{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T09:33:54Z","timestamp":1774344834501,"version":"3.50.1"},"reference-count":48,"publisher":"MDPI AG","issue":"16","license":[{"start":{"date-parts":[[2022,8,19]],"date-time":"2022-08-19T00:00:00Z","timestamp":1660867200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Heart rate monitors (HRMs) are used by millions of athletes worldwide to monitor exercise intensity and heart rate (HR) during training. This case report presents a 34-year-old male amateur soccer player with severe bradycardia who accidentally identified numerous pauses of over 4 s (maximum length: 7.3 s) during sleep on his own HRM with a heart rate variability (HRV) function. Simultaneous HRM and Holter ECG recordings were performed in an outpatient clinic, finding consistent 6.3 s sinus arrests (SA) with bradycardia of 33 beats\/min. During the patient\u2019s hospitalization for a transient ischemic attack, the longest pauses on the Holter ECG were recorded, and he was suggested to undergo pacemaker implantation. He then reduced the volume\/intensity of exercise for 4 years. Afterward, he spent 2 years without any regular training due to depression. After these 6 years, another Holter ECG test was performed in our center, not confirming the aforementioned disturbances and showing a tendency to tachycardia. The significant SA was resolved after a period of detraining. The case indicates that considering invasive therapy was unreasonable, and patient-centered care and shared decision-making play a key role in cardiac pacing therapy. In addition, some sports HRM with an HRV function can help diagnose bradyarrhythmia, both in professional and amateur athletes.<\/jats:p>","DOI":"10.3390\/ijerph191610367","type":"journal-article","created":{"date-parts":[[2022,8,21]],"date-time":"2022-08-21T22:23:13Z","timestamp":1661120593000},"page":"10367","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Amateur Athlete with Sinus Arrest and Severe Bradycardia Diagnosed through a Heart Rate Monitor: A Six-Year Observation\u2014The Necessity of Shared Decision-Making in Heart Rhythm Therapy Management"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8305-8130","authenticated-orcid":false,"given":"Robert","family":"Gajda","sequence":"first","affiliation":[{"name":"Center for Sports Cardiology, Gajda-Med Medical Center, ul. Piotra Skargi 23\/29, 06-100 Pu\u0142tusk, Poland"},{"name":"Department of Kinesiology and Health Prevention, Jan Dlugosz University, 42-200 Czestochowa, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2412-9103","authenticated-orcid":false,"given":"Beat","family":"Knechtle","sequence":"additional","affiliation":[{"name":"Institute of Primary Care, University of Zurich, 8091 Zurich, Switzerland"},{"name":"Medbase St. Gallen Am Vadianplatz, 9000 St. Gallen, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9268-3731","authenticated-orcid":false,"given":"Anita","family":"G\u0119bska-Kuczerowska","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Collegium Medicum, Cardinal Stefan Wyszy\u0144ski University, Kazimierza W\u00f3ycickiego 1\/3, 01-938 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacek","family":"Gajda","sequence":"additional","affiliation":[{"name":"Center for Sports Cardiology, Gajda-Med Medical Center, ul. Piotra Skargi 23\/29, 06-100 Pu\u0142tusk, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebastian","family":"Stec","sequence":"additional","affiliation":[{"name":"Division of Electrophysiology, Cardioneuroablation, Catheter Ablation and Cardiac Stimulation, Subcarpathian Center for Cardiovascular Intervention, 38-500 Sanok, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michalina","family":"Krych","sequence":"additional","affiliation":[{"name":"Department of Congenital Heart Diseases, The Cardinal Stefan Wyszy\u0144ski National Institute of Cardiology, ul. Alpejska 42, 04-628 Warsaw, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Magdalena","family":"Kwa\u015bniewska","sequence":"additional","affiliation":[{"name":"Department of Preventive Medicine, Faculty of Health, Medical University of Lodz, ul. Lucjana \u017beligowskiego 7\/9, 90-752 \u0141\u00f3d\u017a, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wojciech","family":"Drygas","sequence":"additional","affiliation":[{"name":"Department of Congenital Heart Diseases, The Cardinal Stefan Wyszy\u0144ski National Institute of Cardiology, ul. Alpejska 42, 04-628 Warsaw, Poland"},{"name":"Department of Preventive Medicine, Faculty of Health, Medical University of Lodz, ul. Lucjana \u017beligowskiego 7\/9, 90-752 \u0141\u00f3d\u017a, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,8,19]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1136\/hrt.61.2.155","article-title":"Electrocardiographic findings in male veteran endurance athletes","volume":"61","author":"Northcote","year":"1989","journal-title":"Br. 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