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). (14th December 2018)

• Record Type: Journal Article
• Authors: Pelliccia, Antonio; Solberg, Erik Ekker; Papadakis, Michael; Adami, Paolo Emilio; Biffi, Alessandro; Caselli, Stefano; La Gerche, Andrè; Niebauer, Josef; Pressler, Axel; Schmied, Christian M; Serratosa, Luis; Halle, Martin; Van Buuren, Frank; Borjesson, Mats; Carrè, Francois; Panhuyzen-Goedkoop, Nicole M; Heidbuchel, Hein; Olivotto, Iacopo; Corrado, Domenico; Sinagra, Gianfranco; Sharma, Sanjay
• Is Part Of: European heart journal. Volume 40:Number 1(2019)
• Page Start: 19
• Page End: 33
• Publication Date: 2018-12-14
• Subjects: Myocardial diseases -- Sudden cardiac death -- Hypertrophic cardiomyopathy -- Arrhythmogenic cardiomyopathy -- Myo-pericarditis -- Cardiomyopathies -- Athletes; Cardiology -- Periodicals; Heart -- Diseases -- Periodicals; 616.12005
• DOI: 10.1093/eurheartj/ehy730
• Languages: English
• ISSNs: 0195-668X

Abstract

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.