing to the higher prevalence of atrial fibrillation observed in middle-aged athletes.
Methods
We compared the burden of PABs at 24-h ECG monitoring off therapy in 134 healthy middle-aged (30–60-year-old) competitive athletes who had practised 9 (7-11) h of endurance sports for 8 (4-15) consecutive years, 134 age- and gender-matched healthy sedentary individuals, and 66 middle-aged patients (20 athletes and 46 non-athletes) with ‘lone’ paroxysmal atrial fibrillation.
Results
More than 50 PABs/24 h or ≥1 run of ≥3 PABs were recorded in 23/134 (17%) healthy athletes and in 29/134 (22%) sedentary controls (p = 0.61). Healthy athletes with frequent or repetitive PABs were older (median 50 years vs. 43 years, p |
| doi_str_mv | 10.1177/2047487319880042 |
| format | Article |
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The burden of premature atrial beats (PABs) at 24-h electrocardiographic (ECG) monitoring correlates with the risk of atrial fibrillation. It is unknown whether prolonged and intense exercise increases the burden of PABs, thus contributing to the higher prevalence of atrial fibrillation observed in middle-aged athletes.
Methods
We compared the burden of PABs at 24-h ECG monitoring off therapy in 134 healthy middle-aged (30–60-year-old) competitive athletes who had practised 9 (7-11) h of endurance sports for 8 (4-15) consecutive years, 134 age- and gender-matched healthy sedentary individuals, and 66 middle-aged patients (20 athletes and 46 non-athletes) with ‘lone’ paroxysmal atrial fibrillation.
Results
More than 50 PABs/24 h or ≥1 run of ≥3 PABs were recorded in 23/134 (17%) healthy athletes and in 29/134 (22%) sedentary controls (p = 0.61). Healthy athletes with frequent or repetitive PABs were older (median 50 years vs. 43 years, p < 0.01) and had practised sport for a longer time (median 10 years vs. 6 years, p = 0.03). At multivariable analysis only age (odds ratio 1.11, 95% confidence interval 1.04–1.20, p < 0.01) remained an independent predictor of a higher burden of PABs. Also among patients with ‘lone’ paroxysmal atrial fibrillation, there was no difference in the prevalence of >50 PABs/24 h or ≥1 run of ≥3 PABs between athletes (40%) and controls (48%, p = 0.74).
Conclusions
Middle-aged endurance athletes, with or without paroxysmal atrial fibrillation, did not show a higher burden of PABs at 24-h ECG monitoring than sedentary controls. Age, but not intensity and duration of sports activity, predicted a higher burden of PABs among healthy athletes.</description><identifier>ISSN: 2047-4873</identifier><identifier>EISSN: 2047-4881</identifier><identifier>DOI: 10.1177/2047487319880042</identifier><identifier>PMID: 31604380</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><ispartof>European journal of preventive cardiology, 2020-09, Vol.27 (14), p.1555-1563</ispartof><rights>The European Society of Cardiology 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c379t-3a2a7bb6e55d8c62cbc2e8bfdde41a085469f3be26180efbd0d61cf0a06df9983</citedby><cites>FETCH-LOGICAL-c379t-3a2a7bb6e55d8c62cbc2e8bfdde41a085469f3be26180efbd0d61cf0a06df9983</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/2047487319880042$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/2047487319880042$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31604380$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cipriani, Alberto</creatorcontrib><creatorcontrib>Vio, Riccardo</creatorcontrib><creatorcontrib>Mastella, Giulio</creatorcontrib><creatorcontrib>Ciarmatori, Nicolò</creatorcontrib><creatorcontrib>Del Monte, Alvise</creatorcontrib><creatorcontrib>Trovato, Domenico</creatorcontrib><creatorcontrib>Iliceto, Sabino</creatorcontrib><creatorcontrib>Schiavon, Maurizio</creatorcontrib><creatorcontrib>Bertaglia, Emanuele</creatorcontrib><creatorcontrib>Corrado, Domenico</creatorcontrib><creatorcontrib>Zorzi, Alessandro</creatorcontrib><title>Burden of premature atrial beats in middle-aged endurance athletes with and without lone atrial fibrillation versus sedentary controls</title><title>European journal of preventive cardiology</title><addtitle>Eur J Cardiovasc Prev Rehabil</addtitle><description>Background
The burden of premature atrial beats (PABs) at 24-h electrocardiographic (ECG) monitoring correlates with the risk of atrial fibrillation. It is unknown whether prolonged and intense exercise increases the burden of PABs, thus contributing to the higher prevalence of atrial fibrillation observed in middle-aged athletes.
Methods
We compared the burden of PABs at 24-h ECG monitoring off therapy in 134 healthy middle-aged (30–60-year-old) competitive athletes who had practised 9 (7-11) h of endurance sports for 8 (4-15) consecutive years, 134 age- and gender-matched healthy sedentary individuals, and 66 middle-aged patients (20 athletes and 46 non-athletes) with ‘lone’ paroxysmal atrial fibrillation.
Results
More than 50 PABs/24 h or ≥1 run of ≥3 PABs were recorded in 23/134 (17%) healthy athletes and in 29/134 (22%) sedentary controls (p = 0.61). Healthy athletes with frequent or repetitive PABs were older (median 50 years vs. 43 years, p < 0.01) and had practised sport for a longer time (median 10 years vs. 6 years, p = 0.03). At multivariable analysis only age (odds ratio 1.11, 95% confidence interval 1.04–1.20, p < 0.01) remained an independent predictor of a higher burden of PABs. Also among patients with ‘lone’ paroxysmal atrial fibrillation, there was no difference in the prevalence of >50 PABs/24 h or ≥1 run of ≥3 PABs between athletes (40%) and controls (48%, p = 0.74).
Conclusions
Middle-aged endurance athletes, with or without paroxysmal atrial fibrillation, did not show a higher burden of PABs at 24-h ECG monitoring than sedentary controls. Age, but not intensity and duration of sports activity, predicted a higher burden of PABs among healthy athletes.</description><issn>2047-4873</issn><issn>2047-4881</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp1kU1PHDEMhqOqVUGUe09Vjr1McZLZmcwRUGmRkLi051E-nBI0k2zzUcQf4Hc326V7QMIXW9Hj185rQj4y-MLYOJ5x6MdejoJNUgL0_A053j11vZTs7aEexRE5zfkeWgzAuZTvyZFgA_RCwjF5uqjJYqDR0W3CVZWakKqSvFqoRlUy9YGu3toFO_ULLcVga1LB7Ki7BQtm-uDLHVXB_itiLXSJ4SDivE5-WVTxMdA_mHLNNGMbWVR6pCaGkuKSP5B3Ti0ZT5_zCfl59fXH5ffu5vbb9eX5TWfEOJVOKK5GrQfcbKw0AzfacJTaWYs9UyA3_TA5oZEPTAI6bcEOzDhQMFg3TVKckM973W2KvyvmMq8-G2z7BYw1z1zABvqpWdVQ2KMmxZwTunmb_NqWnhnMuwPMLw_QWj49q1e9oj00_Le7Ad0eyM3L-T7WFNpvXxf8C3HokMU</recordid><startdate>202009</startdate><enddate>202009</enddate><creator>Cipriani, Alberto</creator><creator>Vio, Riccardo</creator><creator>Mastella, Giulio</creator><creator>Ciarmatori, Nicolò</creator><creator>Del Monte, Alvise</creator><creator>Trovato, Domenico</creator><creator>Iliceto, Sabino</creator><creator>Schiavon, Maurizio</creator><creator>Bertaglia, Emanuele</creator><creator>Corrado, Domenico</creator><creator>Zorzi, Alessandro</creator><general>SAGE Publications</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202009</creationdate><title>Burden of premature atrial beats in middle-aged endurance athletes with and without lone atrial fibrillation versus sedentary controls</title><author>Cipriani, Alberto ; Vio, Riccardo ; Mastella, Giulio ; Ciarmatori, Nicolò ; Del Monte, Alvise ; Trovato, Domenico ; Iliceto, Sabino ; Schiavon, Maurizio ; Bertaglia, Emanuele ; Corrado, Domenico ; Zorzi, Alessandro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c379t-3a2a7bb6e55d8c62cbc2e8bfdde41a085469f3be26180efbd0d61cf0a06df9983</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cipriani, Alberto</creatorcontrib><creatorcontrib>Vio, Riccardo</creatorcontrib><creatorcontrib>Mastella, Giulio</creatorcontrib><creatorcontrib>Ciarmatori, Nicolò</creatorcontrib><creatorcontrib>Del Monte, Alvise</creatorcontrib><creatorcontrib>Trovato, Domenico</creatorcontrib><creatorcontrib>Iliceto, Sabino</creatorcontrib><creatorcontrib>Schiavon, Maurizio</creatorcontrib><creatorcontrib>Bertaglia, Emanuele</creatorcontrib><creatorcontrib>Corrado, Domenico</creatorcontrib><creatorcontrib>Zorzi, Alessandro</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of preventive cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cipriani, Alberto</au><au>Vio, Riccardo</au><au>Mastella, Giulio</au><au>Ciarmatori, Nicolò</au><au>Del Monte, Alvise</au><au>Trovato, Domenico</au><au>Iliceto, Sabino</au><au>Schiavon, Maurizio</au><au>Bertaglia, Emanuele</au><au>Corrado, Domenico</au><au>Zorzi, Alessandro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Burden of premature atrial beats in middle-aged endurance athletes with and without lone atrial fibrillation versus sedentary controls</atitle><jtitle>European journal of preventive cardiology</jtitle><addtitle>Eur J Cardiovasc Prev Rehabil</addtitle><date>2020-09</date><risdate>2020</risdate><volume>27</volume><issue>14</issue><spage>1555</spage><epage>1563</epage><pages>1555-1563</pages><issn>2047-4873</issn><eissn>2047-4881</eissn><abstract>Background
The burden of premature atrial beats (PABs) at 24-h electrocardiographic (ECG) monitoring correlates with the risk of atrial fibrillation. It is unknown whether prolonged and intense exercise increases the burden of PABs, thus contributing to the higher prevalence of atrial fibrillation observed in middle-aged athletes.
Methods
We compared the burden of PABs at 24-h ECG monitoring off therapy in 134 healthy middle-aged (30–60-year-old) competitive athletes who had practised 9 (7-11) h of endurance sports for 8 (4-15) consecutive years, 134 age- and gender-matched healthy sedentary individuals, and 66 middle-aged patients (20 athletes and 46 non-athletes) with ‘lone’ paroxysmal atrial fibrillation.
Results
More than 50 PABs/24 h or ≥1 run of ≥3 PABs were recorded in 23/134 (17%) healthy athletes and in 29/134 (22%) sedentary controls (p = 0.61). Healthy athletes with frequent or repetitive PABs were older (median 50 years vs. 43 years, p < 0.01) and had practised sport for a longer time (median 10 years vs. 6 years, p = 0.03). At multivariable analysis only age (odds ratio 1.11, 95% confidence interval 1.04–1.20, p < 0.01) remained an independent predictor of a higher burden of PABs. Also among patients with ‘lone’ paroxysmal atrial fibrillation, there was no difference in the prevalence of >50 PABs/24 h or ≥1 run of ≥3 PABs between athletes (40%) and controls (48%, p = 0.74).
Conclusions
Middle-aged endurance athletes, with or without paroxysmal atrial fibrillation, did not show a higher burden of PABs at 24-h ECG monitoring than sedentary controls. Age, but not intensity and duration of sports activity, predicted a higher burden of PABs among healthy athletes.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>31604380</pmid><doi>10.1177/2047487319880042</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| title | Burden of premature atrial beats in middle-aged endurance athletes with and without lone atrial fibrillation versus sedentary controls |
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