Atrial Fibrillation in Endurance Athletes: From Mechanism to Management

Adrian D. Elliott, Rajiv Mahajan, Dennis H. Lau, Prashanthan Sanders

Research output: Contribution to journalReview articlepeer-review

16 Citations (Scopus)


Exercise training has considerable health benefits. However, recent research has demonstrated a greater risk of atrial arrhythmias in endurance athletes. The mechanisms promoting atrial fibrillation in athletes are unclear but there seems to be a central role for atrial remodeling, accompanied by autonomic alterations and inflammation. Animal studies have provided unique insights, yet prospective human data are lacking. Treatment options seem to yield similar efficacy to that seen in a nonathletic population and may be justified as an early rhythm control strategy. Further studies are required to enhance understanding of the cardiac adaptations to intensive exercise training.

Original languageEnglish
Pages (from-to)567-578
Number of pages12
JournalCardiology Clinics
Issue number4
Publication statusPublished or Issued - 1 Nov 2016


  • Arrhythmia
  • Athlete
  • Atrial fibrillation
  • Cardiac
  • Exercise

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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