Arrhythmias & electrophysiologyCohort study

Fatal Cardiac Arrhythmias During Electronic Gaming in Patients With Genetically Mediated Heart Diseases

J Am Coll CardiolPublished

  • Retrospective cohort study
  • single-centre

Authors' conclusion

Although anecdotal cases of electronic gaming-associated life-threatening arrhythmias have been reported, in this largest single-center study to date, we show that these are extremely rare occurrences.

Study context

Population
Patients with genetic heart diseases evaluated at Mayo Clinic's genetic heart rhythm clinic, July 2000–November 2022
Participants
3,370 patients
Outcome
Prevalence of cardiac events in the setting of electronic gaming

Main finding

As reported in the abstract

Cardiac event before diagnosis

1,079 (32%)

Electronic gaming-associated event before diagnosis (3 CPVT, 1 long QT syndrome, 1 premature ventricular contraction-triggered VF)

5 patients (0.5%)

≥1 breakthrough cardiac event after diagnosis and treatment

431 patients (13%)

Electronic gaming-associated breakthrough cardiac event (catecholamine-sensitive right outflow tract VT)

1 (0.2%)

Observational data: associations, not effects.

Original publication

Fatal Cardiac Arrhythmias During Electronic Gaming in Patients With Genetically Mediated Heart Diseases. J Am Coll Cardiol. Published 15 August 2023. doi:10.1016/j.jacc.2023.06.019

Summarised from the published abstract; every number is checked against it