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Eur Heart J. 2019 Jan 1;40(1):19-33. doi: 10.1093/eurheartj/ehy730.

Recommendations for participation in competitive and leisure time sport in athletes with cardiomyopathies, myocarditis, and pericarditis: position statement of the Sport Cardiology Section of the European Association of Preventive Cardiology (EAPC).

Author information

1
Department of Medicine, Institute of Sport Medicine and Science, Largo Piero Gabrielli 1, Rome, Italy.
2
Diakonhjemmet Hospital, Medical Department, Oslo, Norway.
3
Cardiology Clinical Academic Group, St George's, University of London, London, UK.
4
International Association of Athletics Federations, IAAF, Monaco.
5
Cardiovascular Center Zürich, Klinik im Park, Zürich Switzerland.
6
National Centre for Sports Cardiology, Baker Heart and Diabetes Institute & St Vincent's Hospital, Melbourne, Australia.
7
Institute of Sports Medicine, Prevention and Rehabilitation, and Research Institute of Molecular Sports Medicine and Rehabilitation, Paracelsus Medical University, Salzburg, Austria.
8
Prevention and Sports Medicine, Technical University of Munich, Germany.
9
Centre for Cardiovascular Research (DZHK), partner site Munich Heart Alliance. Munich, Germany.
10
University Heart Center, Zurich, Switzerland.
11
Hospital Universitario Quironsalud Madrid, Spain.
12
Ripoll y De Prado Sport Clinic, FIFA Medical Centre of Excellence, Spain.
13
Catholic Hospital Southwestfalia, St. Martinus-Hospital Olpe, Germany.
14
Department of Neuroscience and Physiology and Center for Health and Performance, Gothenburg University, Gothenburg, Sweden.
15
Sahlgrenska University Hospital/Östra, Gothenburg, Sweden.
16
Hopital Pontchaillou, Rennes, France.
17
Heart Centre & Sports Cardiology Department, Amsterdam Medical Centres, Amsterdam, Netherlands.
18
Sports Medical Centre Papendal, Arnhem, Netherlands.
19
Cardiology, University Hospital and University of Antwerp, Antwerp, Belgium.
20
Hasselt University, Hasselt, Belgium.
21
Cardiomyopathy Unit, Careggi University Hospital, Florence, Italy.
22
Department of Cardiac, Thoracic, and Vascular Sciences, University of Padova Medical School, Padova. Italy.
23
Cardiovascular Department, Ospedali Riuniti and University of Trieste, Trieste, Italy.

Abstract

Myocardial diseases are associated with an increased risk of potentially fatal cardiac arrhythmias and sudden cardiac death/cardiac arrest during exercise, including hypertrophic cardiomyopathy, dilated cardiomyopathy, left ventricular non-compaction, arrhythmogenic cardiomyopathy, and myo-pericarditis. Practicing cardiologists and sport physicians are required to identify high-risk individuals harbouring these cardiac diseases in a timely fashion in the setting of preparticipation screening or medical consultation and provide appropriate advice regarding the participation in competitive sport activities and/or regular exercise programmes. Many asymptomatic (or mildly symptomatic) patients with cardiomyopathies aspire to participate in leisure-time and amateur sport activities to take advantage of the multiple benefits of a physically active lifestyle. In 2005, The European Society of Cardiology (ESC) published recommendations for participation in competitive sport in athletes with cardiomyopathies and myo-pericarditis. One decade on, these recommendations are partly obsolete given the evolving knowledge of the diagnosis, management and treatment of cardiomyopathies and myo-pericarditis. The present document, therefore, aims to offer a comprehensive overview of the most updated recommendations for practicing cardiologists and sport physicians managing athletes with cardiomyopathies and myo-pericarditis and provides pragmatic advice for safe participation in competitive sport at professional and amateur level, as well as in a variety of recreational physical activities.

PMID:
30561613
DOI:
10.1093/eurheartj/ehy730

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