Stroke in Athletes with Atrial Fibrillation

Detalhes bibliográficos
Autor(a) principal: Certo Pereira, Joana
Data de Publicação: 2025
Outros Autores: Lima, Maria Rita, Moscoso Costa, Francisco, Gomes, Daniel A., Maltês, Sérgio, Cunha, Gonçalo, Dores, Hélder, Adragão, Pedro
Tipo de documento: Outros
Idioma: eng
Título da fonte: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
Texto Completo: http://hdl.handle.net/10362/177548
Resumo: Publisher Copyright: © 2024 by the authors.
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spelling Stroke in Athletes with Atrial FibrillationA Narrative Reviewathletesatrial fibrillationstrokeClinical BiochemistryPublisher Copyright: © 2024 by the authors.Atrial fibrillation (AF) is the most common sustained arrhythmia, linked with a significantly heightened risk of stroke. While moderate exercise reduces AF risk, high-level endurance athletes paradoxically exhibit a higher incidence. However, their stroke risk remains uncertain due to their younger age, higher cardiovascular fitness, and lower rate of comorbidities. Several key studies highlight that AF may increase the risk of stroke in endurance athletes, particularly those over 65. However, the overall risk within this population remains relatively low. Notably, older male athletes show a higher AF incidence but experience lower stroke risk than their non-athletic counterparts. Regular physical activity prior to a first stroke appears to reduce mortality, though recurrent stroke risk in athletes with AF mirrors that of non-athletes, despite an elevated AF incidence. Management of AF in athletes is complex, with limited evidence guiding anti-thrombotic strategies. In this setting, specific recommendations are sparse, particularly in sports where bleeding risk is heightened. Individualized management, emphasizing shared decision-making, is critical to balance stroke prevention with athletic performance. Rhythm control strategies, such as catheter ablation, may be a reasonable first-line treatment option for athletes, particularly in those desiring to avoid long-term medication. This review synthesizes the current literature on the incidence, predictors, and management of stroke in athletes with AF.Comprehensive Health Research Centre (CHRC) - pólo NMSNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)Laboratório Associado de Translacção e Inovação para a Saúde Global - LA Real (Pólo NMS)RUNCerto Pereira, JoanaLima, Maria RitaMoscoso Costa, FranciscoGomes, Daniel A.Maltês, SérgioCunha, GonçaloDores, HélderAdragão, Pedro2025-01-16T21:22:20Z2025-012025-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/otherapplication/pdfhttp://hdl.handle.net/10362/177548eng2075-4418PURE: 106836625https://doi.org/10.3390/diagnostics15010009info:eu-repo/semantics/openAccessreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2025-01-20T01:39:13Zoai:run.unl.pt:10362/177548Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-28T19:40:31.318001Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse
dc.title.none.fl_str_mv Stroke in Athletes with Atrial Fibrillation
A Narrative Review
title Stroke in Athletes with Atrial Fibrillation
spellingShingle Stroke in Athletes with Atrial Fibrillation
Certo Pereira, Joana
athletes
atrial fibrillation
stroke
Clinical Biochemistry
title_short Stroke in Athletes with Atrial Fibrillation
title_full Stroke in Athletes with Atrial Fibrillation
title_fullStr Stroke in Athletes with Atrial Fibrillation
title_full_unstemmed Stroke in Athletes with Atrial Fibrillation
title_sort Stroke in Athletes with Atrial Fibrillation
author Certo Pereira, Joana
author_facet Certo Pereira, Joana
Lima, Maria Rita
Moscoso Costa, Francisco
Gomes, Daniel A.
Maltês, Sérgio
Cunha, Gonçalo
Dores, Hélder
Adragão, Pedro
author_role author
author2 Lima, Maria Rita
Moscoso Costa, Francisco
Gomes, Daniel A.
Maltês, Sérgio
Cunha, Gonçalo
Dores, Hélder
Adragão, Pedro
author2_role author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Comprehensive Health Research Centre (CHRC) - pólo NMS
NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
Laboratório Associado de Translacção e Inovação para a Saúde Global - LA Real (Pólo NMS)
RUN
dc.contributor.author.fl_str_mv Certo Pereira, Joana
Lima, Maria Rita
Moscoso Costa, Francisco
Gomes, Daniel A.
Maltês, Sérgio
Cunha, Gonçalo
Dores, Hélder
Adragão, Pedro
dc.subject.por.fl_str_mv athletes
atrial fibrillation
stroke
Clinical Biochemistry
topic athletes
atrial fibrillation
stroke
Clinical Biochemistry
description Publisher Copyright: © 2024 by the authors.
publishDate 2025
dc.date.none.fl_str_mv 2025-01-16T21:22:20Z
2025-01
2025-01-01T00:00:00Z
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url http://hdl.handle.net/10362/177548
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 2075-4418
PURE: 106836625
https://doi.org/10.3390/diagnostics15010009
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