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Sports Activity and Arrhythmic Risk in Cardiomyopathies and Channelopathies: A Critical Review of European Guidelines on Sports Cardiology in Patients with Cardiovascular Diseases
- Source :
- Medicina, Vol 57, Iss 308, p 308 (2021), Medicina
- Publication Year :
- 2021
- Publisher :
- MDPI AG, 2021.
-
Abstract
- The prediction and prevention of sudden cardiac death is the philosopher’s stone of clinical cardiac electrophysiology. Sports can act as triggers of fatal arrhythmias and therefore it is essential to promptly frame the athlete at risk and to carefully evaluate the suitability for both competitive and recreational sports activity. A history of syncope or palpitations, the presence of premature ventricular complexes or more complex arrhythmias, a reduced left ventricular systolic function, or the presence of known or familiar heart disease should prompt a thorough evaluation with second level examinations. In this regard, cardiac magnetic resonance and electrophysiological study play important roles in the diagnostic work-up. The role of genetics is increasing both in cardiomyopathies and in channelopathies, and a careful evaluation must be focused on genotype positive/phenotype negative subjects. In addition to being a trigger for fatal arrhythmias in certain cardiomyopathies, sports also play a role in the progression of the disease itself, especially in the case arrhythmogenic right ventricular cardiomyopathy. In this paper, we review the latest European guidelines on sport cardiology in patients with cardiovascular diseases, focusing on arrhythmic risk stratification and the management of cardiomyopathies and channelopathies.
- Subjects :
- cardiomyopathies
medicine.medical_specialty
Medicine (General)
Heart disease
Cardiology
Review
Disease
Right ventricular cardiomyopathy
sudden cardiac death
Sudden cardiac death
R5-920
Internal medicine
medicine
Palpitations
Humans
In patient
Arrhythmic risk
business.industry
Cardiac electrophysiology
General Medicine
medicine.disease
channelopathies
athletes
Cardiovascular Diseases
cardiovascular system
medicine.symptom
business
sport
Sports
Subjects
Details
- Language :
- English
- ISSN :
- 16489144
- Volume :
- 57
- Issue :
- 308
- Database :
- OpenAIRE
- Journal :
- Medicina
- Accession number :
- edsair.doi.dedup.....3428d776fc7e5717a0d670dfbbe50a8f