Cited by 591Cardiovascular Effects of ExerciseCardiomyopathy and Myosin StudiesCardiac electrophysiology and arrhythmias

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Recommendations for Physical Activity and Recreational Sports Participation for Young Patients With Genetic Cardiovascular Diseases

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Maron, Barry J., Chaitman, Bernard R., Ackerman, Michael J., Bayés de Luna, Antonio, Corrado, Domenico, Crosson, Jane E., Deal, Barbara J., Driscoll, David J., Estes, N.A. Mark, Araújo, Claudio Gil S., Liang, David H., Mitten, Matthew J., Myerburg, Robert J., Pelliccia, Antonio, Thompson, Paul D., Towbin, Jeffrey A., Van Camp, Steven P.·2004·Circulation

DOI 10.1161/01.cir.0000128363.85581.e1

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Abstract

A group of relatively uncommon but important genetic cardiovascular diseases (GCVDs) are associated with increased risk for sudden cardiac death during exercise, including hypertrophic cardiomyopathy, long-QT syndrome, Marfan syndrome, and arrhythmogenic right ventricular cardiomyopathy. These conditions, characterized by diverse phenotypic expression and genetic substrates, account for a substantial proportion of unexpected and usually arrhythmia-based fatal events during adolescence and young adulthood. Guidelines are in place governing eligibility and disqualification criteria for competitive athletes with these GCVDs (eg, Bethesda Conference No. 26 and its update as Bethesda Conference No. 36 in 2005). However, similar systematic recommendations for the much larger population of patients with GCVD who are not trained athletes, but nevertheless wish to participate in any of a variety of recreational physical activities and sports, have not been available. The practicing clinician is frequently confronted with the dilemma of designing noncompetitive exercise programs for athletes with GCVD after disqualification from competition, as well as for those patients with such conditions who do not aspire to organized sports. Indeed, many asymptomatic (or mildly symptomatic) patients with GCVD desire a physically active lifestyle with participation in recreational and leisure-time activities to take advantage of the many documented benefits of exercise. However, to date, no reference document has been available for ascertaining which types of physical activity could be regarded as either prudent or inadvisable in these subgroups of patients. Therefore, given this clear and present need, this American Heart Association consensus document was constituted, based largely on the experience and insights of the expert panel, to offer recommendations governing recreational exercise for patients with known GCVDs.

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Authors: Maron, B. J., Chaitman, B. R., Ackerman, M. J., Bayés de Luna, A., Corrado, D., Crosson, J. E., Deal, B. J., Driscoll, D. J., Estes, N. A. M., Araújo, C. G. S., Liang, D. H., Mitten, M. J., Myerburg, R. J., Pelliccia, A., Thompson, P. D., Towbin, J. A., & Van Camp, S. P.
ORCID: Maron, Barry J.
Chaitman, Bernard R.
Ackerman, Michael J.
Corrado, Domenico
Driscoll, David J.
Estes, N.A. Mark
Liang, David H.
Myerburg, Robert J.
Pelliccia, Antonio
Thompson, Paul D.
Towbin, Jeffrey A.
Venue: Circulation
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2004-06-08
Volume: 109
Issue: 22
Pages: 2807-2816
ISSN: 0009-7322 (ISSN-L)
1524-4539
DOI: 10.1161/01.cir.0000128363.85581.e1
OpenAlex: W2151750374
Cited by: 591
References: 88
Citations by year: 2026: 5 · 2025: 16 · 2024: 13 · 2023: 23 · 2022: 24 · 2021: 22 · 2020: 22 · 2019: 15 · 2018: 15 · 2017: 25 · 2016: 38 · 2015: 46 · 2014: 26 · 2013: 44 · 2012: 39
FWCI: 18.11
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Circulation (publishedVersion)
PubMed (publishedVersion)
Padua Research Archive (University of Padova) (submittedVersion, other-oa)
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Effects of Exercise
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiomyopathy and Myosin Studies
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
Keywords: leisure-time physical activity, sports participation, hypertrophic cardiomyopathy, long QT syndrome, Marfan syndrome, arrhythmogenic right ventricular cardiomyopathy, sudden cardiac death, exercise safety, exercise recommendations, young adults
MeSH terms: Adolescent, Adult, Cardiovascular Diseases, Humans, Life Style, Sports, Sports Medicine, Exercise, Death, Sudden, Cardiac

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Recommendations for Physical Activity and Recreational Sports Participation for Young Patients With Genetic Cardiovascular Diseases

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