Key result
Catheter ablation for idiopathic PVCs yields similar PVC reduction in athletes versus non-athletes.
Why the study?
Outcomes of catheter ablation for idiopathic PVCs had not been investigated in athletes compared with a sedentary population.
Does catheter ablation for idiopathic PVCs reduce PVC burden and allow resumption of sports activity similarly in athletes compared to sedentary populations?
Observational (n=79)
No
Does catheter ablation for idiopathic PVCs reduce PVC burden and allow resumption of sports activity similarly in athletes compared to sedentary populations?
Catheter ablation for idiopathic PVCs is highly effective in both athletes and non-athletes, facilitating a safe return to sports for the majority of athletes within 3 months.
Answers are grounded in this paper and cite their sources.
Observational data on PVC ablation outcomes in athletes remain limited; leaves open differential efficacy versus non-athletes and need for randomized confirmation.
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.
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Valeri et al. (2024) conducted an observational in Idiopathic premature ventricular contractions (n=79). Catheter ablation in athletes vs. Catheter ablation in non-athletes was evaluated on Premature ventricular contractions (PVCs) post-ablation reduction (p=0.08). Catheter ablation for idiopathic premature ventricular contractions yielded a median PVC reduction of 98% in athletes versus 96% in non-athletes (p=0.08).
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