Logo do repositório
 
Publicação

Stroke in Athletes with Atrial Fibrillation

2025-01Recensão Acesso aberto
Ver registo simples
dc.contributor.authorCerto Pereira, Joana
dc.contributor.authorLima, Maria Rita
dc.contributor.authorMoscoso Costa, Francisco
dc.contributor.authorGomes, Daniel A.
dc.contributor.authorMaltês, Sérgio
dc.contributor.authorCunha, Gonçalo
dc.contributor.authorDores, Hélder
dc.contributor.authorAdragão, Pedro
dc.contributor.institutionComprehensive Health Research Centre (CHRC) - pólo NMS
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.institutionLaboratório Associado de Translacção e Inovação para a Saúde Global - LA Real (Pólo NMS)
dc.contributor.pblMDPI - Multidisciplinary Digital Publishing Institute
dc.date.accessioned2025-01-16T21:22:20Z
dc.date.available2025-01-16T21:22:20Z
dc.date.issued2025-01
dc.descriptionPublisher Copyright: © 2024 by the authors.
dc.description.abstractAtrial 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.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent711706
dc.identifier.doi10.3390/diagnostics15010009
dc.identifier.issn2075-4418
dc.identifier.otherPURE: 106836625
dc.identifier.otherPURE UUID: 91dc892d-751e-47fd-8285-fae28aeca1b6
dc.identifier.otherScopus: 85214489963
dc.identifier.otherWOS: 001393997500001
dc.identifier.urihttp://hdl.handle.net/10362/177548
dc.identifier.urlhttps://www.scopus.com/pages/publications/85214489963
dc.language.isoeng
dc.peerreviewedyes
dc.subjectathletes
dc.subjectatrial fibrillation
dc.subjectstroke
dc.subjectClinical Biochemistry
dc.titleStroke in Athletes with Atrial Fibrillationen
dc.title.subtitleA Narrative Reviewen
dc.typereview
degois.publication.issue1
degois.publication.titleDiagnostics
degois.publication.volume15
dspace.entity.typePublication
rcaap.rightsopenAccess

Ficheiros

Principais
A mostrar 1 - 1 de 1
Miniatura
Nome:
diagnostics-15-00009.pdf
Tamanho:
695.03 KB
Formato:
Adobe Portable Document Format
Ver/Abrir

Coleções

NMS: CHRC - Artigos em revista internacional com arbitragem científica