Cor Vasa 2020, 62(4):362-365 | DOI: 10.33678/cor.2020.081

(Hypertrophic cardiomyopathy and sports - is it time for a change in strategy?)

David Zemánek
II. interní klinika kardiologie a angiologie, 1. lékařská fakulta Univerzity Karlovy a Všeobecná fakultní nemocnice v Praze

Hypertrophic cardiomyopathy has been associated with the risk of sudden cardiac death since it was described. It is also considered one of the most common causes of sudden death of young athletes. Therefore, competitive and in many cases recreational sports were not recommended for these patients. In the last few years, a number of findings have been published that shed new light on this issue. That is why today we choose a less restrictive approach, especially in the case of recreational sports. The aim of this article is to summarize current knowledge on this issue.

Keywords: Competitive sports, Exercise, Hypertrophic cardiomyopathy, Sudden cardiac death

Received: August 13, 2020; Revised: September 2, 2020; Accepted: September 2, 2020; Published: September 16, 2020  Show citation

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Zemánek D. (Hypertrophic cardiomyopathy and sports - is it time for a change in strategy?). Cor Vasa. 2020;62(4):362-365. doi: 10.33678/cor.2020.081.
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    References

    1. Authors/Task Force members, Elliott PM, Anastasakis A, Borger MA, et al. 2014 ESC Guidelines on diagnosis and management of hypertrophic cardiomyopathy: the Task Force for the Diagnosis and Management of Hypertrophic Cardiomyopathy of the European Society of Cardiology (ESC). Eur Heart J 2014;35:2733-2779. Go to original source... Go to PubMed...
    2. Teare D. Asymmetrical hypertrophy of the heart in young adults. Br Heart J 1958;20:1-8. Go to original source... Go to PubMed...
    3. Maron BJ, Doerer JJ, Haas TS, et al. Sudden deaths in young competitive athletes: analysis of 1866 deaths in the United States, 1980-2006. Circulation 2009;119:1085-1092. Go to original source... Go to PubMed...
    4. Corrado D, Basso C, Pavei A, et al. Trends in sudden cardiovascular death in young competitive athletes after implementation of a preparticipation screening program. JAMA 2006;296:1593-1601. Go to original source... Go to PubMed...
    5. Gersh BJ, Maron BJ, Bonow RO, et al. American College of Cardiology Foundation/American Heart Association TaskForce on Practice; American Association for Thoracic Surgery; American Society of Echocardiography; American Society of Nuclear Cardiology; Heart Failure Society of America; Heart Rhythm Society; Society for Cardiovascular Angiography and Interventions; Society of Thoracic Surgeons. 2011 ACCF/AHA Guideline for the Diagnosis and Treatment of Hypertrophic Cardiomyopathy: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol 2011;58:e212-e260.
    6. Aengevaeren VL, Gommans DHF, Dieker HJ, et al. Association between Lifelong Physical Activity and Disease Characteristics in HCM. Med Sci Sports Exerc 2019;51:1995-2002. Go to original source... Go to PubMed...
    7. Pelliccia A, Solberg EE, Papadakis M, et al. 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). Eur Heart J 2019;40:19-33. Go to original source... Go to PubMed...
    8. Maron BJ, Doerer JJ, Haas TS, et al. Sudden deaths in young competitive athletes: analysis of 1866 deaths in the United States, 1980-2006. Circulation 2009;119:1085-1092. Go to original source... Go to PubMed...
    9. Maron BJ, Haas TS, Murphy CJ, et al. Incidence and causes of sudden death in U.S. college athletes. J Am Coll Cardiol 2014;63:1636-1643. Go to original source... Go to PubMed...
    10. Maron BJ, Haas TS, Ahluwalia A, et al. Demographics and Epidemiology of Sudden Deaths in Young Competitive Athletes: From the United States National Registry. Am J Med 2016;129:1170-1177. Go to original source... Go to PubMed...
    11. Corrado D, Basso C, Rizzoli G, et al. Does Sports Activity Enhance the Risk of Sudden Death in Adolescents and Young Adults? J Am Coll Cardiol 2003;42:1959-1963. Go to original source... Go to PubMed...
    12. Finocchiaro G, Papadakis M, Robertus JL, et al. Etiology of Sudden Death in Sports: Insights From a United Kingdom Regional Registry. J Am Coll Cardiol 2016;67:2108-2115. Go to original source... Go to PubMed...
    13. Bagnall RD, Weintraub RG, Ingles J, et al. A Prospective Study of Sudden Cardiac Death Among Children and Young Adults. N Engl J Med 2016;374:2441-2452. Go to original source... Go to PubMed...
    14. Harmon KG, Asif IM, Maleszewski JJ, et al. Incidence, Cause, and Comparative Frequency of Sudden Cardiac Death in National Collegiate Athletic Association Athletes: A Decade in Review. Circulation 2015;132:10-19. Go to original source... Go to PubMed...
    15. Wisten A, Börjesson M, Krantz P, Stattin EL. Exercise related sudden cardiac death (SCD) in the young - Pre-mortal characterization of a Swedish nationwide cohort, showing a decline in SCD among athletes. Resuscitation 2019;144:99-105. Go to original source... Go to PubMed...
    16. Doukky R, Mangla A, Ibrahim Z, et al. Impact of physical inactivity on mortality in patients with heart failure. Am J Cardiol 2016;117:1135-1143. Go to original source... Go to PubMed...
    17. Konhilas JP, Watson PA, Maass A, et al. Exercise can prevent and reverse the severity of hypertrophic cardiomyopathy. Circ Res 2006;98:540-548. Go to original source... Go to PubMed...
    18. Sorajja P, Allison T, Hayes C, et al. Prognostic utility of metabolic exercise testing in minimally symptomatic patients with obstructive hypertrophic cardiomyopathy. Am J Cardiol 2012;109:1494-1498. Go to original source... Go to PubMed...
    19. Rigopoulos AG, Panou F, Sakadakis E, et al. Cardiopulmonary Exercise Test Parameters at Three Months After Alcohol Septal Ablation in Hypertrophic Obstructive Cardiomyopathy Are Associated With Late Clinical Outcome. Heart Lung Circ;29:202-210.
    20. Reineck E, Rolston B, Bragg-Gresham JL, et al. Physical activity and other health behaviors in adults with hypertrophic cardiomyopathy. Am J Cardiol 2013;111:1034-1039. Go to original source... Go to PubMed...
    21. Fumagalli C, Maurizi N, Day SM, et al.; SHARE Investigators. Association of Obesity With Adverse Long-term Outcomes in Hypertrophic Cardiomyopathy. JAMA Cardiol 2019;5:1-8. Go to original source...
    22. Saberi S, Wheeler M, Bragg-Gresham J, et al. Effect of Moderate-Intensity Exercise Training on Peak Oxygen Consumption in Patients With Hypertrophic Cardiomyopathy: A Randomized Clinical Trial. JAMA 2017;317:1349-1357. Go to original source... Go to PubMed...
    23. Pelliccia A, Caselli S, Pelliccia M, et al. Clinical outcomes in adult athletes with hypertrophic cardiomyopathy: a 7-year follow-up study. Br J Sports Med 2020;54:1008-1012. Go to original source... Go to PubMed...

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