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Because the patient was exercising, which increases sympathetic tone, facilitating AV conduction. Why did today's patient develop AFlutter while exercising on a treadmill? Does Exercise Induce Non-Sinus Tachyarrhythmias? It is also unknown if this 60-something man had been regularly exercising over time vs being sedentary.
This familial cardiac arrhythmia is the result of gene mutation. These patients are at high risk for malignant arrhythmias. Typically — these arrhythmias are induced by exercise or intense emotional states ( ie, associated with increased catecholamine discharge ). The heart is structurally normal in patients with CPVT.
During aerobic exercise which is isotonic, the heart rate and stroke volume increases. Isometric exercise or weight training on the other hand causes only slight increase in cardiac output due to increase in heart rate. Effect of exercise on right ventricle. J point elevation and early repolarization pattern has been reported.
IF the Patient is Younger and Athletic: The mechanism of AFib in younger, athletic individuals is often heavily influenced by increased vagal tone ( Rao and Shipon — ACC, 2019 — and — Calvo et al — Br J Sports Med, 2012 ). Vagally-mediated AFib is more likely to occur at night or after meals — and less likely to occur with exercise.
She was given some intense exercise restrictions and offered genetic testing. Free full text: [link] There are 6 categories of criteria : 1) Imaging 2) Pathologic 3) ECG Repolarization 4) ECG Depolarization 5) Arrhythmias 6) Family History. Overall CMR findings are consistent with arrhythmogenic cardiomyopathy. RVEF 100 ml/m2.
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