Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Idiopathic Premature Ventricular Contractions Catheter Ablation, Sedentary Population vs Athlete’s Populations: Outcomes and Resumption of Sports Activity

Version 1 : Received: 11 January 2024 / Approved: 12 January 2024 / Online: 14 January 2024 (15:49:41 CET)

A peer-reviewed article of this Preprint also exists.

Valeri, Y.; Compagnucci, P.; Volpato, G.; Luciani, L.; Crepaldi, E.; Maiorino, F.; Parisi, Q.; Cipolletta, L.; Campanelli, F.; D’Angelo, L.; Gaggiotti, G.; Gasperetti, A.; Giovagnoni, A.; Curcio, A.; Dello Russo, A.; Casella, M. Idiopathic Premature Ventricular Contraction Catheter Ablation, Sedentary Population vs. Athlete’s Populations: Outcomes and Resumption of Sports Activity. J. Clin. Med. 2024, 13, 1871. Valeri, Y.; Compagnucci, P.; Volpato, G.; Luciani, L.; Crepaldi, E.; Maiorino, F.; Parisi, Q.; Cipolletta, L.; Campanelli, F.; D’Angelo, L.; Gaggiotti, G.; Gasperetti, A.; Giovagnoni, A.; Curcio, A.; Dello Russo, A.; Casella, M. Idiopathic Premature Ventricular Contraction Catheter Ablation, Sedentary Population vs. Athlete’s Populations: Outcomes and Resumption of Sports Activity. J. Clin. Med. 2024, 13, 1871.

Abstract

There are no investigations about the outcomes of idiopathic PVCs catheter ablation (CA) in athletes compared to sedentary population. We conducted a prospective single-centre observational study. The primary and secondary procedural outcomes were premature ventricular contractions (PVCs) post-ablation reduction in athletes vs. non-athletes group and in agonist vs. leisure-time athletes. The third was the evaluation of the resumption of physical activity and the improvement of symptoms in agonist and leisure-time athletes. From January 2020 to October 2022 we enrolled 79 patients with RVOT/LVOT/fascicular PVC presumed origin. The median percentage of decrease between the pre-procedure and post-procedure Holter monitoring in non-athletes group was 96 (IQR 68 – 98) and 98 in athletes group (IQR 92 – 99) (p=0,08). Considering the athletes, the median percentage of decrease in PVCs number was 98 (IQR 93-99) and 98 (IQR 87-99) respectively in leisure-time and agonistic athletes (p=0,42). Sixteen (70%) leisure time and 17 (90%) agonist athletes (p=0,24) have resumed physical activity 3 months after PVCs CA; among agonistic athletes, 59% have resumed competitive physical activity. Much of leisure-time (88%) and agonist (70%) athletes experienced an improvement in symptoms after ablation. PVC CA was effective and safe in both groups, reducing symptoms and allowing a quick and safe return to sports activities in athletes.

Keywords

premature ventricular contractions; right ventricular outflow tract; left ventricular outflow tract; catheter ablation; athletes; leisure-time athletes; agonist athletes; sports activity

Subject

Medicine and Pharmacology, Cardiac and Cardiovascular Systems

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