Diagnosis of Arrhythmias in Athletes Using Leadless, Ambulatory HR Monitors

MÜSSIGBRODT, ANDREAS; RICHTER, SERGIO; WETZEL, ULRIKE; VAN BELLE, YVES; BOLLMANN, ANDREAS; HINDRICKS, GERHARD

Medicine & Science in Sports & Exercise:
doi: 10.1249/MSS.0b013e31828ca1bf
Clinical Sciences
Abstract

ABSTRACT: Exercise-related palpitations, vertigo, and syncope may be caused by benign etiologies but can also herald life-threatening arrhythmias. The precise diagnosis of these findings is therefore essential and potentially life saving but often is a challenge for sports physicians and cardiologists.

Leadless, ambulatory HR monitors with chest strap transmitters have been designed to steer exercise intensity in athletes with a baseline sinus rhythm. However, they also can capture arrhythmias. Presented here are three cases of varying arrhythmias: atrial fibrillation, atrioventricular nodal reentrant tachycardia, and ectopic atrial tachycardia that demonstrate the utility of HR monitors designed for athletic purposes in facilitating the diagnosis of arrhythmias and guiding appropriate treatment.

Author Information

University Leipzig, Heart Center, Leipzig, GERMANY

Address for correspondence: Andreas Müssigbrodt, M.D., Department of Electrophysiology, University of Leipzig, Heart Center, Strümpellstrasse 39, 04289 Leipzig, Germany; E-mail: andreas.muessigbrodt@gmail.com.

Submitted for publication November 2012.

Accepted for publication February 2013.

© 2013 American College of Sports Medicine