Cardiac Arrhythmias 2003: Proceedings of the 8th by F. Lombardi, F. Tundo, F. Colombo, S. Belletti, D. Tarricone


By F. Lombardi, F. Tundo, F. Colombo, S. Belletti, D. Tarricone (auth.), Antonio Raviele MD (eds.)

The box of cardiac arrhythmias has been evolving so speedy over the past years that clinical conferences are usually essential to current technological advances, to speak result of suitable and leading edge researches, to evaluate the influence of lately built diagnostic and therapeutical instruments, to debate arguable facets, and to arrive a consensus at the ultimate review and administration of particular difficulties. this is often the most it is because in 1988 we began to set up a biannual overseas Workshop on Cardiac Arrhythmias. because then many variations of the workshop have taken position and through the years the celebrity and recognition of the development have elevated constantly. This publication comprises the complaints of the 8th variation of the Workshop th th held in Venice on the Fondazione Giorgio Cini from the five to the eight of October 2003. throughout the assembly all of the vital elements of the several arrhythmias, from epidemiology to physiopathology, electrogenetic mechanisms, prognosis, diagnosis, therapy, pshycological implications and financial bills were mentioned one of the a variety of specialists and participants.

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Abstracts book. Lund p 7 Epstein AE, Mile WM, Bendin DG et al (1996) Personal and public safety issues related to arrhythmias that may affect consciousness: implications for regulation and physician recommendations. Circulation 94: 1147-1166 Coumel PR (1994) Autonomic arrhythmogenic factors in paroxysmal atrial fibrillation. In: alIson SB, Allessie MA, Campbell RWF (eds) Atrial fibrillation mechanisms and therapeutic strategies. Futura, Armonk, NY, pp 171-185 Furlanello F, Bertoldi A, Bettini R et al (1992) Life-threatening tachyarrhythmias in athletes.

24,36-38] 3. A mixture of 1 and 2 [19,20,24] 4. AF associated with supraventricular tachycardia (RSVT) [20-27] 5. AF associated with Wolff-Parkinson-W ite (WPW) syndrome or cardiac pre-excitation syndromes [21-27, 32] 6. "Familial "lone AF [29-31,43-49] The most important and recently discovered mechanism involved in lone AF induction in normal hearts is documented spontaneously occurring electrical activity in the pulmonary veins [1-3,53-57]. So-called "ectopic" AF originates from ectopic activity arising from pulmonary veins, due to the persistence and propagation of sleeves of normal atrial myocardial tissue into the orifices of the four pulmonary veins.

The majority of these were RSVT or WPW syndrome (10%). Table 1. Young competitive athletes with arrhythmias (1974-2003): Furlanello' s data. [4-14, 64, 66, and unpublished data I No. 3% unidentified arrhythmias AF or AFL or both have been documented in a "significant minority" of athletes. Some elite athletes with disabling AF/AFL have been successfully treated for recurrences with radiofrequency catheter ablation (RFCA); one became eligible for competitive athletic activity and the others for noncompetitive sporting activity, even at "the beginning of the ablation era" [17, 18] (Table 2).

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