![]() 10įor the purposes of this Expert Analysis, we are presuming the athletes in question are mostly those with paroxysmal AF and "structurally normal" hearts. 10,2 Other changes associated with training including electrolyte abnormalities, autonomic changes, and even gastroesophageal reflux disease are also believed to contribute to the development of AF in this population. The pathophysiology of AF in athletes is complex and is believed to be multifactorial, with contributions from genetic predisposition, atrial ectopy, and sports supplements, combined with cardiac remodeling, fibrosis, inflammation, and fibrosis associated with exercise. 3,4,7 AF is an important topic in sports and exercise cardiology due to its prevalence and the development of resting and exertional symptoms. The prevalence in athletes has been reported as occurring anywhere from 0.2% to 63%. 10 However, it has also been noted to occur in young athletes without traditional risk factors. Click here for the Pro article.Ītrial Fibrillation (AF) is the most common arrhythmia in the general population and in athletes, particularly in middle aged athletes participating in endurance sports. Any duplication or distribution of the information contained herein is strictly prohibited.Editor's Note: This is the Con article of a two-part Pro/Con Expert Analysis. No warranty of any kind, either expressed or implied, is made as to the accuracy, reliability, timeliness, or correctness of any translations made by a third-party service of the information provided herein into any other language. Links to other sites are provided for information only – they do not constitute endorsements of those other sites. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. This site complies with the HONcode standard for trustworthy health information: verify here. Learn more about A.D.A.M.'s editorial policy editorial process and privacy policy. is among the first to achieve this important distinction for online health information and services. follows rigorous standards of quality and accountability. is accredited by URAC, for Health Content Provider (URAC's accreditation program is an independent audit to verify that A.D.A.M. Burning when the electrical energy is usedĪ.D.A.M., Inc.A brief burning when medicines are injected.A health care provider may ask you if you are having symptoms at different times during the procedure. During the procedure your heart will be monitored closely. This creates a small scar that causes the heart rhythm problem to stop.Ĭatheter ablation is a long procedure.Once the source of the problem has been found, one of the catheter lines is used to send electrical (or sometimes cold) energy to the problem area.In most cases, there are one or more specific areas. These electrodes are connected to monitors that allow the cardiologist to tell what area in your heart is causing problems with your heart rhythm.Once the catheter is in place, your cardiologist will place small electrodes in different areas of your heart. Sometimes more than one catheter is needed.The cardiologist will use live x-ray images to carefully guide the catheter up into your heart. A small, flexible tube (catheter) will be inserted through this cut into one of the blood vessels in the area.Next, the cardiologist will make a small cut in the skin.The skin on your neck, arm, or groin will be cleaned well and made numb with an anesthetic.You will be given medicine (a sedative) before the procedure to help you relax. The setting is safe and controlled so your risk is as low as possible. This includes cardiologists (heart doctors), technicians, and nurses. The type of procedure you have will depend on what kind of abnormal heart rhythm you have.Ĭardiac ablation procedures are done in a hospital laboratory by trained staff. Cryoablation uses very cold temperatures.Radiofrequency ablation uses heat energy to eliminate the problem area.There are two methods for performing cardiac ablation:
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