PT  - JOURNAL ARTICLE
AU  - Manisha Gandhi
AU  - Honey Thomas
TI  - Symptomatic second-degree atrioventricular block in a recreational athlete
AID  - 10.1136/bcr-2021-246333
DP  - 2021 Dec 01
TA  - BMJ Case Reports
PG  - e246333
VI  - 14
IP  - 12
4099  - http://casereports.bmj.com/content/14/12/e246333.short
4100  - http://casereports.bmj.com/content/14/12/e246333.full
SO  - BMJ Case Reports2021 Dec 01; 14
AB  - This case study provides an example of bradycardia associated with an increase in exercise training in a recreational athlete. Although recognised among high-level endurance athletes, this case demonstrates the potential negative effects of exercise on the heart in a patient participating in the levels of exercise recommended by Public Health England. It adds weight to the ongoing discussion of the incomplete understanding of the level of exercise needed to induce pathological changes in cardiac physiology. We discuss the investigations that led us to our diagnosis, highlighting the importance of a detailed exercise history in patients who present with palpitations and provide a potential explanation of how this phenomenon may have occurred. Currently, bradycardia induced by exercise has been managed through pacemaker insertion or complete cessation of exercise. This report demonstrates effective treatment through a period of exercise cessation and slow reintroduction of exercise training.