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)

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Bibliographic Details
Author:Pelliccia, Antonio; Solberg, Erik Ekker; Papadakis, Michael; Adami, Paolo Emilio; Biffi, Alessandro; Caselli, Stefano; La Gerche, Andre; Niebauer, Josef; Pressler, Axel; Schmied, Christian M.; Serratosa, Luis; Halle, Martin; Buuren, Frank van; Börjesson, Mats; Carre, Francois; Panhuyzen-Goedkoop, Nicole M.; Heidbüchel, Hein; Corrado, Domenico; Sinagra, Gianfranco; Sharma, Sanjay
Published in:European heart journal
Published:40 (2019), 1, S. 19–33, Lit.
Format: Publications (Database SPOLIT)
Publication Type: Journal article
Media type: Electronic resource (online) Print resource
ISSN:0195-668X, 1522-9645
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Identification number:PU202012011344

Author's 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.