• Nicola Tarantino, Domenico G Della Rocca, Nicole S De Leon De La Cruz, Eric D Manheimer, Michele Magnocavallo, Carlo Lavalle, Carola Gianni, Sanghamitra Mohanty, Chintan Trivedi, Amin Al-Ahmad, Rodney P Horton, Mohamed Bassiouny, J David Burkhardt, G Joseph Gallinghouse, Giovanni B Forleo, BiaseLuigi DiLDArrhythmia Service, Department of Medicine, Division of Cardiology, Montefiore Medical Center, 10467 Bronx, NY, USA.Department of Clinical and Experimental Medicine, University of Foggia, 71122 Foggia, Italy., and Andrea Natale.
• Arrhythmia Service, Department of Medicine, Division of Cardiology, Montefiore Medical Center, 10467 Bronx, NY, USA.
• Medicina (Kaunas). 2021 Feb 26; 57 (3).

AbstractA recent surveillance analysis indicates that cardiac arrest/death occurs in ≈1:50,000 professional or semi-professional athletes, and the most common cause is attributable to life-threatening ventricular arrhythmias (VAs). It is critically important to diagnose any inherited/acquired cardiac disease, including coronary artery disease, since it frequently represents the arrhythmogenic substrate in a substantial part of the athletes presenting with major VAs. New insights indicate that athletes develop a specific electro-anatomical remodeling, with peculiar anatomic distribution and VAs patterns. However, because of the scarcity of clinical data concerning the natural history of VAs in sports performers, there are no dedicated recommendations for VA ablation. The treatment remains at the mercy of several individual factors, including the type of VA, the athlete's age, and the operator's expertise. With the present review, we aimed to illustrate the prevalence, electrocardiographic (ECG) features, and imaging correlations of the most common VAs in athletes, focusing on etiology, outcomes, and sports eligibility after catheter ablation.

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