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Rate control could not be offered due to a history of sinus bradycardia nor rhythm control due to low likelihood of success. Anticoagulant therapy was commenced but discontinued at patient request as he considered risks to outweigh benefits given his desire to continue cycling. Management of athletes with atrial fibrillation is based on guidelines for the general population; however, treatment goals for athletes may differ. Shared decision making is essential to allow patients to make informed decisions about their care, accepting that individuals view treatment risks and benefits differently.<\/jats:p>","DOI":"10.1136\/bcr-2021-245822","type":"journal-article","created":{"date-parts":[[2021,12,9]],"date-time":"2021-12-09T11:35:58Z","timestamp":1639049758000},"page":"e245822","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Shared decision making in athletes with cardiovascular disease: what we can learn from a masters athlete"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6046-9850","authenticated-orcid":false,"given":"Roshan","family":"Patel","sequence":"first","affiliation":[{"name":"Leicester Medical School, College of Life Sciences, University of Leicester, Leicester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3328-9002","authenticated-orcid":false,"given":"Susil","family":"Pallikadavath","sequence":"additional","affiliation":[{"name":"College of Life Sciences, University of Leicester, Leicester, UK"},{"name":"Departmet of Cardiovascular Sciences, University of leicester and the NIHR Leicester Biomedical Research Centre, Glenfield Hospital, Leicester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew P M","family":"Graham-Brown","sequence":"additional","affiliation":[{"name":"Departmet of Cardiovascular Sciences, University of leicester and the NIHR Leicester Biomedical Research Centre, Glenfield Hospital, Leicester, UK"},{"name":"John Walls Renal Unit, Leicester General Hospital, Leicester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anvesha","family":"Singh","sequence":"additional","affiliation":[{"name":"Departmet of Cardiovascular Sciences, University of leicester and the NIHR Leicester Biomedical Research Centre, Glenfield Hospital, Leicester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,12,9]]},"reference":[{"key":"2025082804423525000_14.12.e245822.1","first-page":"567","article-title":"Atrial fibrillation in endurance athletes: from mechanism to management","volume":"34","author":"Elliott","year":"2016","journal-title":"Cardiol Clin"},{"key":"2025082804423525000_14.12.e245822.2","doi-asserted-by":"crossref","first-page":"1078","DOI":"10.1016\/j.hlc.2018.04.296","article-title":"Exercise and atrial fibrillation: prevention or causation?","volume":"27","author":"Elliott","year":"2018","journal-title":"Heart Lung Circ"},{"key":"2025082804423525000_14.12.e245822.3","doi-asserted-by":"crossref","first-page":"624","DOI":"10.1177\/2047487318754930","article-title":"The ambiguity of physical activity, exercise and atrial fibrillation","volume":"25","author":"Morseth","year":"2018","journal-title":"Eur J Prev Cardiol"},{"key":"2025082804423525000_14.12.e245822.4","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.111.019893"},{"key":"2025082804423525000_14.12.e245822.5","doi-asserted-by":"crossref","first-page":"1086","DOI":"10.1016\/j.hlc.2018.04.295","article-title":"Management of atrial fibrillation in the athlete","volume":"27","author":"Raju","year":"2018","journal-title":"Heart Lung Circ"},{"key":"2025082804423525000_14.12.e245822.6","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000748"},{"key":"2025082804423525000_14.12.e245822.7","unstructured":"NICE . 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