Eligibility and Disqualification Recommendations for Competitive Athletes With Cardiovascular Abnormalities: Task Force 4: Congenital Heart Disease : A Scientific Statement From the American Heart Association and American College of Cardiology

Key Words

  • ACC/AHA Scientific Statements
  • athletes
  • cardiovascular abnormalities
  • congenital heart disease
  • coronary vessel anomalies
  • Fontan procedure
  • transposition of great arteries

Congenital heart disease (CHD) is the most common form of serious birth defect, occurring in 8 per 1,000 live births (1). The past several decades have seen dramatic improvements in survival with palliative or corrective heart surgery, such that there are now more adult patients than pediatric patients alive with CHD. Although restriction from competitive athletics may well be indicated for some, the great majority of patients can and should engage in some form of physical activity and should avoid a sedentary lifestyle. Clinicians should encourage their patients to engage in healthy physical activities, bearing in mind specific features in some patients, such as residual obstruction, pulmonary vascular disease, low systemic ventricular function, and preexisting arrhythmias in the presence of implanted cardiac rhythm devices such as pacemakers and implantable cardioverter-defibrillators. In addition, the physiological effects of athletic activities at high altitude should be considered for patients with elevated pulmonary vascular resistance. These issues are covered elsewhere in this document. Fortunately, although repaired CHD is clearly associated with the development of arrhythmias such as atrial flutter and ventricular tachycardia, exercise does not appear to contribute to the risk.

 


Autor / Fonte:George F Van Hare, Michael J Ackerman, Juli-Anne K Evangelista, Richard J Kovacs, Robert J Myerburg, Keri M Shafer, Carole A Warnes, Reginald L Washington Journal of the American College of Cardiology 2015 October 27
Link: http://www.sciencedirect.com/science/article/pii/S0735109715065729/pdfft?md5=72d15fb6153885ad0e2d5f1cfad4641f&pid=1-s2.0-S0735109715065729-main.pdf