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My patient wants to perform strenuous endurance exercise. What's the right advice?

Abstract：

:Prolonged strenuous endurance exercise (SEE) such as marathon running has recently been associated with potential deleterious cardiac effects, particularly increased risk of atrial fibrillation (AF). This topic is medically important due to the increasing number of participants in SEE events lasting several hours, including older people. The aim of this narrative review is to provide a summary of the evidence available on SEE and related issues such as cardiovascular mortality, AF, potential cardiac remodeling, cardiovascular events during exertion, or the need for pre-participation screening (with a special focus on beginners). This type of information can help physicians giving advice to their patients and the general public regarding safe SEE practice.

journal_name

Int J Cardiol

journal_title

International journal of cardiology

authors

Sanchis-Gomar F,Santos-Lozano A,Garatachea N,Pareja-Galeano H,Fiuza-Luces C,Joyner MJ,Lucia A

doi

10.1016/j.ijcard.2015.06.014

subject

Has Abstract

pub_date

2015-10-15 00:00:00

pages

248-53

eissn

0167-5273

issn

1874-1754

pii

S0167-5273(15)01315-7

journal_volume

197

pub_type

杂志文章,评审

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