Risk of arrhythmias in 52 755 long-distance cross-country skiers: a cohort study - PubMed (original) (raw)
. 2013 Dec;34(47):3624-31.
doi: 10.1093/eurheartj/eht188. Epub 2013 Jun 11.
Affiliations
- PMID: 23756332
- DOI: 10.1093/eurheartj/eht188
Risk of arrhythmias in 52 755 long-distance cross-country skiers: a cohort study
Kasper Andersen et al. Eur Heart J. 2013 Dec.
Abstract
Aims: We aimed to investigate the association of number of completed races and finishing time with risk of arrhythmias among participants of Vasaloppet, a 90 km cross-country skiing event.
Methods and results: All the participants without cardiovascular disease who completed Vasaloppet during 1989-98 were followed through national registries until December 2005. Primary outcome was hospitalization for any arrhythmia and secondary outcomes were atrial fibrillation/flutter (AF), bradyarrhythmias, other supraventricular tachycardias (SVT), and ventricular tachycardia/ventricular fibrillation/cardiac arrest (VT/VF/CA). Among 52 755 participants, 919 experienced arrhythmia during follow-up. Adjusting for age, education, and occupational status, those who completed the highest number of races during the period had higher risk of any arrhythmias [hazard ratio (HR)1.30; 95% CI 1.08-1.58; for ≥5 vs. 1 completed race], AF (HR 1.29; 95% CI 1.04-1.61), and bradyarrhythmias (HR 2.10; 95% CI 1.28-3.47). Those who had the fastest relative finishing time also had higher risk of any arrhythmias (HR 1.30; 95% CI 1.04-1.62; for 100-160% vs. >240% of winning time), AF (1.20; 95% CI 0.93-1.55), and bradyarrhythmias (HR 1.85; 95% CI 0.97-3.54). SVT or VT/VF/CA was not associated with finishing time or number of completed races.
Conclusions: Among male participants of a 90 km cross-country skiing event, a faster finishing time and a high number of completed races were associated with higher risk of arrhythmias. This was mainly driven by a higher incidence of AF and bradyarrhythmias. No association with SVT or VT/VF/CA was found.
Keywords: Arrhythmia; Atrial fibrillation; Bradycardia; Cross-country skiing; Exercise training.
Comment in
- Atrial fibrillation in athletes and the interplay between exercise and health.
La Gerche A, Schmied CM. La Gerche A, et al. Eur Heart J. 2013 Dec;34(47):3599-602. doi: 10.1093/eurheartj/eht265. Epub 2013 Jul 24. Eur Heart J. 2013. PMID: 23884920 No abstract available.
Similar articles
- Long-Term Incidence of Atrial Fibrillation and Stroke Among Cross-Country Skiers.
Svedberg N, Sundström J, James S, Hållmarker U, Hambraeus K, Andersen K. Svedberg N, et al. Circulation. 2019 Sep 10;140(11):910-920. doi: 10.1161/CIRCULATIONAHA.118.039461. Epub 2019 Aug 26. Circulation. 2019. PMID: 31446766 - Long-Term Incidence of Bradycardia and Pacemaker Implantations Among Cross-Country Skiers: A Cohort Study.
Svedberg N, Sundström J, James S, Hållmarker U, Hambraeus K, Andersen K. Svedberg N, et al. Circulation. 2024 Oct 8;150(15):1161-1170. doi: 10.1161/CIRCULATIONAHA.123.068280. Epub 2024 Aug 5. Circulation. 2024. PMID: 39101218 - Amyotrophic lateral sclerosis among cross-country skiers in Sweden.
Fang F, Hållmarker U, James S, Ingre C, Michaëlsson K, Ahlbom A, Feychting M. Fang F, et al. Eur J Epidemiol. 2016 Mar;31(3):247-53. doi: 10.1007/s10654-015-0077-7. Epub 2015 Jul 29. Eur J Epidemiol. 2016. PMID: 26220522 - The Burden of Cardiac Arrhythmias in Gout: A National Representative Database Study.
Mhanna M, Jabri A, Omar YA, Al-Abdouh A, Beran A, Ramahi A, Alrifai N, Almahameed S, Altorok N, Hodgson-Zingman D. Mhanna M, et al. Curr Probl Cardiol. 2023 Jan;48(1):101437. doi: 10.1016/j.cpcardiol.2022.101437. Epub 2022 Sep 30. Curr Probl Cardiol. 2023. PMID: 36183979 Review. - [COVID-19 and arrhythmias].
Fiorina L, Younsi S, Horvilleur J, Manenti V, Lacotte J, Raimondo C, Chemaly P, Salerno F, Ait Said M. Fiorina L, et al. Ann Cardiol Angeiol (Paris). 2020 Dec;69(6):376-379. doi: 10.1016/j.ancard.2020.09.024. Epub 2020 Sep 29. Ann Cardiol Angeiol (Paris). 2020. PMID: 33081916 Free PMC article. Review. French.
Cited by
- 2021 ISHNE/HRS/EHRA/APHRS collaborative statement on mHealth in Arrhythmia Management: Digital Medical Tools for Heart Rhythm Professionals: From the International Society for Holter and Noninvasive Electrocardiology/Heart Rhythm Society/European Heart Rhythm Association/Asia Pacific Heart Rhythm Society.
Varma N, Cygankiewicz I, Turakhia M, Heidbuchel H, Hu Y, Chen LY, Couderc JP, Cronin EM, Estep JD, Grieten L, Lane DA, Mehra R, Page A, Passman R, Piccini J, Piotrowicz E, Piotrowicz R, Platonov PG, Ribeiro AL, Rich RE, Russo AM, Slotwiner D, Steinberg JS, Svennberg E. Varma N, et al. J Arrhythm. 2021 Jan 29;37(2):271-319. doi: 10.1002/joa3.12461. eCollection 2021 Apr. J Arrhythm. 2021. PMID: 33850572 Free PMC article. - Below or all the way to the peak? Oxygen uptake efficiency slope as the index of cardiorespiratory response to exercise-the NOODLE study.
Kasiak P, Kowalski T, Rębiś K, Klusiewicz A, Starczewski M, Ładyga M, Wiecha S, Barylski M, Poliwczak AR, Wierzbiński P, Mamcarz A, Śliż D. Kasiak P, et al. Front Physiol. 2024 Jan 26;15:1348307. doi: 10.3389/fphys.2024.1348307. eCollection 2024. Front Physiol. 2024. PMID: 38343425 Free PMC article. - Pharmacologic Approach to Sinoatrial Node Dysfunction.
Mesirca P, Fedorov VV, Hund TJ, Torrente AG, Bidaud I, Mohler PJ, Mangoni ME. Mesirca P, et al. Annu Rev Pharmacol Toxicol. 2021 Jan 6;61:757-778. doi: 10.1146/annurev-pharmtox-031120-115815. Epub 2020 Oct 5. Annu Rev Pharmacol Toxicol. 2021. PMID: 33017571 Free PMC article. Review. - Size matters in atrial fibrillation: the underestimated importance of reduction of contiguous electrical mass underlying the effectiveness of catheter ablation.
Hartley A, Shalhoub J, Ng FS, Krahn AD, Laksman Z, Andrade JG, Deyell MW, Kanagaratnam P, Sikkel MB. Hartley A, et al. Europace. 2021 Nov 8;23(11):1698-1707. doi: 10.1093/europace/euab078. Europace. 2021. PMID: 33948648 Free PMC article. Review. - The Acute Effects of an Ultramarathon on Atrial Function and Supraventricular Arrhythmias in Master Athletes.
Cavigli L, Zorzi A, Spadotto V, Mandoli GE, Melani A, Fusi C, D'Andrea A, Focardi M, Valente S, Cameli M, Bonifazi M, D'Ascenzi F. Cavigli L, et al. J Clin Med. 2022 Jan 20;11(3):528. doi: 10.3390/jcm11030528. J Clin Med. 2022. PMID: 35159979 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
Medical