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Nat. Rev. Cardiol. doi:10.1038/nrcardio.2016.173
Figure 4 Mechanisms potentially involved in exercise-induced atrial fibrillation (AF) Figure 4 | Mechanisms potentially involved in exercise-induced atrial fibrillation (AF). Potential mechanisms are represented in the classic Coumel's triangle of arrhythmogenesis. A substrate for AF, including atrial dilatation and potentially atrial fibrosis, is created over repetitive bouts of strenuous exercise. Parasympathetic enhancement, a characteristic of the athlete's heart, modulates arrhythmic risk. AF events might be triggered by increased atrial stretch during exercise or by a high burden of atrial premature beats. Guasch, E. & Mont, L. (2016) Diagnosis, pathophysiology, and management of exercise-induced arrhythmias Nat. Rev. Cardiol. doi: /nrcardio
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