Athletes with valvular heart disease and competitive sports: a position statement of the Sport Cardiology Section of the European Association of Preventive Cardiology.

Autor:	van Buuren F; Clinic for General and Interventional Cardiology/Angiology, Herz- und Diabeteszentrum NRW, Ruhr-Universität Bochum, Bad Oeynhausen, Germany.; Catholic Hospital Southwestfalia, St. Martinus Hospital Olpe, Germany., Gati S; National Heart and Lung Institute, Imperial College, London, UK.; Department of Cardiology, Royal Brompton Hospital, London, SW3 6NP, UK., Sharma S; Cardiovascular Clinical Academic Group, St. George's, University of London, UK., Papadakis M; Cardiovascular Clinical Academic Group, St. George's, University of London, UK., Adami PE; Institute for Sports Medicine and Science, Italian Olympic Committee, Rome, Italy., Niebauer J; University Institute of Sports Medicine, Prevention and Rehabilitation, Paracelsus Medical University, Salzburg, Austria., Pelliccia A; Institute for Sports Medicine and Science, Italian Olympic Committee, Rome, Italy., Rudolph V; Clinic for General and Interventional Cardiology/Angiology, Herz- und Diabeteszentrum NRW, Ruhr-Universität Bochum, Bad Oeynhausen, Germany., Börjesson M; Department of Molecular and Clinical Medicine, Institute of Medicine; Center for Health and Performance, Gothenburg University.; Department of Medicine, Sahlgrenzska University Hospital/Östra, Gothenburg, Sweden., Carre F; Sport Medicine Department, Rennes University Hospital, LTSI INSERM UMR 1099, France., Solberg E; Department of Medicine, Diakonhjemmet Hospital, Oslo, Norway., Heidbuchel H; Antwerp University and University Hospital, Cardiology, Antwerp, Belgium., Caselli S; Cardiovascular Medicine Center Zurich, Hirslanden Klinik im Park, Zurich, Switzerland., Corrado D; Department of Cardiac, Thoracic and Vascular Sciences, University of Padua Medical School, Padova, Italy., Serratosa L; Hospital Universitario Quironsalud Madrid, Spain.; Ripoll y De Prado Sport Clinic, FIFA Medical Centre of Excellence, Madrid, Spain., Biffi A; Institute for Sports Medicine and Science, Italian Olympic Committee, Rome, Italy., Pressler A; Centre for General, Sports and Preventive Cardiology, Munich, Germany.; Department of Prevention, Rehabilitation and Sports Medicine, Technical University of Munich, Germany., Schmied C; Kardiologisches Ambulatorium, Sportmedizin/Sportkardiologie, University Heart Center, Zurich, Switzerland., Panhuyzen-Goedkoop NM; Amsterdam Medische Centra, locatie AMC & Sport Medisch Centrum Papendal Arnhem, Arnhem, The Netherlands., Rasmussen HK; Department of Cardiology, Bisbebjerg University Hospital, Copenhagen, Denmark., La Gerche A; Baker Heart and Diabetes Institute, Melbourne, Australia., Faber L; Clinic for General and Interventional Cardiology/Angiology, Herz- und Diabeteszentrum NRW, Ruhr-Universität Bochum, Bad Oeynhausen, Germany., Bogunovic N; Clinic for General and Interventional Cardiology/Angiology, Herz- und Diabeteszentrum NRW, Ruhr-Universität Bochum, Bad Oeynhausen, Germany., D'Ascenzi F; Department of Medical Biotechnologies, Division of Cardiology, University of Siena, Siena, Italy., Mellwig KP; Clinic for General and Interventional Cardiology/Angiology, Herz- und Diabeteszentrum NRW, Ruhr-Universität Bochum, Bad Oeynhausen, Germany.
Jazyk:	angličtina
Zdroj:	European journal of preventive cardiology [Eur J Prev Cardiol] 2021 Dec 20; Vol. 28 (14), pp. 1569-1578.
DOI:	10.1093/eurjpc/zwab058
Abstrakt:	This article provides an overview of the recommendations from the Sports Cardiology section of the European Association of Preventive Cardiology on sports participation in individuals with valvular heart disease (VHD). The aim of these recommendations is to encourage regular physical activity including sports participation, with reasonable precaution to ensure a high level of safety for all affected individuals. Valvular heart disease is usually an age-related degenerative process, predominantly affecting individuals in their fifth decade and onwards. However, there is an increasing group of younger individuals with valvular defects. The diagnosis of cardiac disorders during routine cardiac examination often raises questions about on-going participation in competitive sport with a high dynamic or static component and the level of permissible physical effort during recreational exercise. Although the natural history of several valvular diseases has been reported in the general population, little is known about the potential influence of chronic intensive physical activity on valve function, left ventricular remodelling pulmonary artery pressure, and risk of arrhythmia. Due to the sparsity of data on the effects of exercise on VHD, the present document is largely based on clinical experience and expert opinion. (Published on behalf of the European Society of Cardiology. All rights reserved. © The Author(s) 2021. For permissions, please email: journals.permissions@oup.com.)
Databáze:	MEDLINE
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